HIT Consultant

AUGUST 31, 2023

Adimika Arthur, Executive Director, HealthTech 4 Medicaid Manisha Sharma, Senior Medical Director, Promise Health Plan Blue Shield of California During the pandemic, Medicaid enrollment grew by nearly 30% to cover more than 93 million Americans , due in large part to COVID-19 provisions that included continuous Medicaid enrollment.

Medicaid 64

Medicaid Prevention Health Data Quality of Care 64

NASHP

OCTOBER 22, 2021

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care October 25, 2021 / by Salom Teshale, Kitty Purington, Wendy Fox-Grage, and Mia Antezzo. Comprehensive care coordination. billion on chronic obstructive pulmonary disease (COPD) per year. Assessment and management of pain and other symptoms.

Medicaid 102

Medicaid Hospice Care Regulations Integration 102

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

NASHP

DECEMBER 23, 2022

With more than 40 percent of births financed by Medicaid, the Centers for Medicare & Medicaid Services (CMS) has developed an action plan that corresponds with goals outlined in the White House blueprint. Implement Medicaid benefit. Monitor and evaluate quality improvement and outcomes and address barriers to care.

Medicaid 59

Medicaid Nursing Regulations Hospitals 59

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

p3care

JULY 2, 2023

Therefore, the EHRs must adhere to the regulations to receive voluntary certification. Afterward, they implement strategies to enhance the quality of care they deliver. Also, it enables quality reporting and performance improvement and enhances eligibility for incentive payments.

Performance improvement 237

Performance improvement Healthcare Providers Quality of Care Integration 237

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

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

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 107

Medicare Regulations Quality Improvement Quality of Care 107

NASHP

MARCH 29, 2024

5 Compared to white, non-Hispanic CYSHCN, CYSHCN who are Black or Latinx are at particular risk of receiving infrequent, low-quality care, 6 while American Indian and Alaska Native CYSHCN are less likely to be able to access specialty treatment or receive culturally sensitive services.

Medicaid 124

Medicaid Quality of Care Quality Assurance Nursing 124

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 Prevention 52

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

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.

Medicaid 114

Medicaid Home Care Regulations Quality of Care 114

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

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 Integration 64

Briggs Healthcare

MARCH 2, 2022

“The purpose of this primer is to provide updated information to the patient safety community about the challenges of ensuring the safe care of older adults in Medicare and Medicaid certified nursing homes (NHs) associated with the COVID-19 pandemic, and the federal and state efforts taken to mitigate these challenges. Conclusion.

Nursing 98

Nursing Patient Safety Quality of Care Regulations 98

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

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 94

Home Care Regulations Urgent Care Remote Care 94

Briggs Healthcare

JULY 25, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare “Last week, regulators rolled out enhanced oversight for new hospices in Arizona, California, Nevada and Texas. The changes, detailed in a 196-page document , went into effect immediately.”

Hospice Care 40

Hospice Care Regulations Medicare Medicaid 40

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.

Medicaid 52

Medicaid Medicare Nursing Quality of Care 52

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

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 140

Integration Healthcare Quality of Care Regulations 140

Healthcare It News

MARCH 18, 2022

Norden is particularly passionate about funding companies focused on the Medicaid population – a traditionally tricky and often ignored area. You are passionate about funding companies focused on the Medicaid population – a traditionally tricky and often ignored area. What's happening in this area of digital health?

Medicaid 355

Medicaid Telemedicine Hospitals Clinical Practice 355

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 96

Primary Care Medicaid Medicare Quality of Care 96

Briggs Healthcare

MARCH 9, 2023

On May 16, 2022, HHS announced the funding opportunity of nearly $15 million for a three-year federal grant to establish a Substance Abuse and Mental Health Services Administration (SAMHSA) program that will strengthen the delivery of behavioral health care to residents of nursing homes and other long-term care facilities.

Nursing 52

Nursing Prevention Performance improvement Medicaid 52

NASHP

OCTOBER 6, 2023

The framework he presented (see below) describes ways to address the business decisions driving health care costs; the competition lever, which includes price regulation, is the most important lever to address high prices. Source: Song, Z.,

Quality of Care 59

Quality of Care Hospitals Regulations Doctors 59

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 83

Home Care Regulations Medicare Quality of Care 83

HIT Consultant

MARCH 17, 2024

Jay Ackerman, CEO, Reveleer The momentum of value-based care (VBC) is poised to accelerate. The Centers for Medicare and Medicaid Services (CMS) has outlined an ambitious objective: to transition all traditional Medicare beneficiaries into a VBC arrangement by 2030, a notable increase from the mere 7% recorded in 2021 by Bain Research.

Quality Improvement 64

Quality Improvement Medicare Quality of Care Regulations 64

Briggs Healthcare

MARCH 10, 2022

LTCCC’s Q3 2021 report can help the public, media, and policymakers identify and assess the extent to which nursing homes in their communities provided sufficient staffing to meet basic clinical and quality of life needs. See: PBJ Daily Nurse Staffing and PBJ Daily Non-Nurse Staffing ).

Nursing 52

Nursing Quality of Care Accountability Regulations 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 88

Integration Healthcare Quality of Care Regulations 88

Sheppard Health Law

MAY 2, 2023

On April 12, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released a final rule updating key regulations pertaining to Programs of All-Inclusive Care for the Elderly (“PACE”) (the “ Final Rule ”). Under the Final Rule, CMS is revising the regulation at 42 C.F.R.

Regulations 52

Regulations Medicaid Primary Care Medicare 52

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

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

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 112

Quality of Care Regulations Medicaid Medicare 112

HIT Consultant

FEBRUARY 21, 2023

Ashish Kachru, CEO, DataLink The new healthcare realm of value-based care (VBC) , designed to reward healthcare providers with incentive payments for the quality of care and patient outcomes not simply the volume of services provided, presents both opportunities and challenges for all stakeholders.

Population Health 52

Population Health Medicaid Medicare Quality of Care 52

Etactics

DECEMBER 1, 2023

These codes assist healthcare workers in reporting different medical procedures and services to health insurance programs, such as Medicare and Medicaid. HCPCS Code Structure The HCPCS exists in the public domain created by the Centers for Medicare and Medicaid Services. A9270 - Use if a service is not covered by Medicare or Medicaid.

Medicare 52

Medicare Medicaid Medical Services Prevention 52

Bill Of Health

NOVEMBER 9, 2023

health system In considering how the Principles can contribute to a new vision for America’s health care system, we must face several harsh realities. At the end of the PHE, states began Medicaid disenrollment, and more than 7 million people have already lost health insurance this year. The dire state of the U.S. First, while the U.S.

Medicaid 62

Medicaid Pharmaceuticals Prevention Quality of Care 62