Healthcare It News

JANUARY 10, 2023

The Connecticut Children's Care Network, with 37 independent pediatric practices and more than 200 pediatric primary care providers in Connecticut and Massachusetts, has a mission to improve the quality of care and health outcomes for infants, children and adolescents. Email: afox@himss.org.

Primary Care 250

Primary Care Quality of Care Telemedicine Prevention 250

Briggs Healthcare

JULY 21, 2022

The Medicare Payment Advisory Commission (MedPAC) announces the release of its 2022 data book (208 pages) on health care spending and the Medicare program. Data Book: Health Care Spending and the Medicare Program. Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare.

Medicare 98

Medicare Ambulatory Care Quality of Care Healthcare 98

HIT Consultant

JUNE 2, 2022

What You Should Know: – CareMax , a tech-enabled provider of value-based care to seniors announced an agreement to acquire the Medicare value-based care business of Steward Health Care System for a combination of cash and stock. – CareMax will pay $25 million in cash and issue 23.5

Medicare 95

Medicare Primary Care Quality of Care Accountability 95

HIT Consultant

JANUARY 25, 2024

What You Should Know: The Ohio State University Wexner Medical Center a nd CVS Accountable Care, part of CVS Health® (NYSE: CVS), today announced the creation of an accountable care organization (ACO) to improve the quality of care for Medicare beneficiaries by Ohio State providers in central Ohio.

Medicare 90

Medicare Accountable Care Accountability Quality of Care 90

Home Health Care

OCTOBER 28, 2024

Medicare Advantage (MA) companies receive higher risk-adjusted payments from the Centers for Medicare & Medicaid Services (CMS) for sicker enrollees. This helps ensure that plans receive sufficient payments to cover increased care costs and that enrollees have access to plans.

Medicare 92

Medicare Medicaid Quality of Care 92

p3care

OCTOBER 30, 2020

CMS (The Centers for Medicare and Medicaid Services) released the proposed rule for QPP MIPS 2021 via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM). How MIPS consultants take care of the administrative data to report to the authorities affects revenue cycles. Quality Category: Weighs 50%.

Medicare 243

Medicare Measurable Quality Medicaid Accountable Care 243

Home Health Care

NOVEMBER 7, 2021

Centers for Medicare & Medicaid Services (CMS) is that the model will now begin Jan. more room to breathe, Valerie Cornett, chief of strategy and innovation at MAC Legacy, told Home Health Care News. Broadly, HHVBP has many supporters among the home health industry due to its ability to boost quality scores and Medicare savings.

Medicare 102

Medicare Performance improvement Medicaid Quality of Care 102

Healthcare ECONOMIST

OCTOBER 24, 2022

That is the connection made between Medicare Advantage (MA) Star Ratings under the Quality Bonus Program (QBP) and Garrison Keillor well-known segment on the Prairie Home Companion in a recent paper by Teno and Ankuda (2022). The Affordable Care Act in 2010 mandated the creation of the 5-star rating system for MA plans.

Medicare 81

Medicare Quality of Care 81

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

p3care

JULY 2, 2023

Centers for Medicare & Medicaid Services (CMS) Promoting Interoperability (PI) Programs Merit-based Incentive Payment System (MIPS) Third-party ONC-Authorized Certification Bodies (ONC-ACBs) ONC-ACBs are authorized by the ONC to evaluate health IT solutions. Afterward, they implement strategies to enhance the quality of care they deliver.

Performance improvement 237

Performance improvement Healthcare Providers Quality of Care Integration 237

Healthcare ECONOMIST

MARCH 7, 2022

Three management and culture capacity measures assessed learning and team culture (nine items), capacity for innovation (six items), and depression care management (six items) because effective depression care requires high practice orientation to learning and teamwork.15 Capabilities were then rescaled to range between 0 and 1.

Medicare 75

Medicare Quality of Care Prevention Hospitals 75

Home Health Care

DECEMBER 26, 2024

Centers for Medicare & Medicaid Services (CMS) has laid out an action items timeline for the transition to all-payer Outcome and Assessment Information Set (OASIS) data collection and submission. This means non-Medicare and non-Medicaid payer sources, as well as individuals who self-pay.

Medicaid 104

Medicaid Medicare Quality of Care 104

Healthcare ECONOMIST

AUGUST 23, 2021

In 2008, the Centers for Medicare & Medicaid Services (CMS) implemented the Hospital-Acquired Conditions Present on Admission (HAC-POA) program. The goal of this program was to reduce the frequency of high-cost complications among Medicare beneficiaries.

Medicare 81

Medicare Hospitals Medicaid Quality of Care 81

Healthcare It News

APRIL 21, 2022

WELL Health's platform facilitates conversations, including pre-procedure instructions, virtual care coordination and post-appointment follow-ups, between patients and their providers via secure SMS/texting, email or phone messaging. According to the vendor, 19 different languages are available for use. THE LARGER TREND.

Quality of Care 204

Quality of Care Patient Experience Medicare Healthcare 204

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. But how will they do it?

Medicare 85

Medicare Performance improvement Quality Assurance Quality Improvement 85

Home Health Care

MARCH 28, 2022

Florida Blue Medicare — the state’s Blue Cross and Blue Shield Medicare plan — is collaborating with Emcara Health to offer eligible members access to home-based primary care. The collaboration reflects how payers are increasingly turning to in-home care organizations of all shapes and sizes.

Primary Care 69

Primary Care Medicare Home Care Nursing 69

Home Health Care

SEPTEMBER 3, 2022

Seniors on Medicare Advantage health plans may not always be receiving high quality care, a new study shows. The study’s authors concluded that paying higher premiums is not always necessary when seniors are trying to receive high quality care from an MA plan.

Medicare 105

Medicare Quality of Care Accountability Medicaid 105

Healthcare It News

MARCH 18, 2022

Not only is this population difficult to manage for the existing care system, it is even harder for startup entrants. Compared with Medicare or other populations, Medicaid patients often have more complex social determinants of health and can cycle in and out of beneficiary status. Twitter: @SiwickiHealthIT.

Medicaid 332

Medicaid Telemedicine Hospitals Clinical Practice 332

Home Health Care

NOVEMBER 4, 2024

Medicare-certified home health agencies are increasingly facing ownership changes, raising concerns about health care spending, workforce and quality of care. Hou’s team examined 294 Medicare-certified home health agencies through change-of-ownership files linked to publicly available Medicare data from 2016 to 2019.

Physical Therapy 83

Physical Therapy Quality of Care Medicare Nursing 83

Meditech

MAY 26, 2022

Hospital patient experience surveys, such as the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), measure the quality of care given by a hospital, which influences patient satisfaction and retention.

Patient Experience 104

Patient Experience Quality of Care Medicare Hospitals 104

Briggs Healthcare

NOVEMBER 3, 2021

CMS’ Calendar Year (CY) 2022 Physician Fee Schedule (PFS) final rule will promote greater use of telehealth and other telecommunications technologies for providing behavioral health care services, encourage growth in the diabetes prevention program, and boost payment rates for vaccine administration.

Medicare 105

Medicare Prevention Quality of Care Regulations 105

Healthcare It News

APRIL 28, 2022

Magnolia Regional is dedicated to empowering its providers with innovative technologies that support their ability to provide the highest quality of care to patients.

Hospitals 207

Hospitals Medicare Primary Care Quality of Care 207

Home Health Care

AUGUST 7, 2024

NYSE: EHAB) has decided to walk away from certain Medicare Advantage (MA) payers – and namely UnitedHealth Group’s (NYSE: UNH) UnitedHealthcare. Specifically, Enhabit President and CEO Barb Jacobsmeyer expressed the company’s support for the Preserving Access to Home Health Care Act , which would help stop payment cuts. “Our

Medicare 113

Medicare Quality of Care Home Care Healthcare 113

Home Health Care

OCTOBER 27, 2023

In the first six years of the Home Health Value‐Based Purchasing (HHVBP) Model demonstration, the nine participating states saved Medicare $1.38 Centers for Medicare & Medicaid Services (CMS) that evaluated the first six years of HHVBP before the national expansion at the beginning of 2023. billion, a 1.9%

Medicare 87

Medicare Quality of Care Nursing Medicaid 87

Sheppard Health Law

OCTOBER 27, 2022

On October 21, 2022, the Centers for Medicare and Medicaid Services (CMS) announced changes to its Special Focus Facility (SFF) program, including new steps to address nursing home facilities that fail to graduate from the SFF program in a timely manner, or “yo-yo” back into non-compliance after graduating from the SFF program.

Medicaid 96

Medicaid Nursing Medicare Quality of Care 96

Healthcare ECONOMIST

DECEMBER 17, 2021

While there are a large number of different types of APMs, broadly, all of them shift more financial risk to providers while also linking reimbursement to quality of care. Traditional Medicare had the highest use of APMs (i.e., Clearly, linking reimbursement to quality of care and value is a laudable goal.

Quality of Care 98

Quality of Care Medicare Medicaid 98

Home Health Care

DECEMBER 10, 2024

Residents in neighborhoods with lower socioeconomic status were more likely to use lower-quality home health agencies, according to a recent study by researchers at the University of Georgia, Athens.

Quality of Care 89

Quality of Care Medicare Home Care 89

HIT Consultant

APRIL 1, 2024

Improperly billed for services: The government alleges that TRG billed Medicare for radiology services performed by a radiologist located in the UK, which violates program regulations. The allegations against TRG raise concerns about the quality of care patients may have received and the potential misuse of federal healthcare funds.

Quality of Care 97

Quality of Care Regulations Federal Healthcare Healthcare Providers 97

Home Health Care

OCTOBER 18, 2022

million in order to resolve allegations that it paid physicians to induce referrals of patients that led to false claims to the Medicare and TRICARE programs. Offering illegal financial incentives to physicians in return for patient referrals undermines the integrity of our health care system,” U.S.

Tricare 103

Tricare Medicaid Medicare Integration 103

HIT Consultant

NOVEMBER 21, 2023

a leading provider of innovative, cloud-based healthcare technology solutions, today announced that its clients participating in the Medicare Shared Savings Program (MSSP) leveraged NextGen® Population Health to achieve a cumulative $82 million in total Medicare savings last year. What You Should Know: NextGen Healthcare, Inc.

Medicare 52

Medicare Population Health Accountable Care Quality of Care 52

HIT Consultant

FEBRUARY 9, 2023

Czekai, MPH, VP of Strategic Partnerships at Cohere Health The Centers for Medicare & Medicaid Services (CMS) recently proposed a new rule to advance interoperability and improve the prior authorization (PA) process for Medicare and Medicaid patients. Electronic PA is surely a good starting point, but it is not enough.

Medicaid 98

Medicaid Medicare Quality of Care Patient Experience 98

Healthcare ECONOMIST

AUGUST 17, 2021

For years, Medicare and other payers have used quality measures to evaluate the quality of care patients receive at various types of providers settings (e.g., For some payers, higher quality scores/higher star ratings lead to direct increases in reimbursement through a value-based purchasing arrangement.

Measurable Quality 81

Measurable Quality Quality of Care Patient Experience Medicare 81

HIT Consultant

APRIL 16, 2024

What You Should Know: – inVio Health Network and CVS Accountable Care Organization, a division of CVS Health , have announced a collaboration to participate in the new Medicare Accountable Care Organization (ACO) REACH program.

Accountable Care 52

Accountable Care Accountability Medicare Population Health 52

HIT Consultant

SEPTEMBER 24, 2024

Using an actuarially validated model, Wider Circle has reduced plan attrition by 50%, decreased inpatient visits, and generated over $100 in monthly value per Medicare Advantage and Medicaid member. This approach helps healthcare partners reduce costs, enhance the quality of care, and foster sustainable health improvements.

Medicare 52

Medicare Medicaid Primary Care Prevention 52

Home Health Care

AUGUST 25, 2021

Centers for Medicare & Medicaid Services (CMS) first released its home health proposed payment rule for 2022, its nationwide expansion of the Home Health Value-Based Purchasing (HHVBP) Model was recognized as a potential game-changer for the home health industry.

Quality of Care 92

Quality of Care Medicare Medicaid Home Care 92

HIT Consultant

JANUARY 2, 2024

Ed Park, CEO at Devoted Health What You Should Know: – Devoted Health , a leading provider of all-in-one healthcare for Medicare beneficiaries, has secured $175M in Series E funding, demonstrating continued investor confidence in its mission to revolutionize senior care.

Medicare 52

Medicare Quality of Care Integration Healthcare 52

Healthcare It News

SEPTEMBER 13, 2024

"This is great considering reimbursements did not change over that period, and Medicare reimbursement actually decreased in 2024." "The amount of technology available for healthcare is growing at a rapid pace, and there is so much that can help make things easier and improve the quality of care.

Rehabilitation 213

Rehabilitation Physical Therapy Process improvement Quality of Care 213