Health Care Dive

JUNE 15, 2023

The medical lobby this week also approved recommendations meant to prevent overdoses, reduce gun violence and pare back physician reliance on body mass index.

Medicare 246

Medicare Prevention 246

Health Care Dive

NOVEMBER 9, 2023

New research from Harvard and Inovalon found MA beneficiaries had fewer hospital readmissions, fewer preventable hospitalizations and lower rates of high-risk medication use than those in traditional Medicare.

Medicare 167

Medicare Prevention Hospitals 167

Fierce Healthcare

DECEMBER 18, 2023

Legal experts indicated they will be paying close attention to lawsuits surrounding the Medicare drug price negotiation program and Braidwood v. Preventative services covered under the Affordable Care Act and the Medicare drug price negotiations program are two legal questions that will play out next year.

Medicare 279

Medicare Prevention 279

Home Health Care

MARCH 11, 2025

Our Medicare program has evolved over the past decade, and we are here to ensure that patients have sufficient access to care. He expressed concern that this post-acute care plan amounts to a prescription for a mountain of medical debt and, for some, a preventable death sentence.

Home Care 100

Home Care Medicaid Rehabilitation Medicare 100

Healthcare It News

SEPTEMBER 16, 2024

By making use of technologies such as artificial intelligence, providers can empower senior patients with the extra guidance and support that informs them and gets them to the point of care, according to Karl Ulfers, cofounder and CEO at DUOS, a senior-focused digital care navigation platform designed for Medicare beneficiaries.

Medicare 311

Medicare Prevention Health Analytics Healthcare 311

Healthcare It News

NOVEMBER 29, 2023

million in savings across multiple Medicare and Medicare Advantage plans, according to an announcement Wednesday. Automated pre-visit planning helped prevent downstream utilization, such as inpatient visits, while helping to deliver more comprehensive patient care.

Medicare 310

Medicare Population Health Patient Experience Nursing 310

p3care

JUNE 21, 2023

Medicare beneficiaries have also recognized its benefits. However, chiropractic billing services must understand Medicare billing guidelines for accurate reimbursement. In this article, we will delve into the Medicare chiropractic billing guide. Medicare does not provide coverage for such cases.

Medicare 130

Medicare Prevention Healthcare Providers Healthcare 130

Healthcare It News

FEBRUARY 15, 2023

And if more consumers embrace preventative care that can easily be done in the home. Home-based health technologies are any preventive care technology tool that elevates health. In the past, many of these innovations were limited in coverage and use to Medicare seniors. Today they’re used much more broadly.

Healthcare 350

Healthcare Prevention Health Technology Doctors 350

p3care

SEPTEMBER 26, 2023

Medicare and Medicaid are the two biggest healthcare insurance programs in the United States. Therefore, receiving reimbursement for Medicare and Medicare cardiology billing seems difficult. Let’s get started with a little introduction to Medicare and Medicaid programs in general.

Medicaid 130

Medicaid Medicare Regulations Prevention 130

Home Health Care

NOVEMBER 8, 2024

Under fee-for-service (FFS) Medicare, home infusion therapy (HIT) involves the intravenous or subcutaneous admission of drugs or biologicals to an individual at home. HIT includes anti-infective therapy or the use of intravenous medication to treat or prevent infection,” Fano-Schultze said.

Tricare 111

Tricare Medicare Nursing Medicaid 111

Home Health Care

DECEMBER 5, 2024

Theres also great potential in providing additional custodial support and assessing caregiver burden at the start of care episodes to prevent any challenges early. High-acuity home care can significantly enhance patient outcomes by preventing hospitalizations and improving quality of life.

Home Care 110

Home Care Nursing Prevention Integration 110

Home Health Care

AUGUST 13, 2024

Last week, UnitedHealth Group (NYSE: UNH) defended its utilization of in-home health assessments, which are visits used widely by Medicare Advantage (MA) plans looking to fill gaps in patient care. Medicare Advantage is more affordable for patients and reduces costs for the broader health system,” UnitedHealth Group wrote.

Medicare 119

Medicare Primary Care Medicaid Prevention 119

Home Health Care

JUNE 30, 2023

Centers for Medicare & Medicaid Services (CMS) published a draft of its FY 2024 home health proposed payment rule Friday. It would also force The Medicare Payment Advisory Commission (MedPAC) to consider Medicare Advantage (MA) payment rates in its reports. “We This is a developing story. The post CMS Proposes 2.2%

Medicare 128

Medicare Home Care Medicaid Prevention 128

Home Health Care

MARCH 12, 2025

House of Representatives passed a continuing resolution that would extend the Centers for Medicare & Medicaid Services (CMS) Hospital-at-Home (HaH) waiver program and telehealth flexibilities through Sept. On Tuesday, the U.S. 30, pending Senate approval. The funding patch includes limited health care extensions and funding.

Hospitals 76

Hospitals Telemedicine Home Care Medicare 76

Home Health Care

NOVEMBER 18, 2021

In-home support services are the most popular — and arguably impactful — supplemental benefit offered by Medicare Advantage (MA) plans under the primarily health-related category. Centers for Medicare & Medicaid Services (CMS) made supplemental benefits like in-home care allowable in 2018 for the 2019 plan year.

Medicare 124

Medicare Home Care Medicaid Prevention 124

Healthcare ECONOMIST

MAY 5, 2024

To account for differences in disease burden across a Medicare Advantage (MA) plans patient population, uses risk adjustment based on patient disease burden. One key question is whether providers under traditional Medicare (TM) code differently than Medicare Advantage (MA) plans. diabetes, heart failure). 2020 algorithm).

Medicare 111

Medicare Accountability Accountable Care Prevention 111

Healthcare It News

JANUARY 10, 2023

Nest Collaborative's International Board Certified Lactation Consultants provide equitable, evidence-based guidance to our families when they need it most to help prevent and overcome breastfeeding challenges," Kroll added. The collaborative says IBCLCs are the gold standard of care.

Primary Care 331

Primary Care Quality of Care Telemedicine Prevention 331

Home Health Care

OCTOBER 8, 2024

Community health workers (CHWs) also conduct a self-reported health assessment using the Centers for Medicare & Medicaid Services (CMS) Accountable Health Communities Health-Related Social Needs screening tool. This tool includes 24 questions about the home environment and access to eligible benefits and services. “Our

Prevention 115

Prevention Hospitals Home Care Primary Care 115

Healthcare It News

JANUARY 7, 2022

"Everyone who downloads Ripple by ThedaCare and registers has secure access to their provider and insurance information, can manage their medications, schedule and conduct in-person or virtual visits, and receive alerts and reminders on future care needs, such as immunizations and preventative care."

Population Health 363

Population Health Prevention Integration Patient Experience 363

Health Populi

JUNE 27, 2022

Declines in preventive care services like cancer screenings and blood glucose testing concern employers, whose continued to cover health insurance for employees during the pandemic. The full report speaks to medical spending and utilization trends for preventive care, telehealth, and behavioral health.

Prevention 125

Prevention Primary Care Medical Services Medicaid 125

Home Health Care

DECEMBER 5, 2021

Among its home- and community-based care initiatives, Aetna is doubling down on the use of telehealth and leaning into the CVS HealthHUB network, which offers seniors a range of services, from preventative care all the way to acute care. million Medicare members nationwide. I think it’s important to focus on aging in place.”.

Medicare 124

Medicare Urgent Care Nursing Hospitals 124

Triage Health Law

JULY 27, 2023

On May 10, 2023, the Center for Medicare & Medicare Services (“CMS”) issued guidance to clarify the definition of “marketing” for Medicare Advantage Plans (“MA Plans”) and Prescription Drug Plans (“PDPs”). [1] As a result, CMS decided to expand the “marketing” definition to prevent misleading marketing practices.

Medicare 98

Medicare Regulations Medicaid Prevention 98

HIT Consultant

SEPTEMBER 12, 2023

The company plans to utilize the capital to support Bold’s continued expansion with national and regional Medicare plans and provider groups, and accelerate the growth of its clinical exercise offerings to support the diverse physical and mental health needs of older adults. The latest funding, bringing its total amount raised to $27M.

Medicare 116

Medicare Prevention 116

Home Health Care

JANUARY 22, 2025

The landscape of home health care is evolving through the introduction of two key models designed to improve patient outcomes and reduce costs: the expanded Home Health Value-Based Purchasing (HHVBP) model and the Targeted Episode-Based Medicare Access and Payment (TEAM) model. It was implemented on Jan. territories.

Medicare 78

Medicare Hospitals Quality of Care Nursing 78

Healthcare It News

FEBRUARY 2, 2023

This system allows the creation of Medicare-compliant GP management plans and team care arrangements, which can be automatically shared with the care team. " THE LARGER TREND Last year, two PHNs in New South Wales started deploying the INCA platform to support their GPs.

Primary Care 289

Primary Care Quality Improvement Medicare Prevention 289

p3care

FEBRUARY 10, 2021

From the next performance year (2021), Accountable Care Organizations (ACOs) expect different reporting requirements under the Medicare Shared Savings Program. CMS (Centers for Medicare and Medicaid Services) has recommended changes for ACO reporting criteria. The requirements are somewhat the same as for QPP MIPS.

Medicare 246

Medicare Accountable Care Accountability Medicaid 246

Home Health Care

OCTOBER 23, 2023

Insurance companies selling Medicare Advantage (MA) plans have been facing increased scrutiny from members of Congress and regulators, with critics of the private version of Medicare claiming carriers are profiting far too much. There was a 364% increase in plans offering the benefit since 2020. The agency is implementing a 3.3%

Medicare 111

Medicare Home Care Primary Care Regulations 111

Healthcare It News

MAY 29, 2024

However, those with Type 2 Diabetes cannot access subsidies even where continuous glucose monitoring may improve outcomes and prevent diabetes complications." A portfolio of funding approaches, the commission also said, is "likely to work best."

Remote Care 314

Remote Care Pharmaceuticals Integration Hospitals 314

Healthcare It News

OCTOBER 13, 2022

The Centers for Medicare and Medicaid Services Office of the National Coordinator for Health Information Technology final rule prevents information blocking and promotes competition and innovation in healthcare IT. Data tools are also high on the list of provider IT needs for FHIR adoption.

Healthcare 325

Healthcare Health Data Integration Patient Experience 325

Healthcare It News

SEPTEMBER 6, 2022

In March, Signify Health acquired Caravan Health , which serves Medicare beneficiaries through accountable care organizations. "We are both building an integrated experience that supports a more proactive, preventive and holistic approach to patient care." In 2022, Signify Health clinicians are expected to serve 2.5

Primary Care 338

Primary Care Remote Care Accountable Care Accountability 338

Healthcare It News

OCTOBER 25, 2022

With those flexibilities due to sunset 151 days after the federal Public Health Emergency expires, HIMSS is calling on its members to contact their senators and representatives and urge them to extend coverage of telehealth services under Medicare until at least December 31, 2024.

Patient Safety 264

Patient Safety Prevention Medicaid Medicare 264

NASHP

MARCH 17, 2025

The Impact of Comprehensive Oral Health Services on SUD Treatment Outcomes Improved integration of oral health and SUD treatment systems have the potential to increase access to preventive services, prevent recidivism, improve patient outcomes, and reduce health system costs.

Medicaid 85

Medicaid Integration Prevention Medicare 85

HIT Consultant

DECEMBER 8, 2023

Such advancements stand to revolutionize how healthcare entities treat, prevent, and better understand this nuanced condition. Expanding Treatment Today, CKD patients benefit from an array of ambitious treatment, preventive care, and risk management options – most of which stem from breakthroughs in related technologies.

Prevention 98

Prevention Healthcare Providers Medicare Healthcare 98

Healthcare It News

AUGUST 29, 2024

"She has been a key contributor to the advancement of digital health in the nursing profession and played a pivotal role in the future of the Australian healthcare system as a member of the Strengthening Medicare Taskforce," ADHA CEO Amanda Cattermole said about Booth in a statement.

Nursing 282

Nursing Integration Patient Experience Home Care 282

Home Health Care

JANUARY 28, 2025

However, the PE-owned agencies fell short in areas related to long-term outcomes, such as timely execution of physician-recommended medication actions, rates of preventable readmissions and successful discharge to the community. The higher Medicare spending per episode also suggests different financial strategies.

Medicare 59

Medicare Medicaid Prevention Hospitals 59

Home Health Care

APRIL 21, 2023

The Expanding Care in the Home Act (ECHA) would, among other things, create a personal care services benefit in Medicare to give aid to beneficiaries who are unable to afford out-of-pocket payments but don’t qualify for home care services by Medicaid. In theory, that would reduce additional Medicare spending.

Medicare 98

Medicare Home Care Medicaid Hospitals 98

Healthcare It News

JUNE 28, 2022

It can prevent avoidable emergency utilization and associated costs. We've estimated that for every 500 high-risk Medicare patients with multiple chronic conditions, health systems can realize $5.2 It supports better outcomes through data collection and proactive intervention. million in annual cost savings.

Hospitals 336

Hospitals Nursing Medicare Prevention 336