Healthcare IT News - Telehealth

JANUARY 5, 2021

The children live nationwide but the focus is on areas heavily impacted by COVID-19, such as the Northeast and the central and southeastern U.S. Transplant activity at UPMC Children's Hospital was able to be safely maintained during the COVID-19 pandemic. THE PROBLEM. " RESULTS.

COVID-19 175

COVID-19 Electronic Medical Records Patient Satisfaction Telemedicine 175

Health Populi

OCTOBER 19, 2020

In this auspicious year for women’s voting rights, as COVID-19 emerged in the U.S. Women were surveyed on perspectives for health care in America in the wake of the COVID-19 pandemic, the prospects for the Affordable Care Act and health insurance security, and views on health, well-being, and health care.

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COVID-19 Health Insurance Prescription Drug Pricing ACA 105

Health Populi

JUNE 27, 2022

The second bar chart illustrates the per member/per month (PMPM) spend for commercially insured workers, showing growth of over 7% from 2018 to 2019, and nearly 7% drop from 2019 to 2020 in the first year of the pandemic. from the start of the COVID-19 pandemic in 2019 to 1.29

COVID-19 121

COVID-19 Health Insurance Medicaid Medicaid 121

HIPAA Journal

DECEMBER 14, 2022

The CARES Act was passed by Congress on March 27, 2020, to ensure that every American has access to the care they need during the COVID-19 pandemic and to address the economic fallout from the 2019 Novel Coronavirus and COVID-19. 2018 ended up being a record year for HIPAA enforcement.

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HIPAA COVID-19 COVID-19 Vaccine Compliance 128

Healthcare IT News - Telehealth

JUNE 26, 2020

As the COVID-19 crisis has made evident, telehealth can be a useful tool to help connect patients with services remotely. Throughout 2018 and 2019, Northwell Health piloted small-scale programs in partnership with the Gary and Mary West Health Institute Collaboration to bring medical services virtually to the homes of their patients.

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COVID-19 Telemedicine Medicaid Medicaid 185

HIPAA Journal

JUNE 26, 2023

Nationwide Discretion Announced during the COVID-19 Pandemic During the COVID-19 pandemic, healthcare providers had to deal with a nationwide public health crisis, the likes of which had never been seen before.

HIPAA 73

HIPAA COVID-19 COVID-19 Vaccine Public Health 73

Health Populi

JUNE 25, 2020

” As health insurance for working-age people is tied to employment, COVID-19 led to disproportionate loss of health plan coverage especially among people earning lower incomes, as well as non-white workers, explained in the Commonwealth Fund Health Care Poll: COVID-19, May-June 2020. 23% were Hispanic.

Health Insurance 68

Health Insurance COVID-19 ACA Medicaid 68

Healthcare IT News - Telehealth

JANUARY 19, 2022

It is Brooklyn's tertiary care hub serving diverse communities with large Medicaid, Medicare and uninsured populations. In 2018, Maimonides' leadership established digital health as a strategic priority for the medical center. "It is impossible to describe what came next without the context of COVID-19," Cimino said.

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COVID-19 Telemedicine Hospitals Medicaid 145

Healthcare Law Blog

JANUARY 10, 2022

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”). Additional Opportunities for Integration through State Medicaid Agency Contracts.

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Medicare Medicare COVID-19 Medicaid 98

Health Populi

JULY 13, 2021

As the COVID-19 pandemic shifts to a more endemic phase — becoming part of peoples’ everyday life for months to come — impacts on peoples’ mental health will persist, according to new research from CVS Health in the company’s annual Health Care Insights Study. adults in March 2021.

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COVID-19 Health Insurance Medicaid Medicaid 68

Health Populi

SEPTEMBER 14, 2021

The COVID-19 pandemic exacerbated food insecurity in the U.S., Nutrition insecurity can lead to obesity, Type-2 diabetes, and the increasing risk of severe illness from COVID-19 and eventual hospitalization. “Will people enrolled in Medicaid want to be Amazon Prime’d?” month or $99 a year.

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COVID-19 Public Health Medicaid Medicaid 62

Healthcare IT News - Telehealth

JUNE 3, 2021

As CMIO of Urban Health Plan, a Bronx-based Federally-Qualified Health Center, Connelly-Flores has worked to boost COVID-19 vaccination rates via texting campaigns, online vaccine registration and other patient engagement projects focused on one of the areas in the U.S. He earned a HIMSS Davies Award of Excellence in 2018.

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Department of Veterans Affairs COVID-19 COVID-19 Vaccine Nurses 93

HIPAA Journal

JANUARY 9, 2023

OCR responded to feedback from healthcare industry stakeholders by issuing a request for information (RFI) in December 2018 on potential changes to the HIPAA Rules. HIPAA Changes Due to the 2019 Novel Coronavirus (SARS-CoV-2) and COVID-19. The CMS has also expanded telehealth to include all Medicare and Medicaid beneficiaries.

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HIPAA COVID-19 COVID-19 Vaccine Compliance 112

HIT Consultant

AUGUST 17, 2021

In 2018, 36% of spending was via alternative payment models and by 2025, CMS has targeted 100% of Medicare and 50% of Commercial and Medicaid spending.4 Helped HCOs impact 10M+ lives with its open source COVID-19 index, published in Journal of Medical AI. ? Empowering The Data Science Team.

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COVID-19 Health Outcomes Medicaid Medicaid 98

Healthcare IT News - Telehealth

APRIL 24, 2020

The Alliance for Integrated Care of New York (AICNY) oversees the healthcare needs of roughly 6,200 dually eligible Medicare and Medicaid beneficiaries with intellectual and developmental disabilities (IDD). Over three quarters of 2018, AICNY inpatient expenditures saw a 6% reduction. THE PROBLEM. ” PROPOSAL. MARKETPLACE.

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Telemedicine COVID-19 Medicaid Medicaid 155

Healthcare IT News - Telehealth

MAY 6, 2020

In the middle of the COVID-19 pandemic, connected health and RPM are more important than ever, because they enable physicians to monitor patients without having to come into contact with them, thus preventing the spread of the novel coronavirus.

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COVID-19 FDA Hospitals Elder Care 188

Healthcare Law Blog

JANUARY 13, 2022

Let’s talk about fixing the huge American diabetes problem, providing better healthcare for Medicaid and dual eligible beneficiaries, and helping people beat cancer. All that, plus a COVID-19 thought exercise…. Making Medicaid Better and Physicians More Accessible: Cityblock Health and ZocDoc.

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COVID-19 Medicaid Medicaid Doctors 52

Healthcare Law Blog

NOVEMBER 1, 2022

On November 1, 2018 , CMS issued a proposed rule that, among other changes, would use extrapolation in RADV contract-level audits of MAOs starting with payment year 2011 contract-level audits and would not apply a FFS Adjuster to such audit findings. The original proposed rule was published on November 1, 2018, four years ago today.

Medicare 52

Medicare Medicare COVID-19 Public Health 52

AIHC

AUGUST 8, 2023

Because aspiration pneumonia is excluded from Centers for Medical & Medicaid Services (CMS) pneumonia mortality scores, the implicit conclusion is that a hospital can improve its public rating by coding its oldest and sickest patients with pneumonia as having aspiration pneumonia. Some say the COVID-19 lockdowns.

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COVID-19 Governance Hospitals Medicaid 40

Healthcare IT News - Telehealth

DECEMBER 16, 2020

The insights also can help healthcare organizations navigate vaccine distribution, as well as the ebbs and flows of patient volumes due to COVID-19 in the year ahead, according to the new report. Healthcare right-sizes after the telemedicine explosion. “Quite a bit, it turns out.

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COVID-19 Hospitals Doctors Health Insurance 213

Innovaare Compliance

APRIL 7, 2024

The Centers for Medicare & Medicaid Services (CMS) officially announced capitation rates for Medicare Advantage (MA) plans for CY 2025 – average increase of 3.7% 9] Step Therapy for Part B guidance published by CMS on August 7, 2018, shows one of the ways to manage utilization compliantly. generics) beginning in 2025 [1].

Medicare 59

Medicare Medicare COVID-19 Hospitals 59

Hall Render

MARCH 17, 2023

NATIONAL AMA pressures federal government to fix prior authorization problem plaguing radiology AHA pushes back on new 340B alliance Biden’s $6.8T Lawmakers are now mulling limits. Francis Hospital-Interquest Progresses In Colorado Colorado’s wealthiest hospitals favored in $1.2 in Indiana aging-in-place work.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Innovaare Compliance

APRIL 7, 2024

The Centers for Medicare & Medicaid Services (CMS) officially announced capitation rates for Medicare Advantage (MA) plans for CY 2025 – average increase of 3.7% 9] Step Therapy for Part B guidance published by CMS on August 7, 2018, shows one of the ways to manage utilization compliantly. generics) beginning in 2025 [1].

Medicare 52

Medicare Medicare COVID-19 Hospitals 52

HIT Consultant

OCTOBER 27, 2021

Centers for Medicare & Medicaid Services (CMS) in August 2021, which calls for a $17 billion, five-year program designed to address health disparities and systemic health care delivery issues underscored by COVID-19.

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COVID-19 Medicaid Medicaid Medicare 52

AIHC

JANUARY 28, 2022

The Centers for Medicare and Medicaid Services (CMS) distributes a prospectively determined amount of uncompensated care payments to “Medicare disproportionate share hospitals” or better known as “DSH.” This is calculated based on the hospital’s relative share of uncompensated care nationally. In this rule, CMS will distribute roughly $8.3

Medicare 52

Medicare Medicare Hospitals Payment Systems 52

Kaiser Health News

FEBRUARY 8, 2022

The penalties — a 1% reduction in Medicare payments over 12 months — are based on the experiences of Medicare patients discharged from the hospital between July 2018 and the end of 2019, before the pandemic began in earnest.

Medicare 115

Medicare Medicare Hospitals COVID-19 115

HIT Consultant

OCTOBER 21, 2022

Sepsis, in contrast to infection-negative systemic immune response, is life-threatening, must be treated quickly, and is responsive to an antibiotic, antiviral (most recently as evidenced by the COVID-19 pandemic), or anti-fungal treatments. Carlson joined Immunexpress in 2018 as CEO.

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Hospitals FDA Compliance COVID-19 98

Hall Render

JUNE 22, 2022

On Friday, June 17, 2022, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2023 Home Health Prospective Payment System Rate Update (“PPS Rule”). CMS concluded that it would be difficult, if not impossible, to identify changes to PDGM and those due to COVID-19.

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COVID-19 Payment Systems Medicare Medicare 40

AIHC

FEBRUARY 16, 2024

Because aspiration pneumonia is excluded from Centers for Medical & Medicaid Services (CMS) pneumonia mortality scores, the implicit conclusion is that a hospital can improve its public rating by coding its oldest and sickest patients with pneumonia as having aspiration pneumonia. Some say the COVID-19 lockdowns.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

Because aspiration pneumonia is excluded from Centers for Medical & Medicaid Services (CMS) pneumonia mortality scores, the implicit conclusion is that a hospital can improve its public rating by coding its oldest and sickest patients with pneumonia as having aspiration pneumonia. Some say the COVID-19 lockdowns.

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

Hall Render

APRIL 28, 2023

Why industry leaders are pushing back Children’s Hospital of Orange County (CHOC) Appoints Jessica L.

Nurses 40

Nurses Nursing Homes COVID-19 Hospitals 40

Hall Render

JUNE 9, 2023

million from Miracle Day Arkansas Hospice Takes Over LifeTouch Hospice Arkansas hospitals say they are struggling; report questions those claims Arkansas law allows physician assistants to be rendering providers for Medicaid Arkansas rural hospitals work to keep their doors open Panda Express Pledges $1.2M

Nurses 40

Nurses COVID-19 Nursing Homes Hospitals 40

Hall Render

FEBRUARY 23, 2024

CT’s Medicaid reimbursement rates lower than peer states: report Better safety training, reporting, escorts for CT home health care workers focus of new legislation D.C. Mary’s unveils new name, but mission remains unchanged UCHealth sues thousands of patients every year. What they say sets them apart. And lawmakers are trying to help.

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Nursing Homes Nurses Hospitals Medicaid 40

Health Care Law Brief

APRIL 3, 2023

On Friday, March 31, 2023, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2024 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies ( Rate Announcement ). hip and knee replacements), and to reflect an increase in dual-eligible beneficiaries enrolling in MA.

Medicare 52

Medicare Medicare Overpayments Overpayment 52

HIPAA Journal

MAY 29, 2023

reduction in total penalties compared to 2018, falling from $28.7 million in 2018 to just $1.6 million in 2018 (median: $500,000) to just $407,000 in 2022 (median: $183,250). Now that the COVID-19 Public Health Emergency has been declared over, that period of enforcement discretion is due to terminate.

HIPAA 96

HIPAA Compliance Due Diligence COVID-19 96

Jane Sarashon

FEBRUARY 4, 2024

Mom’s Meals, a provider of medically-tailored meals working with health plans and providers, shared results of a program run by Inland Empire Health Plan (IEHP) providing medically-tailored meals to dually eligible (Medicare + Medicaid) members in California. These trends began to take hold in the U.S.

US Department of Health and Human Services 70

US Department of Health and Human Services Health Insurance Medicare Medicare 70

Innovaare Compliance

JANUARY 19, 2021

It has become evident by changes to the Centers for Medicare & Medicaid Services (CMS) Star Rating formulas over the past several years—and especially with changes implemented for the 2021 Plan Year—that member experience and medication adherence is of utmost importance to the CMS.

Medicare 52

Medicare Medicare COVID-19 Compliance 52