Home Health Care

MAY 19, 2022

But payer partners want to be “wowed” by data, and evidence suggests that HHVBP mostly leads to relatively modest quality improvements. New data supports that idea, meaning changes to HHVBP’s design are likely, given regulators’ current prioritization on health equity and access. Individual Membership. 400 per year. 2–5 members.

Medicare 111

Medicare Regulations Quality Improvement Quality of Care 111

p3care

MAY 31, 2024

It does not restrict itself to temporary or timely reporting only but fosters continuous quality improvement. Complying with all these regulations helps in avoiding penalties. Regulatory Compliance ACOS must adhere to rules set forth by government bodies such as CMS (Centers for Medicare and Medicaid Services).

Quality of Care 130

Quality of Care Doctors Medicare Patient Experience 130

NCQA

JANUARY 27, 2025

Performing a Gap Analysis Although WellSpan had a long history with health equity and quality improvement, a gap analysis identified key areas for improvement. We were able to harness the passion and dedication of our employees to prepare for the survey, says Holly Wolfe, Senior Director of Quality. Data Collection.

Patient Experience 59

Patient Experience Population Health Prevention Process improvement 59

p3care

NOVEMBER 13, 2023

Overall, the new MIPS inventory has 106 improvement activities that have not been finalized yet. The title for this new IA is ‘“Practice-Wide Quality Improvement in MVPs’. Meanwhile, CMS has permanently removed 3 improvement activities, whereas 1 got a modification.

Medicare 130

Medicare Quality Improvement Hospitals Regulations 130

p3care

MAY 2, 2022

There are four categories in this category of QPP reporting , which are: Quality. Improvements Activities. The rules and regulations relating to each category also change or are updated every year. Promoting Interoperability.

Nursing 130

Nursing Prevention Quality Improvement Regulations 130

Home Health Care

JANUARY 22, 2025

The expanded HHVBP model seeks to enhance the quality and efficiency of home health care across the nation, improving patients’ experiences with their care through better support of physical function and addressing health issues to prevent ED visits, a CMS spokesperson told Home Health Care News.

Medicare 77

Medicare Hospitals Quality of Care Nursing 77

HIT Consultant

JUNE 10, 2022

By beginning data quality improvement activities at the point of care, providers will be able to capture the rich, robust data needed to monitor and manage populations, augment clinical research, combat misinformation, and quickly close gaps in access and equity. Recognize that regulators are partners in innovation, not obstructions.

Life Sciences 98

Life Sciences Patient Safety Quality Improvement Regulations 98

Cloud Blogs

FEBRUARY 28, 2022

Ultimately, CMS and the Office of the National Coordinator for Health Information Technology (ONC) aim to improve information access in hopes of facilitating more holistic healthcare, improved quality of care, and better support for broader federal and regional public health initiatives such as disease surveillance and health equity.

Integration 133

Integration Healthcare Quality of Care Regulations 133

NASHP

OCTOBER 13, 2023

The Affordable Care Act (ACA) requires health insurance plans to spend at least 80 to 85 percent (for large group plans) of an enrollee’s premium dollars on medical care and quality improvement rather than on administrative costs and profits. This is known as the Medical Loss Ratio (MLR).

Regulations 78

Regulations Quality Improvement Accountability 78

HIT Consultant

AUGUST 17, 2023

Healthcare decision-makers must identify the solutions that address today’s most crucial needs — variability in care, budgets (and clinicians) stretched too thin, and slow, reactive, outdated quality improvement methodologies — while recognizing the difference between legitimate concern and unfounded panic.

Healthcare 98

Healthcare Quality Improvement Regulations Hospitals 98

Bill Of Health

NOVEMBER 3, 2023

PROM responses can be used for purposes of clinical care, research, quality improvement, Food and Drug Administration (FDA) approval of drugs and devices, and even insurance reimbursement. Both disregarding PROM responses and over-relying on them can lead to medical mistakes.

Quality Improvement 115

Quality Improvement Regulations Doctors Pharmaceuticals 115

NCQA

JUNE 27, 2023

In July, NCQA will update these programs to further align with best practices and federal regulations. Here’s how states are harnessing these programs to improve oversight. Service Coordination and Monitoring: “MCOs did not adequately coordinate or monitor beneficiaries’ quality of care.”

Medicaid 52

Medicaid Care Transition Quality Improvement Regulations 52

p3care

DECEMBER 6, 2021

Improvements Activities (IA). Moreover, the rules and regulations regarding each category change or get updated each year as well. There are four categories in the MIPS program, which are. Promoting Interoperability (PI). Each category makes up a certain percentage of the final score.

Urgent Care 130

Urgent Care Healthcare Providers Medicare Quality Improvement 130

p3care

DECEMBER 6, 2021

Improvements Activities (IA). Moreover, the rules and regulations regarding each category change or get updated each year as well. There are four categories in the MIPS program, which are. Promoting Interoperability (PI). Each category makes up a certain percentage of the final score.

Urgent Care 130

Urgent Care Healthcare Providers Medicare Quality Improvement 130

Healthcare ECONOMIST

SEPTEMBER 25, 2023

They find that: We did not find discontinuities in inpatient care quality across the Program eligibility threshold for Medicaid and uninsured patients; specifically, on all-cause mortality (beta = −0.04 Interestingly, the authors did find that there was some evidence of quality improvement among insured non-Medicaid patients.

Quality of Care 88

Quality of Care Medicaid Quality Improvement Hospitals 88

Briggs Healthcare

APRIL 7, 2022

In this context, with support from a coalition of sponsors, the National Academies of Sciences, Engineering, and Medicine (NASEM) formed the Committee on the Quality of Care in Nursing Homes to examine how the United States delivers, finances, regulates, and measures the quality of nursing home care.

Nursing 52

Nursing Quality of Care Quality Assurance Home Care 52

HIT Consultant

MARCH 17, 2024

As more plans, providers and members enter VBC arrangements, substantial volumes of clinical data will need to be managed effectively to oversee patient risk and care quality. Arming providers with a longitudinal patient summary for conducting comprehensive risk assessments improves patient outcomes while lowering the cost of care.

Quality Improvement 64

Quality Improvement Medicare Quality of Care Regulations 64

NASHP

SEPTEMBER 22, 2022

Financial and Workplace Security : Enhance family leave requirements , establish tax credits for caregiving expenses , establish protections against workplace discrimination based on family responsibilities , include family caregiving in unemployment insurance eligibility , and promote financial education and planning for family caregivers. “As

Medicaid 111

Medicaid Care Transition Medicare Quality Improvement 111

Home Health Care

APRIL 28, 2023

The more than 400 pages of proposed rules, certainly, contain a whole lot of regulation and, frankly, improvements to the Medicaid program that do have the potential to assure greater access to Medicaid services for beneficiaries,” Darby Anderson, chief strategy officer for Addus Homecare Corporation (Nasdaq: ADUS), told Home Health Care News.

Accountability 98

Accountability Medicaid Quality Assurance Home Care 98

HIT Consultant

AUGUST 12, 2024

The goal is to collect complete and accurate documentation which can support optimal patient care, regulatory compliance, quality improvement efforts as well as stand up to the scrutiny of payer approval processes. Success in these areas helps foster efficiency within UM teams, and reduce downstream denials.

Integration 80

Integration Hospitals Nursing Quality Improvement 80

Cloud Blogs

FEBRUARY 28, 2022

Ultimately, CMS and the Office of the National Coordinator for Health Information Technology (ONC) aim to improve information access in hopes of facilitating more holistic healthcare, improved quality of care, and better support for broader federal and regional public health initiatives such as disease surveillance and health equity.

Integration 80

Integration Healthcare Quality of Care Regulations 80

Home Health Care

JULY 14, 2023

CMS’ proposal to increase oversight and regulation specific to home health and hospice M&A activity will likely have impacts on the M&A landscape in 2024 and beyond. Luke James, president, VitalCaring In proposing another round of harmful cuts, CMS is ignoring the basics.

Medicare 98

Medicare Home Care Rehabilitation Medicaid 98

NASHP

MARCH 22, 2024

Quality improvement and evaluation approaches can capitalize on outcome metrics associated with improved access to high quality care. Routine transparent information exchange and collaborative policy design with key partners facilitates improvements. Foster intergovernmental and external partnerships.

Accountability 52

Accountability Medicaid Primary Care Quality Improvement 52

HIT Consultant

JULY 19, 2023

To serve the unique requirements of a sensitive industry that is bound by stringent regulations, we require a customized healthcare system that grants legitimacy to all participants within the blockchain. Doesn’t that sound like what the healthcare industry is in need of most? What is Proof of Competence (PoC)?

Healthcare 75

Healthcare Doctors Rehabilitation Healthcare Providers 75

NASHP

JANUARY 13, 2022

Department of Health and Human Services (HHS) released its proposed Notice of Benefit and Payment Parameters for the 2023 plan year, the annual regulation governing health insurance plans and marketplaces for the upcoming year. Addressing disparities through quality improvement strategies (QIS). Prohibits QHP advertising.

Regulations 52

Regulations Quality Improvement Accountability Healthcare 52

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

MAY 26, 2023

As promulgated in Iowa’s Human Service’s regulation 441-78.3 As stated in the regulation, “Individual funds from unused respite services may be allocated to the savings plan … [for] future respite care.” As codified in Iowa’s Human Service’s regulation 441-78.34(13) Iowa increased its 2022 provider rates by 4.25

Medicaid 121

Medicaid Nursing Regulations Integration 121

NCQA

JANUARY 25, 2024

The expansion of services and provider types in behavioral health creates a need for quality standards and quality improvement. Newer regulations put access to mental health and substance use-related services on an equal footing with medical and surgical services. Costs Costs of behavioral health care continue to rise.

Primary Care 52

Primary Care Quality Improvement Population Health Integration 52

Briggs Healthcare

MARCH 9, 2023

The training and technical assistance provided by the COENF will be free of charge.

Nursing 52

Nursing Prevention Medicaid Performance improvement 52

NASHP

DECEMBER 10, 2021

. §7022), in existence for over fifteen years, is a statewide network of NCQA certified Patient Centered Medical Homes (PCMHs) which are supported by regional program managers, quality improvement managers, self-management program coordinators, and a regional Community Health Team (CHT).

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

Briggs Healthcare

AUGUST 9, 2022

The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls (Volume 9, Issue 4). As of 12/30/21, the new CNA regulations require the CNA instructor to take a four-hour update training every five years. Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare.

Quality Improvement 40

Quality Improvement Nursing Medicare Regulations 40

Briggs Healthcare

MAY 4, 2023

This final rule will also codify regulations implementing section 118 of Division CC of the Consolidated Appropriations Act, 2021, section 11404 of the Inflation Reduction Act, and includes provisions that will codify existing sub-regulatory guidance in the Part C, Part D, and PACE programs.

Medicare 40

Medicare Regulations Nursing Primary Care 40

Accountable Care Doctors

OCTOBER 21, 2020

“Doing more procedures is not the answer to quality care — it is building a system and a culture that puts the resources of the entire team at play in the correct way.”. Patient information gleaned from telephonic or video visits should be counted for quality measures and for computing payment for at-risk contracts, the CAPP leaders say.

Primary Care 59

Primary Care Integration Remote Care Population Health 59

Lexis Nexis

JULY 20, 2022

To remediate these care gaps, payers must improve their ability to access data by making significant changes to their health IT infrastructure. Gaps in care have exploded due to the pandemic and federal regulation spurring advances in interoperability is here to stay.

Prevention 52

Prevention Medicare Medicaid Health Data 52

Cloud Blogs

OCTOBER 28, 2020

However, with technology rapidly changing and growing, adopting it may seem like a daunting prospect for many healthcare organizations that also need to follow compliance regulations and ensure data security.

Healthcare 52

Healthcare Integration Rehabilitation Health Data 52

NASHP

MARCH 11, 2022

Arizona also created a quality improvement collaborative and provided other supports, such as performance dashboards, to these clinics. Hospital quality improvement program provides incentives for hospitals to improve follow-up to opioid use disorder (OUD)-related emergency department visits.

Medicaid 59

Medicaid Integration Quality Improvement Primary Care 59

NASHP

MARCH 22, 2024

As major purchasers, administrators, and regulators of behavioral health treatment and supports, states play a critical role in system transformation. This is one section of Modernizing Behavioral Health Systems: A Resource for States. See the full resource guide.

Medicaid 52

Medicaid Urgent Care Primary Care Hospitals 52