Home Health Care

JANUARY 22, 2025

The expanded HHVBP model builds on the success of the original model, which improved total performance scores among home health agencies by an average of 4.6%, according to the Center for Medicare and Medicaid Services (CMS). Based on the success of the original model, the U.S.

Medicare 77

Medicare Hospitals Quality of Care Nursing 77

p3care

MAY 31, 2024

Performance Improvement ACOs do not restrict themselves to certain defined goals instead, they take a holistic approach focusing on overall patient outcomes, cost efficiency, and quality of care. This becomes a specific reason for comprehensible improvements in patient care.

Quality of Care 130

Quality of Care Doctors Medicare Patient Experience 130

Home Health Care

JUNE 17, 2024

This article is a part of your HHCN+ Membership The Medicaid Access Rule has been heralded by home care providers as a mostly good rule with one misguided piece: the 80-20 provision. The 80-20 provision is six years away from implementation, but the regulation itself could immediately begin to affect how Medicaid programs operate.

Home Care 114

Home Care Medicaid Medicare Quality of Care 114

NCQA

JUNE 28, 2024

The Centers for Medicare & Medicaid Services (CMS) recently announced two major updates to Medicaid regulations. This blog will delve into their significance and key policy implications for states and managed care organizations (MCO). Ensure Payment Adequacy for HCBS Direct Care Workers.

Medicaid 59

Medicaid Regulations Care Transition Primary Care 59

Home Health Care

MAY 19, 2022

Yet with roughly seven-and-a-half months to go, more questions about HHVBP’s broader impact on quality of care and patient access are starting to pop up. New data supports that idea, meaning changes to HHVBP’s design are likely, given regulators’ current prioritization on health equity and access. Individual Membership.

Medicare 110

Medicare Regulations Quality Improvement Quality of Care 110

Home Health Care

NOVEMBER 6, 2023

The reality of the funding aspect of Medicaid does not make it easy to run a business and to serve all the people that need to be served,” Mollie Gurian, VP of home-based and HCBS policy at LeadingAge, said at the organization’s annual conference in Chicago on Monday. In managed care, many providers don’t have a voice.

Medicaid 110

Medicaid Quality of Care Regulations Medicare 110

HIT Consultant

MAY 2, 2023

Andy Auerbach, Chief Revenue Officer of SafeRide Health As the healthcare industry continues to evolve, there is a growing need for innovative solutions that not only improve the quality of care but also make care more accessible. adults without access to a vehicle or public transportation skipped needed medical care last year.

Medicaid 96

Medicaid Regulations Medicare Integration 96

NCQA

JUNE 27, 2023

More states are contracting with managed care organizations (MCO) to provide Medicaid long-term services and supports (LTSS). How do we know if MCOs are delivering equitable, high-quality care to people receiving LTSS? In July, NCQA will update these programs to further align with best practices and federal regulations.

Medicaid 52

Medicaid Care Transition Quality Improvement Regulations 52

HIT Consultant

OCTOBER 15, 2024

Hospital-at-Home: A Growing Trend in Healthcare Hospital-at-Home programs allow patients to receive acute care services in the comfort of their own homes, often leading to better outcomes and higher patient satisfaction. The company has secured necessary health clearances in these regions to ensure compliance with local regulations.

Hospitals 98

Hospitals Quality of Care Regulations Medicaid 98

Home Health Care

FEBRUARY 3, 2023

Self-directed care providers will allow seniors and people with disabilities to choose their own non-medical caregiver. Then, those chosen caregivers are generally paid out by state Medicaid programs. The dramatic rise in consumer-directed care is not just evident in the home-based care space, but in the health care world at large.

Home Care 115

Home Care Medicaid Regulations Quality of Care 115

Home Health Care

JULY 19, 2024

However, there’s a difference between providers that have made errors in claims processing or quality of care provisions versus those taking part in purposeful fraudulent activity, according to National Association for Home Care & Hospice (NAHC) President William A.

Regulations 115

Regulations Home Care Quality of Care Medicaid 115

Home Health Care

APRIL 1, 2025

Failure to take action to raise these rates will jeopardize the quality of care for our residents, risk the health and safety of our friends and neighbors, and further limit the compensation that can be offered to more than 200,000 direct-care workers across the state. per hour.

Home Care 52

Home Care Nursing Medicaid Quality of Care 52

Briggs Healthcare

FEBRUARY 9, 2022

The Medicare and Medicaid certification of providers and suppliers in a State whose oversight process is substantially deficient may be jeopardized if CMS cannot ensure that the regulatory minimum health and safety standards have been met.

Medicaid 52

Medicaid Medicare Regulations Quality of Care 52

Cloud Blogs

FEBRUARY 28, 2022

These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care. In 2020, the Centers for Medicaid and Medicare Services (CMS) issued additional rules requiring that payors and providers who receive CMS funds make health information more accessible.

Integration 129

Integration Healthcare Quality of Care Regulations 129

Home Health Care

DECEMBER 7, 2023

Increased capacity for predictive modeling through AI will empower home care leaders to enhance service offerings to improve the quality of care, patient health, comfort and independence. Baseline regulations that set forth good business practices to keep clients and caregivers safe are essential.

Home Care 121

Home Care Regulations Nursing Prevention 121

Home Health Care

MARCH 9, 2022

health care system has learned that home-based care companies are well-positioned to respond to unique challenges, with at-home care approaches often boosting patient satisfaction, lowering costs and improving quality of care. Over the past few years, the U.S.

Home Care 98

Home Care Regulations Urgent Care Hospitals 98

Home Health Care

SEPTEMBER 29, 2021

Plus, home- and community-based services were on the Centers for Medicare & Medicaid Services’ (CMS) radar last year when the agency sent out a request for information asking what metrics should be used to evaluate the sector. Recently, HCAOA released a code of conduct and standard of care for its members.

Home Care 105

Home Care Regulations Nursing Medicare 105

NASHP

SEPTEMBER 20, 2022

State health policies help to shape these services through legislation, funding, and regulation. One aspect of the project includes evaluating Medicaid data to analyze if the services offered to people differ based on race or ethnicity. Michigan created a health equity project to increase the use of HCBS.

Medicaid 93

Medicaid Nursing Regulations Care Transition 93

HIT Consultant

FEBRUARY 27, 2024

By providing personalized, context-aware guidance, Co-Pilots help streamline decision-making processes and simplify the management of evolving regulations. For instance, they can monitor updates to payer policies and alert staff to the implications for claim assessment, reducing the burden of staying up to date on complex regulations.

Integration 111

Integration Healthcare Quality of Care Regulations 111

Home Health Care

JUNE 28, 2022

Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) are taking steps to improve oncology care and primary care this week. While both are not directly related to home-based care, the federal government pushing this should pique providers’ interest.

Primary Care 98

Primary Care Medicaid Medicare Quality of Care 98

Home Health Care

OCTOBER 11, 2024

That was the one-word response a home health provider left for the Centers for Medicare & Medicaid Services’ (CMS) during the comment period on the 2025 home health proposed payment rule. Every year we are fighting for survival and every year CMS is proposing to cut reimbursement and adding more regulations.

Medicare 110

Medicare Nursing Hospitals Regulations 110

NASHP

MAY 20, 2022

Although states can promote family caregiver services through licensure, regulation, and outreach, the most powerful policy lever that states have to increase access is funding key services and supports. Medicaid is the largest source of public funding that can be leveraged to support family caregivers.

Medicaid 115

Medicaid Nursing Hospitals Home Care 115

Home Health Care

APRIL 14, 2022

million more people than a year ago across its health benefits offerings, with growth driven by strong enrollment in Medicare Advantage (MA), D-SNPs and the broader Medicaid market. “We’re The quality of care that they provide is remarkable.”. Overall, UnitedHealthcare in the first quarter served about 1.5

Quality of Care 115

Quality of Care Regulations Medicaid Medicare 115

Home Health Care

MARCH 7, 2025

But some questions have been swirling around private equity activity in health care, with the federal and state governments holding hearings, issuing scathing reports about how care quality declines under PE ownership, and taking action to regulate this type of investment in light of spectacular failures such as the implosion of Steward Health Care.

Home Care 58

Home Care Medicare Regulations Quality of Care 58

Bill Of Health

OCTOBER 8, 2021

My forthcoming article proposes that the federal government use its spending power to incentivize states to adopt a de facto national telehealth licensing scheme through state-based mutual recognition of licensing and scope of practice reforms through a Medicaid program funding “bonus.”.

Medicaid 98

Medicaid Patient Safety Nursing Quality of Care 98

Briggs Healthcare

JANUARY 20, 2023

CMS performs over 100,000 compliance surveys of Medicare and Medicaid-certified providers and suppliers, each year. The intent of this initiative is to provide a resource for providers and suppliers to proactively address common compliance concerns and therefore increase the quality of care for patients and residents.

Quality of Care 52

Quality of Care Regulations Medicaid Medicare 52

Home Health Care

JUNE 28, 2023

Riggins is a veteran of the home health space, but has been thrust into RCD given the VitalCaring’s footprint in Texas and Florida, two of the five states where the Centers for Medicare & Medicaid Services (CMS) demonstration is active. RCD positives There are also industry advocates that see benefits in the Review Choice Demonstration.

Home Care 96

Home Care Regulations Medicare Quality of Care 96

Briggs Healthcare

AUGUST 14, 2023

The SPSS is aligned with CMS expectations for State Survey Agency performance in accordance with the §1864 Agreement and all related regulations and policies intended to protect and improve the health and safety of Americans such as the State Operations Manual, the Mission and Priority Document, survey procedure guides, and other relevant documents.

Physical Therapy 52

Physical Therapy Rehabilitation Medicaid Quality of Care 52

HIT Consultant

AUGUST 20, 2024

This is especially true among Medicaid enrollees, who report more problems with prior authorization and provider availability compared to people with other insurance types, and are less likely than their peers to describe their own health as “excellent.” Other regulations limit the frequency of communications with members.

Medicaid 64

Medicaid Regulations Prevention Doctors 64

NASHP

OCTOBER 20, 2022

This substandard access to quality care can lead to poor health outcomes.[6]. have a special health care need, and an estimated 44 percent of CYSHCN are enrolled in Medicaid.[7] public health, Medicaid, mental health) and other stakeholders (e.g., Training CHWs in core components of care coordination.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

Icanotes

MARCH 15, 2021

Beyond providing high-quality patient care, behavioral health clinicians need to navigate challenges in mental health services, such as changing regulations and an increasing shift to telemedicine. Ensuring Compliance With Regulations and Practicing Risk Mitigation. Table of Contents. Shifting to Telehealth.

Telemedicine 98

Telemedicine Regulations Doctors Quality of Care 98

Briggs Healthcare

MARCH 17, 2022

The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS’ intention to collect information from the public. The ICs specified in the regulations may be used as a basis for determining whether a LTC is meeting the requirements to participate in the Medicare program.

Medicare 52

Medicare Medicaid Nursing Quality of Care 52

Briggs Healthcare

NOVEMBER 17, 2022

GAO also reviewed relevant statutes, regulations, and VA documents, and interviewed federal and state officials and organizations involved with veteran care. The Department of Veterans Affairs (VA) is the only federal entity that oversees all 153 state veterans homes, which provide nursing home care to roughly 14,500 veterans.

Home Care 52

Home Care Nursing Regulations Medicaid 52

NCQA

JULY 31, 2024

Many of our HEDIS measures are used in quality reporting and value-based purchasing by Medicare, Medicaid and commercial insurance plans. Defining the Behavioral Health Access Problem The need for behavioral health treatment has never been more pressing, but there are wide disparities in access to care.

Quality Assurance 52

Quality Assurance Regulations Quality of Care Medicaid 52

Cloud Blogs

FEBRUARY 28, 2022

These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care. In 2020, the Centers for Medicaid and Medicare Services (CMS) issued additional rules requiring that payors and providers who receive CMS funds make health information more accessible.

Integration 76

Integration Healthcare Quality of Care Regulations 76

NASHP

JANUARY 12, 2024

During the pandemic and with the support of federal American Rescue Plan Act (ARPA) funds, many states increased Medicaid payment rates for these workers with one-time pay increases or bonuses. In 2024, people with Medicare and Medicaid coverage (i.e.,

Medicaid 64

Medicaid Nursing Accountability Medicare 64

Home Health Care

OCTOBER 9, 2023

And lastly, there’s the quality of care that is being delivered now because the standards are higher. There’s more visibility and there’s more transparency about all the care that’s been developed. What degree of progress has the home-based care field made in communicating their value to payers, in your view?

Regulations 98

Regulations Home Care Quality of Care Medicaid 98