Sheppard Health Law

JANUARY 10, 2024

So, unless you’re in one of the few delegated global risk arrangements in this country, there is no money for prevention of the catastrophe, only money to chase health once it has been lost or harmed. As Mostashari said today, it is becoming increasingly clear to primary care practices that the current system is not sustainable.

Healthcare 52

Healthcare Ambulatory Care Primary Care Medicare 52

Health Populi

JULY 26, 2022

Iora Health has focused on the Medicare-enrolled population, distinct from ONEM’s target patient market of younger, employed consumers. As we all grapple with what this means at this preliminary stage and then what could evolve over time, I focus on the dual aspect of the opportunity: is this about primary care or is this about data?

Primary Care 165

Primary Care Doctors Health Data Medicare 165

Cloud Blogs

FEBRUARY 28, 2022

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. Overall, regulators have made clear their intention to eliminate barriers to interoperability and provide patients greater control of their healthcare.

Integration 138

Integration Healthcare Quality of Care Regulations 138

NASHP

AUGUST 5, 2024

Several states have received approval from the Centers for Medicare and Medicaid Services (CMS) of Medicaid State Plan Amendments (SPAs) that authorize reimbursement for CHW services. Authority refers to the section of Medicaid regulations that the state used for the SPA. Other states are in the process of SPA development.

Medicaid 52

Medicaid Primary Care Prevention Accountability 52

Health Business Group

NOVEMBER 30, 2021

I’m most bullish on Walgreens with its recent VillageMD and CareCentrix investments , which take the company directly into primary care and care at home. If big primary care providers like Walgreens’ Village MD learn how to manage this opportunity well, Medicare Advantage and commercial risk will follow quickly.

Healthcare 98

Healthcare Primary Care Hospitals Health Data 98

NASHP

MARCH 22, 2024

Integrated Primary and Behavioral Health Care A modern behavioral health system of care is fully integrated into the continuum of health care services, including primary and specialty care settings, and extends into homes and communities to ensure holistic and coordinated support.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Health Populi

MARCH 12, 2020

For example, only health care providers that have an existing relationship with a Medicare patient would be eligible per the requirements in the legislation. But the private sector can only do as much with the obstacles of government regulations and other market barriers long preventing the spread of telehealth in the U.S.

Telemedicine 122

Telemedicine Medicare Prevention Regulations 122

Cloud Blogs

FEBRUARY 28, 2022

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. Overall, regulators have made clear their intention to eliminate barriers to interoperability and provide patients greater control of their healthcare.

Integration 85

Integration Healthcare Quality of Care Regulations 85

NASHP

APRIL 24, 2023

Additionally, the alarming rise in mental health challenges among children and youth underscores the need to integrate prevention and early intervention approaches across our child-serving systems. Provide guidance defining integrated care for pediatric populations and data sharing approaches to guide and evaluate integrated care models.

Medicaid 52

Medicaid Integration Prevention Urgent Care 52

NASHP

MARCH 22, 2024

As major purchasers, administrators, and regulators of behavioral health treatment and supports, states play a critical role in system transformation. Invest in prevention and early intervention. Enhance and streamline system of care for children with complex needs and their families. See the full resource guide.

Medicaid 52

Medicaid Urgent Care Primary Care Hospitals 52

Health Populi

MAY 20, 2020

“Delaying procedures, reducing spending on preventive care and chronic care, and decreasing adherence to medications may have negative long-term impacts on health status, although the extent is unknown,” PwC notes.

Telemedicine 77

Telemedicine Hospitals Doctors Prevention 77

Healthcare Associates

JUNE 8, 2021

We are required by state regulation to administer the vaccine to certain people at certain times. We are still conducting primary care visits during this time that have often been scheduled months in advance. Please understand that we are limited on who we can give the vaccine to and when due to government regulations.

Primary Care 98

Primary Care Healthcare Regulations Prevention 98

NASHP

OCTOBER 20, 2022

High-quality, integrated care requires strong system-level partnerships, information and data sharing, and family-centered practices. Yet, states often face barriers to integrated care including a lack of trust across agencies, privacy regulations that may hinder data sharing, and misaligned eligibility, enrollment, and referral systems.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

NASHP

DECEMBER 3, 2021

According to the Centers for Medicare and Medicaid Services (CMS), enrollment in Medicaid and CHIP increased by 17.1 Oregon also obtained information about where CCO members are enrolled for primary care, allowing outreach and preferential allocation of vaccine to those providers. percent) children.

Medicaid 98

Medicaid Primary Care Medicare Accountability 98

NASHP

DECEMBER 20, 2022

States are taking steps to provide additional prevention, treatment, and recovery services to higher-risk individuals with opioid use disorder (OUD), including those in contact with the criminal legal system. Community Services and Prevention (Intercept 0). Across states, drug violations have led to most arrests in recent years.

Medicaid 52

Medicaid Prevention Integration Hospitals 52

NASHP

MARCH 11, 2022

State officials viewed their efforts as part of broader efforts to improve behavioral health and better integrate it with primary care. " > Why Use Payment to Improve Delivery of SUD Services. State officials viewed their efforts as part of broader efforts to improve behavioral health and better integrate it with primary care.

Medicaid 59

Medicaid Integration Quality Improvement Primary Care 59

Etactics

AUGUST 19, 2021

This chews up lots of time for physicians and prevents them from seeing more patients. According to a report from the American Foundation for Suicide Prevention, death by suicide is 250-400% more likely for female doctors due to stress and depression. But this is even more likely for female physicians. Mostly because of burnout.

Doctors 52

Doctors Nursing Primary Care Healthcare 52

Vie Healthcare

MAY 4, 2023

And as you know, obviously a huge percentage of healthcare spending is funded through Medicare, Medicaid, Tricare, the VA system, and these are all programs that are covered by the False Claims Act. It’s a highly regulated industry. So there’s that instinctual resistance to it. That you have to deal with compliance.

Healthcare 52

Healthcare Nursing Hospitals Doctors 52

Health Populi

JANUARY 18, 2021

Even before the COVID-19 pandemic, more hospitals were piloting and planning to move inpatient acute care to certain patients’ home when that made clinical and economic sense. The public health crisis, combined with Medicare Advantage and other payors’ regimes, supported an economic model for the hospital-to-home movement.

Hospitals 77

Hospitals Doctors Patient Experience Health Technology 77

Sheppard Health Law

JANUARY 5, 2023

Just in time for the holidays, the Centers for Medicare and Medicaid Services (“CMS”) issued the Contract Year 2024 Proposed Rule for Medicare Advantage organizations (“MAOs”) and Part D sponsors (the “Proposed Rule”). Health Equity in Medicare Advantage.

Medicare 52

Medicare Primary Care Medicaid Integration 52