Healthcare IT News - Telehealth

DECEMBER 14, 2021

This is why, as the new year approaches, Healthcare IT News has sat down with an expert in value-based care to get his views on what 2022 will hold for the payment system. Caravan Health is a privately held company formed to create sustainable methodologies for health systems to excel in value-based care.

Medicare 172

Medicare Medicare COVID-19 Telemedicine 172

Hall Render

AUGUST 10, 2023

On August 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued its Final Hospital Inpatient Prospective Payment System (“IPPS”) and Long-Term Care Hospital (“LTCH”) PPS rule for fiscal year (“FY”) 2024 (“Final Rule”). The Final Rule increases the rate for IPPS payments by 3.3%

Hospitals 40

Hospitals Medicare Medicare Medicaid 40

Hall Render

JULY 11, 2022

CMS issued a proposal to overhaul the payment system for post-acute care providers (IRFs, LTACHs, SNFs and home health agencies). Payments under the plan would be based on the cost of care and patient needs per Fierce Healthcare. Finally, a number of new hospital projects were announced.

Hospitals 40

Hospitals Payment Systems Nurses Public Health 40

Health Blawg

JULY 2, 2018

We talked about the different incentives in fee for service and value-based payment systems, and noted that even in most value-based systems, individual provider level activity is usually coded in the same manner as activity in fee for service systems, thus potentially skewing individual provider incentives.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

We talked about the different incentives in fee for service and value-based payment systems, and noted that even in most value-based systems, individual provider level activity is usually coded in the same manner as activity in fee for service systems, thus potentially skewing individual provider incentives.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

Health Blawg

JULY 2, 2018

We talked about the different incentives in fee for service and value-based payment systems, and noted that even in most value-based systems, individual provider level activity is usually coded in the same manner as activity in fee for service systems, thus potentially skewing individual provider incentives.

Payment Systems 60

Payment Systems Electronic Medical Records Medicare Medicare 60

HIT Consultant

JANUARY 6, 2022

In 2019, mobile wallets overtook credit cards to become the most widely used payment type globally, and the growth has been accelerated by the rapid increase of online purchasing fueled by the pandemic. Additionally, on a global basis, the number of digital wallet users is expected to jump by nearly 74% between 2020 and 2025.

COVID-19 98

COVID-19 Payment Systems 98

Medisys Compliance

APRIL 18, 2022

Beginning in 2026, QPs will receive a higher annual Medicare fee schedule adjustment than non-QPs. In addition, eligible clinicians who participate in certain APMs but don’t meet the QP requirements may still receive more favorable scoring under MIPS.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicaid Medicaid 52

CMS.gov

NOVEMBER 15, 2018

These changes, part of the implementation of the Bipartisan Budget Act of 2018, are effective January 1, 2019. Within the Quality Payment Program, we’ve implemented several options to help clinicians in both small and rural practices successfully participate in the Merit-based Incentive Payment System (MIPS).

Medicare 50

Medicare Medicare Payment Systems Medicaid 50

Healthcare IT News - Telehealth

JANUARY 20, 2022

As illustrated in a 2019 study published in JAMA Internal Medicine , the percentage of adults in the United States with a primary care physician has been on the decline for years. We are seeing a shift from traditional fee-for-service models to value-based care where capitated rates or other alternative payment systems are being utilized.

Doctors 184

Doctors COVID-19 Payment Systems Nurses 184

Hall Render

JULY 14, 2023

On Friday, June 20, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update (“PPS Rule”), which has since been published in the Federal Register and is currently open for comment. Physical Therapy 3.30

Medicare 52

Medicare Medicare Payment Systems Governance 52

Healthcare IT News - Telehealth

AUGUST 19, 2020

Staff members were unsure if Medicare and Medicaid would honor the prospective payment-system rate. Decisions were not made yet on the level of payment. " Finally, prior to CMS loosening telemedicine policy for the pandemic, reimbursement was a concern.

COVID-19 173

COVID-19 Telemedicine Compliance HIPAA 173

CMS.gov

NOVEMBER 8, 2018

Quality Payment Program (QPP) Year 1 Performance Results. Earlier this year, we released preliminary participation data on clinicians eligible to participate in the Merit-based Incentive Payment System (MIPS) under the Quality Payment Program (QPP).

Payment Systems 43

Payment Systems Medicare Medicare Medicaid 43

Health Blawg

JANUARY 16, 2019

Comments are due February 12, 2019.) As in the case of the RFI regarding Stark and AKS, this is prompted in large part by the move from volume to value, and the widespread belief that value-based payment systems will right the listing ship of the U.S. healthcare “system.” Comments are due February 12, 2019.)

HIPAA 60

HIPAA Fraud Governance Payment Systems 60

Health Blawg

JANUARY 16, 2019

Comments are due February 12, 2019.) As in the case of the RFI regarding Stark and AKS, this is prompted in large part by the move from volume to value, and the widespread belief that value-based payment systems will right the listing ship of the U.S. healthcare “system.” Comments are due February 12, 2019.)

HIPAA 60

HIPAA Fraud Governance Payment Systems 60

AIHC

JANUARY 28, 2022

Background on the IPPS and LTCH PPS CMS pays acute care hospitals (with a few exceptions specified in the law) for inpatient stays under the Inpatient Prospective Payment System (IPPS). LTCHs are paid under the Long-Term Care Hospital Prospective Payment System (LTCH PPS).

Medicare 52

Medicare Medicare Hospitals Payment Systems 52

AIHC

NOVEMBER 15, 2022

Noncompliance with the Hospital Price Transparency Rule The Hospital Price Transparency Final Rule (“the final rule”) was published in November 2019 and went into effect on January 2021. In 2019, the federal government finalized a rule requiring hospitals to disclose the prices they negotiate with insurers.

Hospitals 52

Hospitals US Department of Health and Human Services Compliance Governance 52

Hall Render

NOVEMBER 28, 2023

On November 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update Final Rule (“2024 Final Rule”), which has since been filed in the Federal Register. 7,589 2019 5,871 79.3% 7,872 2018 5,851 77.1%

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

C&M Health Law

AUGUST 10, 2022

Moreover, CMS itself had initially proposed a decrease of $320 million in aggregate Medicare Part A payments to SNFs during FY 2023, although the decrease was partially as a means to offset the unintended increase in payments of approximately $1.7

Medicare 52

Medicare Medicare COVID-19 Nursing Homes 52

Healthcare IT Today

MARCH 12, 2023

Since 2019, visit volume increased the most for diagnoses of eating disorders (at 53%), anxiety (48%), substance use disorders (27%), and depression (24%). Health Payment Systems announced that PayMedix increases cash yield for healthcare organizations as much as 9.5%.

Telemedicine 83

Telemedicine Medicaid Medicaid Payment Systems 83

CMS.gov

DECEMBER 21, 2018

To this end, we are developing and testing new payment models to transform our payment system, and today’s changes to Medicare’s ACO program are a critical component of that transformation. ACOs are groups of healthcare providers that take responsibility for the total cost and quality of care for their patients.

Medicare 41

Medicare Medicare Payment Systems Fraud 41

Kaiser Health News

JUNE 29, 2022

Although CMS chose not to appear at the hearing, officials clearly knew years ago that some health plans were abusing the payment system to boost profits yet for years ran the program as what one CMS official called an “honor system.” Bliss said Medicare paid $2.6

Medicare 105

Medicare Medicare Governance Overpayments 105

Drug & Device Law

JULY 31, 2023

2019 WL 4751807, at *8 (D. 30, 2019) (“a patent application is not a tangible good. . . 2019), precluded assertion of strict liability in litigation over a bank loan. 2019), similarly held that a website designer owed no duty under California negligence, because the defendant’s “content-neutral functions. . .

Governance 52

Governance Payment Systems Hospitals Licensing 52