Healthcare IT Today

APRIL 26, 2023

The following is a guest article by Ashley Perry, MPH, Chief Strategy and Solutions Officer at Socially Determined When Congress passed the Consolidated Appropriations Act of 2023 , it decoupled the Public Health Emergency (PHE) from the Medicaid program’s continuous enrollment provision, which was implemented as part of the PHE in March 2020.

Medicaid 63

Medicaid Medicaid Public Health Health Outcomes 63

HIT Consultant

FEBRUARY 1, 2023

Most patients with OUD diagnosis had Medicaid, were uninsured or homeless – with associated visit costs largely borne by health systems. during 2017-2022, creating a substantial economic burden for affected hospitals. during 2017-2022, creating a substantial economic burden for affected hospitals. hospitals are $95.43

Hospitals 52

Hospitals Medicaid Medicaid Health Outcomes 52

Healthcare IT News - Telehealth

MARCH 23, 2021

Now more hospitals and health systems are looking to expand their efforts beyond video visit-based virtual care, and push for expanded remote patient monitoring programs – up to and including the provision of acute care at home. They cleared the path for parity reimbursement during the public health emergency.

Hospitals 217

Hospitals COVID-19 Medicare Medicare 217

Healthcare It News

JANUARY 10, 2023

The virtual care services will be delivered without copays, out-of-pocket costs or deductibles for families with active insurance or Medicaid coverage. Before the pandemic, patients had to be in a rural area in a hospital or clinical setting to receive reimbursement for telehealth. WHY IT MATTERS. THE LARGER TREND.

COVID-19 258

COVID-19 Hospitals Telemedicine Health Outcomes 258

NY Health Law

FEBRUARY 13, 2024

On January 9, 2024, the federal Centers for Medicare and Medicaid Services (CMS) finally approved New York State’s 1115 waiver amendment to establish the New York Health Equity Reform (NYHER) Program. Workforce: Workforce investments with a goal of equitable and sustainable access to care in Medicaid.

Medicaid 52

Medicaid Medicaid Nurses Medicare 52

Healthcare It News

OCTOBER 31, 2022

"The ability to use and build from established standards in real-time and as part of screening practices that help identify specific needs related to insecurity is an important step in enabling more coordinated care and timely assistance or interventions needed to improve health outcomes," according to Argentieri, Meklir and Henry.

Licensing 278

Licensing Health Outcomes Medicaid Medicaid 278

Healthcare It News

DECEMBER 20, 2022

Other founding members of the coalition include The Groundwater Institute, the American Hospital Association, the National Association of Community Health Centers, the Council of Medical Specialty Societies, Health Begins and PolicyLink. Mate also cited examples of how quality improvement methods can address inequalities.

Hospitals 192

Hospitals Health Outcomes Medicaid Medicaid 192

Bill of Health

NOVEMBER 9, 2023

America is the only wealthy nation to lack universal health coverage. Under-investment in social determinants of health are major drivers of inequitable health outcomes in the United States. health system continue to exacerbate poor health and disparities. Uninsured people in the U.S. COVID-19 and the U.S.

COVID-19 157

COVID-19 Public Health ACA Health Insurance 157

Healthcare It News

JANUARY 18, 2022

Social determinants of health are major contributors to health inequity and rising healthcare costs in vulnerable populations such as Medicaid beneficiaries. How do care management interventions to mitigate SDOH as a risk for undesired health outcomes work?

Health Outcomes 355

Health Outcomes Medicaid Medicaid Patient Satisfaction 355

HIT Consultant

NOVEMBER 2, 2023

. – With rising expenses outpacing reimbursement rates, health systems and physician organizations are increasingly turning to value-based care to avoid layoffs and service cuts. NS-EEH, the third largest healthcare delivery system in Illinois, comprises nine hospitals, 25,000 team members, and 300 local offices, serving over 4.2

Medicare 52

Medicare Medicare Medicaid Medicaid 52

HIT Consultant

OCTOBER 5, 2023

What You Should Know: – Women’s health startup Diana Health raises $34M in Series B funding round led by Norwest Venture Partners. is facing a maternal health crisis. More than 400 hospitals have closed their L&D units between 2016-2020. Diana Health is targeting underserved areas in the U.S.

Health Outcomes 52

Health Outcomes Hospitals Medicaid Medicaid 52

HIT Consultant

JUNE 7, 2023

In 2016, the Golden State began its Whole-Person Care (WPC) pilots at the county level integrating physical health, behavioral health, and social services for complex needs Medicaid enrollees. CalAIM also supports short-term, post-hospitalization housing. million hospitalizations and save insurers a net amount of $13.6

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Healthcare IT Today

JUNE 23, 2023

The capital will fuel Pomelo’s continued partnership expansion with major health plans, including several Medicaid managed care organizations, employers and leading academic medical centers on the front lines of the national maternal health crisis. “It’s inexcusable that women in the U.S.

Medicaid 52

Medicaid Medicaid Patient Satisfaction Health Outcomes 52

Healthcare IT News - Telehealth

OCTOBER 26, 2020

"Timely availability of clinical information during health care transitions, in a setting with robust telemedicine access, can shift the method of care delivery without adversely affecting patient health outcomes," wrote the researchers. WHY IT MATTERS. ON THE RECORD.

Telemedicine 162

Telemedicine Hospitals Health Outcomes Medicaid 162

MedTrainer

MARCH 8, 2024

FQHCs can receive financial rewards for deploying an individualized, patient-centered care model that builds trust between patients and providers, which has shown to improve health outcomes. In value-based care, organizations of doctors, hospitals, and other health care providers commit to delivering a high standard of care.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

HIT Consultant

NOVEMBER 4, 2021

– Since its 2017 founding, Papa and its Papa Pals have served members in all 50 states, across Medicare Advantage, Medicaid, and employer health plans.

Health Outcomes 95

Health Outcomes Medicaid Medicaid Medicare 95

Healthcare It News

AUGUST 7, 2023

Many of them are not within reasonable distance from a grocery store, nonetheless a hospital or provider for primary care. According to the U.S. Census Bureau, more than 60 million citizens are living in rural America. Enterprise Taxonomy:

US Department of Health and Human Services 214

US Department of Health and Human Services Governance Patient Satisfaction Health Outcomes 214

MedTrainer

NOVEMBER 27, 2023

With a wide range of departments, including the Office of Compliance, ODH focuses on promoting public health, preventing diseases, and ensuring access to quality healthcare services through monitoring and enforcement of regulations and policies. It ensures that practitioners meet the necessary standards and undergo proper training.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Hall Render

MAY 10, 2024

On April 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) announced its plan to implement the Transforming Episode Accountability Model (“TEAM”), a new mandatory alternative payment model unveiled as part of the 2025 Hospital Inpatient Prospective Payment System proposed rule.

Medicare 40

Medicare Medicare Hospitals Medicaid 40

Hall Render

MARCH 30, 2023

The increase poses challenges for hospitals , particularly for providers with lower credit ratings as they look to borrow funds, complete construction projects and control labor costs. The legislation would also limit sale-leaseback transactions on hospitals’ real estate. and 5%, the highest since September 2007.

Hospitals 40

Hospitals Health Outcomes Medicaid Medicaid 40

Healthcare It News

FEBRUARY 28, 2023

UPMC Central Pennsylvania, a hospital that in 2021 achieved Stage 7, the top of the HIMSS Electronic Medical Record Adoption Model, has been a leader in telemedicine, with more than two dozen robust virtual care programs. Virtual-first primary care has been shown to improve health outcomes by increasing access, he reported.

Electronic Medical Records 243

Electronic Medical Records Telemedicine Health Insurance Health Outcomes 243

HIT Consultant

FEBRUARY 21, 2023

The company continues to be the largest network of independent primary care in the country, with more than two million patients covered by more than 150 value-based contracts across Medicare, Medicare Advantage, Medicaid and commercial payers.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

HIT Consultant

NOVEMBER 16, 2022

What You Should Know: – Cipher Skin and Parker Health launches a new pilot program to help bring tech-enabled physical therapy to Medicare and Medicaid patients. And many patients—especially those on Medicare and Medicaid—do not have the luxury of extending their recovery time.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Healthcare IT Today

APRIL 5, 2024

The acquisition advances Healthy Together’s mission to improve collective health and make government and enterprises more efficient. This acquisition reinforces Healthy Together’s commitment to driving positive change in public health outcomes.

Public Health 70

Public Health Medicaid Medicaid Governance 70

MedTrainer

DECEMBER 4, 2023

The Kentucky Hospital Association (KHA) is an organization that represents and supports hospitals and healthcare facilities across Kentucky, working to improve healthcare quality, access, and delivery within the state. Health plans are also required to mirror in-person reimbursement rates for telehealth services.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Healthcare IT Today

MAY 10, 2023

(Side Note: Be sure to check out Data’s Role in Health Equity and Technology and Health Equity as well) Kimberly Hartsfield, Executive Vice President of Growth Enablement at VisiQuate Shockingly, 58% of hospital bad debt comes from insured patients. This highlights the dire need to address patient access to care.

Health Outcomes 105

Health Outcomes Medicaid Medicaid Nurses 105

Healthcare IT Today

APRIL 10, 2023

Uncle Roy’s story is not unique; the individual behaviors that people with chronic conditions perform on a daily basis are the most important determinant of future health outcomes. Across these 23,452 members last year, our clients measured an average of 42% reduction in hospitalizations. In the U.S.,

Health Outcomes 96

Health Outcomes Hospitals ACA Doctors 96

Health Law Advisor

MAY 2, 2023

The Centers for Medicare & Medicaid Services (“CMS”) is using its annual rulemaking process to update the CMS payment system rules for fiscal year (“FY”) 2024 as a mechanism to advance health equity systematically across various CMS payment programs. health system.” [9]

Payment Systems 52

Payment Systems Medicare Medicare Nurses 52

HIT Consultant

MARCH 28, 2023

In addition, the complexities associated with finding the appropriate follow-up care for patients’ behavioral health needs create “a cycle of ED help-seeking behaviors and mental states that worsen with early discharge,” researchers say. and studies have shown that the timing of a crisis can play a critical role in patient outcomes.

Health Outcomes 98

Health Outcomes Hospitals Medicaid Medicaid 98

HIT Consultant

MARCH 30, 2023

For the first time, those using Uber Health—including healthcare providers and health plans—will be able to manage prescription delivery from any pharmacy in their service area through the same platform they already use to coordinate transportation for patients.

Medicaid 97

Medicaid Medicaid Medicare Medicare 97

HIT Consultant

JUNE 13, 2023

Providers and payers, including Medicare and Medicaid, lack the visibility and infrastructure to execute on these programs effectively. million hospitalizations annually, resulting in a cost-savings of $13.6 As a result, patients—many of whom belong to underserved or vulnerable populations—are often saddled with “homework.”

Health Outcomes 97

Health Outcomes Medicaid Medicaid HIPAA 97

Healthcare IT Today

NOVEMBER 25, 2022

Reimbursement is also closely linked to quality because of the use of outcome measures by the Centers for Medicare and Medicaid Services (CMS) to determine a hospital’s overall quality, including: Mortality. Lack of access to reliable transportation for essential health needs results in 41% more excess days in the hospital.

Governance 83

Governance Health Outcomes Medicaid Medicaid 83

Healthcare Law Blog

NOVEMBER 13, 2023

On November 6, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released the contract year 2025 proposed rule for Medicare Advantage (“MA”) organizations and Part D sponsors (the “Proposed Rule”). 2] A NOMNC ordinarily outlines the appeal process as well as a deadline by which an enrollee should submit his/her appeal. [3]

Medicare 59

Medicare Medicare Medicaid Medicaid 59

HIT Consultant

JANUARY 29, 2024

Faculty Midwife Attending, MedStar Washington Hospital Center Anish Sebastian, CEO and Co-founder, Babyscripts Our mothers are dying. Maternal mortality rates have consistently worsened year over year, yet maternal deaths attributed to hospitalizations related to birth declined in 2021. Loral Patchen, Sr. How did we end up here?

Health Outcomes 96

Health Outcomes Hospitals Medicaid Medicaid 96

Healthcare IT Today

APRIL 21, 2023

Funding Will Grow Medication Adherence Services for Medicaid and Other Under-Resourced Populations Scene Health , the leading medication engagement company, has closed an oversubscribed $17.7 and the leading cause of preventable hospitalizations. Medication nonadherence is a $500 billion challenge in the U.S.

Medicaid 56

Medicaid Medicaid Medicare Medicare 56

Healthcare IT Today

MARCH 27, 2023

of the total market share due to increased adoption to manage chronic conditions and monitor health outcomes. OpenLoop White-Label Telehealth Solutions OpenLoop was founded with the mission to expand access to care and improve community health outcomes. Additionally, telehealth services hold 45.7%

Health Outcomes 97

Health Outcomes Licensing Medicaid Medicaid 97

Healthcare IT News - Telehealth

MARCH 1, 2022

Telemedicine, though, cannot directly provide services to address social determinants of health, services that still remain scattered and disparate. A Medicaid member may not have a smartphone, high-speed wireless internet or unlimited data plans. We have to take into consideration the economic barriers that the underserved experience.

Telemedicine 132

Telemedicine Health Outcomes Medicaid Medicaid 132