Home Health Care

AUGUST 4, 2023

Here is a look at three steps providers can take to improve their QAPI approach, fix their VBP scores and boost their Medicare payments. The post How to Improve Your VBP Scores and Boost Medicare Payments appeared first on Home Health Care News. What we are doing today will affect the 2025 payment.” But how will they do it?

Medicare 98

Medicare Performance improvement Quality Assurance Quality Improvement 98

Healthcare It News

OCTOBER 12, 2023

"Throughout the process, the digital care management approach captures holistic, contextual data, creating a more meaningful, measurable and even predictive view for better patient care and outcomes," he added. Another aspect of this approach is reimbursement. "We will follow these trends as more data is gathered over time.

Digital Care 306

Digital Care Physical Therapy Patient Experience Remote Care 306

p3care

MAY 31, 2024

For instance, patient and caregiver experience, care coordination, and patient safety. Patient Experience Patient satisfaction level and their experiences are necessary components. These initiatives enhance the quality of care for individuals with traditional Medicare.

Quality of Care 130

Quality of Care Doctors Medicare Patient Experience 130

Patient Safety Movement

JUNE 2, 2023

President Clinton calls for a culture of conversion to promote patient safety in healthcare. June 2, 2023 — President Bill Clinton, 42nd President of the United States, headlined day two of the 10th Annual World Patient Safety, Science & Technology Summit, presented by the Patient Safety Movement Foundation (PSMF).

Patient Safety 40

Patient Safety Prevention Hospitals Medical Technology 40

Patient Safety Movement

JUNE 2, 2023

President Clinton calls for a culture of conversion to promote patient safety in healthcare. June 2, 2023 — President Bill Clinton, 42nd President of the United States, headlined day two of the 10th Annual World Patient Safety, Science & Technology Summit, presented by the Patient Safety Movement Foundation (PSMF).

Patient Safety 40

Patient Safety Prevention Hospitals Medical Technology 40

p3care

NOVEMBER 7, 2023

The policy change perfectly aligns with the CMS’s plan for growth and the Medicare PI Program. Medicare CQMs for ACOs CMS has given the green light to the collection of Medicare Clinical Quality Measures (CQMs) for ACOs participating in the MSSP, specifically under the Medicare CQMs collection type.

Patient Safety 130

Patient Safety Rehabilitation Medicare Prevention 130

Patient Safety Movement

JUNE 1, 2023

On the first day of the Summit, global patient safety leaders call for increased urgency in reducing preventable deaths. In a keynote address, Don Berwick, MD, MPP, FRCP, former administrator of the Centers for Medicare and Medicaid Services pointed out that one in four hospital patients experience injury as a result of their care.

Patient Safety 40

Patient Safety Prevention Hospitals Medical Technology 40

Home Health Care

OCTOBER 1, 2024

This week, the Centers for Medicare & Medicaid Services (CMS) published a report on a study of its Acute Hospital Care at Home (AHCAH) program. This program permits specific Medicare-certified hospitals to provide inpatient-level care to patients in their homes.

Home Care 113

Home Care Hospitals Medicare Medicaid 113

KHN

FEBRUARY 8, 2022

The federal government has penalized 764 hospitals — including more than three dozen it simultaneously rates as among the best in the country — for having the highest numbers of patient infections and potentially avoidable complications. The total amount of the penalties is determined by how much each hospital bills Medicare.

Medicare 52

Medicare Hospital IT Hospitals Patient Safety 52

Home Health Care

NOVEMBER 7, 2023

1 of 2024 and for Medicare Advantage (MA) plans by 2025. Prior authorizations are an important step to ensure patient safety and affordability, but clinicians and health plans alike agree that more can be done to reduce the administrative burden on clinicians,” Cigna Healthcare CMO Scott Josephs said at the time.

Physical Therapy 118

Physical Therapy Patient Safety Hospitals Medicare 118

Home Health Care

AUGUST 24, 2023

Since 2020, Cigna has removed prior authorization on more than 1,100 medical services in hopes of simplifying the health care journey for both health care providers and patients. Cigna also plans to remove prior authorization for nearly 500 additional codes for Medicare Advantage plans later this year.

Patient Safety 98

Patient Safety Home Care Medical Services Medicare 98

Home Health Care

MAY 30, 2022

“Given the scale and persistence of patient harm in hospitals in the decade since our last report, HHS leadership and agencies must work with urgency to reduce patient harm in hospitals,” stated the report. Among their findings, investigators determined that one in four hospitalized Medicare patients experienced harm during their stay.

Hospitals 104

Hospitals Medicare Prevention Home Care 104

Patient Safety Movement

SEPTEMBER 11, 2023

In honor of World Health Organization World Patient Safety Day 2023, the Patient Safety Movement Foundation hosted a webinar dedicated to the theme of “Empowering Patients.” And they can provide feedback and advocacy so that their experiences can be used to improve care for other patients.”

Patient Safety 86

Patient Safety Doctors Hospitals Healthcare 86

Readiness Rounds

FEBRUARY 4, 2025

The Hidden Key to Higher HCAHPS Scores: Better Use of Communication Boards The Power of Clear, Consistent Communication in Healthcare Patient communication boards are a simple yet highly effective tool in improving patient safety, satisfaction, and hospital performance.

Patient Experience 52

Patient Experience Patient Safety Hospitals Prevention 52

HIT Consultant

DECEMBER 5, 2023

Despite an unwavering commitment to well-being and safety, these facilities are overwhelmed by a growing number of priorities and hampered by a shrinking labor force – which hamstrings their ability to implement a plan for success. The time for change is now.

Hospitals 98

Hospitals Patient Safety Quality Improvement Prevention 98

Sheppard Health Law

MAY 5, 2022

Department of Health and Human Services Office of Inspector (“OIG”) released a report that studied prior authorization denials and payment denials by Medicare Advantage Organizations (“MAOs”) (the “Report”). Thirteen percent of denied prior authorization requests met Medicare coverage rules. The OIG Report. additional test results).

Medicare 52

Medicare Rehabilitation Urgent Care Patient Safety 52

HIT Consultant

JANUARY 18, 2023

We’ll also be much closer to the 2024 phase-in of a new Medicare Part D out-of-pocket cost cap for seniors. Each year, clinicians are presented with thousands of medication-related alerts in their EHR and pharmacy systems—typically disregarding more than 73% of them—contributing to burnout and potentially impacting patient safety.

Life Sciences 98

Life Sciences Patient Safety Primary Care Medicaid 98

Home Health Care

MARCH 23, 2022

“The need for interoperability across the care continuum has only accelerated due to the COVID-19 pandemic, which has highlighted how important timely data sharing is for clinical decision support, patient care, patient safety monitoring and public health reporting,” NAHC said. Specifically, Congress should direct the U.S.

Patient Safety 111

Patient Safety Home Care Medicaid Medicare 111

Home Health Care

SEPTEMBER 25, 2024

“One of the greatest advantages of this model is that it allows clinicians to enter patient’s homes, offering insights into social and environmental factors that may impact health – insights often missed in a traditional hospital setting,” O’Sullivan said. This holistic view enables more tailored care.”

Hospitals 116

Hospitals Medicare Nursing Patient Safety 116

HIT Consultant

JULY 6, 2022

During the first phase of the pandemic, both patients and providers embraced remote care, prompting an incredible spike in utilization – approximately 63 times pre-pandemic baseline levels among Medicare patients, new CMS data reveals. This is a troubling trend that must be reversed.

Telemedicine 95

Telemedicine Patient Safety Remote Care Nursing 95

Home Health Care

OCTOBER 28, 2022

Longo : There are nearly 11,000 home health agencies that report data to the Centers for Medicare and Medicaid Services. I’d like to point out that accreditation is regarded as a well-established mechanism for promoting quality and patient safety in health care. The data are publicly available and include the CMS star ratings.

Patient Safety 97

Patient Safety Performance improvement Quality Improvement Accountability 97

p3care

MAY 1, 2023

Electronic health records (EHRs) with encryption and access limits, Monitoring and auditing access to patient information, and confirmation of the veracity of patient and provider identities, etc. Detecting Fraudulent Medical Billing Services Healthcare fraud has negative effects on patient safety and the treatment standard as a whole.

Patient Safety 130

Patient Safety Healthcare Regulations Medicaid 130

Readiness Rounds

DECEMBER 4, 2024

One of the most transformative changes ahead is the CMS 2025 Age-Friendly Measures, introduced by the Centers for Medicare & Medicaid Services. The CMS 2025 Age-Friendly Measures are a set of guidelines and metrics designed to improve the quality of care for older adults within the Medicare and Medicaid programs.

Quality Improvement 52

Quality Improvement Physical Therapy Integration Hospitals 52

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.

Nursing 75

Nursing Patient Safety Quality of Care Regulations 75

Briggs Healthcare

AUGUST 2, 2022

However, prior to issuing the guidance, the COVID-19 public health emergency (PHE) was declared, and CMS immediately redirected resources to address patient safety needs related to the PHE. This is the opening statement for brief of the OIG Report published July 26, 2022. “(OIG)

Prevention 98

Prevention Nursing Regulations Patient Safety 98

Readiness Rounds

JANUARY 9, 2025

This optimized use of nursing staff not only improves patient care but also enhances patient outcomes by allowing staff to focus on critical interventions. HCAHPS: Every Star Boosts the Bottom Line HCAHPS scores directly impact Medicare reimbursements and hospital revenue. million with just one-star improvement.

Patient Experience 52

Patient Experience Nursing Hospitals Prevention 52

HIT Consultant

JULY 13, 2023

Medicare and national benchmarks are also available for users to support quality performance evaluations. A 3M analysis of more than 11 million at-risk ambulatory procedures in the Medicare population indicates that complication rates may be as high as 10 percent for certain procedures.

Hospitals 52

Hospitals Integration Patient Safety Medicare 52

HIT Consultant

OCTOBER 7, 2024

Medicare has covered PGx panel testing since 2020 and thanks to biomarker legislation efforts, Medicaid and commercial insurance are aligning with Medicare coverage in a growing number of states.

Patient Safety 97

Patient Safety Medicare Medicaid Hospitals 97

Patient Safety Movement

AUGUST 25, 2023

At June’s World Patient Safety, Science & Technology Summit, our CEO Dr. Michael Ramsay shared an optimistic perspective about the progress which can be made in patient safety in the next five years through data transparency and evidence-based medicine. “I The current structure fails patients on a colossal scale.

Patient Safety 52

Patient Safety Healthcare Prevention Hospitals 52

Meditech

JANUARY 18, 2022

At Ozarks Healthcare , we serve a community where 23% of the population lives below poverty level, and many residents are uninsured or on Medicaid/Medicare without supplemental insurance. Not because of treatment issues, but because of care inequality issues.

Medicaid 113

Medicaid Medicare Prevention Healthcare 113

HIT Consultant

FEBRUARY 13, 2023

Tom Wriggins, Principal Industry Advisor at SAS John Maynard, CPA, CFE, AHFI Principal Solutions Architect at SAS In 2022, the Center for Medicare and Medicaid Services (CMS) established health equity as a pillar of its future work. Understandably, Medicaid and Medicare agencies attempt to reduce that abrasion.

Patient Safety 52

Patient Safety Medicaid Integration Medicare 52

Patient Safety Movement

JULY 25, 2023

Don Berwick—one of the original giants in patient safety and a founding member of the Institute for Healthcare Improvement—gave an inspiring keynote address. First, he recognized the superb healthcare force we have in the US, how dedicated they are, and how frustrated they are by the avoidable harm to patients that is occurring.

Patient Safety 52

Patient Safety Prevention Hospitals Doctors 52

Healthcare Success

JULY 5, 2022

Traditional fee for service, accountable care, concierge service, HMOs, cash-only vs. private insurance-only vs. Medicaid/Medicare—all produce different incentives and behaviors because the compensation model impacts how your product/service gets paid for and by whom.

Doctors 148

Doctors Private Practices Accountability Hospitals 148

Home Health Care

SEPTEMBER 29, 2022

As Medicare Advantage (MA) enrollment grows, providers need to prove their agency’s value in order to maintain a sustainable business. Everything is there: the economics, patient safety and people want to stay home. That’s going to likely cover — especially after PDGM — significantly more than 60 days of home health care.

Regulations 105

Regulations Hospitals Patient Safety Home Care 105

Patient Safety Movement

NOVEMBER 1, 2022

Joe’s passion for patient safety has been a driving force behind breakthrough developments in medical innovation at the company he founded, Masimo. CHAIRMAN’S LETTER Dear Friends and Colleagues, Last month, we recognised 2022 World Patient Safety Day.

Patient Safety 52

Patient Safety Nursing Hospitals Accountability 52

Bill Of Health

MARCH 15, 2022

For instance, in 2019, the AMA urged Congress to remove the very caps on Medicare-funded residency slots it helped create. Promoting these policies was a mistake, but an understandable one: the AMA believed an influential report that warned of an impending physician surplus. To its credit, in recent years, the AMA has largely reversed course.

General Practice 90

General Practice Primary Care Nursing Patient Safety 90

Health Populi

MARCH 12, 2024

.” The cost of patient access to care: In a sort of post-pandemic clinical deja vu , the cyberattack has led to some patient care delays; some health care planners are forecasting patient safety implications that could persist for years.

Healthcare 90

Healthcare Patient Safety Hospitals Medicare 90