HIT Consultant

NOVEMBER 9, 2023

Director of Healthcare Strategy, LexisNexis Risk Solutions During the peak of the Covid-19 pandemic, over 10 million Americans enrolled in Medicaid – nearly a 14% increase from the beginning of 2020. A month before the public health emergency ended on May 11, 2023, 87 million individuals were enrolled in Medicaid.

Medicaid 64

Medicaid Medicaid Health Insurance Health Outcomes 64

Kaiser Permanente

JANUARY 1, 2022

Medicaid and the Children’s Health Insurance Program (CHIP) have served as critical supports to children, pregnant women, parents, seniors, and individuals with disabilities – covering 80 million individuals during the COVID-19 pandemic. Since February 2020, Medicaid enrollment has grown sharply to cover an additional 9.9

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Medicaid Medicaid Medicare Medicare 92

Electronic Health Reporter

MARCH 5, 2019

The article America’s Physician Groups Responds to CMS MA 2020 Advance Notice appeared first on electronichealthreporter.com. The article America’s Physician Groups Responds to CMS MA 2020 Advance Notice appeared first on electronichealthreporter.com.

Medicare 89

Medicare Medicare Medicaid Medicaid 89

Electronic Health Reporter

APRIL 18, 2019

The Centers for Medicare & Medicaid Services (CMS) released the final annual Notice of Benefit and Payment Parameters for the 2020 benefit year, also known as the 2020 Payment Notice. This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited.

Medicaid 89

Medicaid Medicaid Medicare Medicare 89

Electronic Health Reporter

APRIL 8, 2019

On April 5, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates the Medicare Advantage (MA or Part C) and Medicare Prescription Drug Benefit (Part D) programs by promoting innovative plan designs, improved quality, and choices for patients.

Medicare 89

Medicare Medicare Medicaid Medicaid 89

Healthcare Law Blog

MAY 16, 2022

More than 13 million people were enrolled in Medi-Cal in California in September 2021, making it the largest Medicaid program in the nation. In 2015, DHCS launched the WPC Pilots as part of its Medi-Cal 2020 Section 1115 Demonstration.

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Medicaid Medicaid Nurses Health Care Access 59

Healthcare It News

SEPTEMBER 24, 2021

In 2020, the agency said , about six in 10 individuals throughout the country were offered access to their patient portal, and nearly 40 percent accessed their record at least once. About a third of patient portal users downloaded their online medical record in 2020, nearly double the proportion of 2017. WHY IT MATTERS. ON THE RECORD.

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COVID-19 Medicaid Medicaid 357

Med-Net Compliance

NOVEMBER 2, 2022

Massachusetts Attorney General Maura Healey announced that her office’s Medicaid Fraud Division recovered more than $71 million during the most recent federal fiscal year, which ended on September 30. The AG’s Medicaid Fraud Division investigates and prosecutes providers who defraud the state’s Medicaid program, MassHealth.

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Fraud Medicaid Medicaid Compliance 59

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.

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Medicaid Medicaid Public Health Health Outcomes 63

Healthcare Compliance Blog

APRIL 27, 2022

A Georgia district court has issued a summary judgment against a state rehabilitation center for 808 false claims billed to Medicaid and Tricare between November 2015 and June 2020. The post Georgia Rehabilitation Center Submitted 808 False Claims to Medicaid/Tricare appeared first on Med-Net.

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Medicaid Medicaid Compliance Governance 59

HIPAA Journal

OCTOBER 17, 2022

The investigation also uncovered unauthorized access to email accounts, with the email accounts accessed by unauthorized individuals at various points over the preceding 8 months, between December 22, 2020, and July 15, 2021. This post will be updated when the scale of the breach is known.

Licensing 57

Licensing HIPAA Health Insurance Medicaid 57

Redox

MARCH 24, 2021

But in 2020, necessity was the mother of adoption , and by this, I mean technology, especially as it relates to telehealth. In one of my recent Forbes columns, I took a slightly different approach to the usual predictions, focusing more on lessons learned from 2020 to then help guide these four forward-looking prescriptions: .

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Medicaid Medicaid Medicare Medicare 52

Healthcare IT Today

DECEMBER 31, 2020

To further support clinicians during the COVID-19 public health emergency, the Centers for Medicare & Medicaid Services (CMS) has extended the deadline for COVID-19 related 2020 Merit-based Incentive Payment System (MIPS) Extreme and Uncontrollable Circumstances Exception applications to February 1, 2021.

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COVID-19 Payment Systems Medicaid Medicaid 52

Bill of Health

MARCH 24, 2023

Assessment of FDA-Approved Drugs Not Recommended for Use or Reimbursement in Other Countries, 2017-2020. Market dynamics of authorized generics in Medicaid from 2014 to 2020. Insulin products and patents in the USA in 2004, 2014, and 2020: a cross-sectional study. JAMA Intern Med. 2023 Feb 13:e226787. Epub ahead of print.

Medicare 144

Medicare Medicare Medicaid Medicaid 144

Health Populi

FEBRUARY 14, 2018

In 2020, national health expenditures (NHE) in the United States will exceed $4 trillion to cover 334.5 Focusing in on the health insurance line item, 44% will be covered by private/commercial payors and 51% by Medicare and Medicaid (the remaining 5% of insurance costs will lie with other third-party payors and programs).

Health Insurance 79

Health Insurance Medicare Medicare Medicaid 79

Bill of Health

MAY 22, 2023

Trends in Medicare Spending on Oral Drugs for Chronic Lymphocytic Leukemia From 2014 to 2020. Trends in Spending and Claims for P2Y12 Inhibitors by Medicare and Medicaid From 2015 to 2020. JAMA Netw Open. 2023 Apr 3;6(4):e238835. PMID: 37115553). Cliff ERS, Kesselheim AS, Rome BN, Feldman WB. JAMA Netw Open. PMID: 37027159).

Pharmaceutical Industry 157

Pharmaceutical Industry Medicare Medicare Medicaid 157

Electronic Health Reporter

MARCH 19, 2021

1, 2020, the Centers for Medicare and Medicaid Services (CMS) released its final ruling on policy and payment changes to the Medicare Physician Fee Schedule […]. This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited.

Medicare 171

Medicare Medicare Medicaid Medicaid 171

Healthcare IT Today

JANUARY 14, 2024

News and Studies Follow-up rates for telehealth and in-office visits have remained consistent since 2020 , according to analysis from Epic Research. That said, telehealth visits are more likely to result in follow-ups at the 7-, 30- and 9-day mark, especially in OB/GYN, podiatry, and internal medicine.

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Medicaid Medicaid FDA Medicare 105

HIT Consultant

APRIL 11, 2023

from February 2020 to August 2022, while the number of total behavioral visits increased 23% during the same period. audio-only telehealth visits for primary care services peaked in April 2020, while audio-only visits for behavioral health peaked in March 2021.

COVID-19 96

COVID-19 Medicaid Medicaid 96

Healthcare IT News - Telehealth

SEPTEMBER 27, 2021

The brief, which examined oversight efforts as of January and February 2020, stemmed from a survey of Medicaid directors from 37 states, as well as structured interviews with relevant stakeholders. Even so, only 11 conduct telehealth-specific monitoring and oversight. OIG issued three recommendations for the U.S. Twitter: @kjercich.

Fraud 182

Fraud COVID-19 Medicaid Medicaid 182

Bill of Health

JANUARY 19, 2022

Anticancer Drugs Approved by the US Food and Drug Administration From 2009 to 2020 According to Their Mechanism of Action. Raising Medicaid Rebates For Drugs With Accelerated Approval. A full posting of abstracts/summaries of these articles may be found on our? Challenges in confirming drug effectiveness after early approval.

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COVID-19 Medicaid Medicaid FDA 176

Healthcare IT News - Telehealth

OCTOBER 21, 2020

Data released this past week from the Centers for Medicare and Medicaid Services show that more than 34.5 The agency noted that because adults over 65 are dually eligible for Medicare and Medicaid, these numbers may underestimate telehealth utilization in that group. As of June 2020, said CMS, more than 91.8 ON THE RECORD.

Medicaid 208

Medicaid Medicaid Medicare Medicare 208

HIPAA Journal

MAY 12, 2023

A settlement has been proposed by Maxim HealthCare Services to resolve all claims related to a 2020 cyberattack and data breach involving unauthorized access to multiple employee email accounts. The breach was reported to the HHS’ Office for Civil Rights as affecting 65,267 patients. A lawsuit – Wilson, et al.

HIPAA 86

HIPAA Medicaid Medicaid Medicare 86

HIT Consultant

JULY 17, 2023

Cessation of PHE telehealth, prescribing, and mental health access exceptions could impact the Medicaid population the most. Twenty-one percent of Medicaid enrollees have mild, moderate, or severe SUD, compared to 16% of commercially insured individuals. And as of the latest data, 7.3% And as of the latest data, 7.3%

Public Health 98

Public Health Medicaid Medicaid Electronic Medical Records 98

HIT Consultant

OCTOBER 31, 2023

What You Shoud Know: – Medicaid prospective payment rate for Michigan’s federally qualified health centers (FQHCs) has not kept pace with the actual costs incurred to provide healthcare, resulting in a substantial reimbursement gap of $97.95

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

HIT Consultant

SEPTEMBER 30, 2022

What You Should Know: – Behavioral health company, Grow Therapy secures $75 million in series B funding to expand insurance coverage including Medicare and Medicaid in all 50 states. Medicare/Medicaid Coverage Expansion.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Bill of Health

FEBRUARY 23, 2022

Medicaid Spending on Drugs Marketed Without US Food and Drug Administration Approval in 2020. Differences in Diabetic Prescription Drug Utilization and Costs Among Patients With Diabetes Enrolled in Colorado Marketplace and Medicaid Plans, 2014-2015. Frank RG, Shahzad M, Kesselheim AS, Feldman W. Health Econ. 2022 Jan 12.

Medicaid 144

Medicaid Medicaid Medicare Medicare 144

HIT Consultant

JULY 7, 2023

What You Should Know: In 2021, the Centers for Medicare and Medicaid Services (CMS) implemented changes to evaluation and management (E/M) CPT billing codes aimed to reduce the administrative documentation burden on providers. from May 2020 to April 2023 to determine the average length in characters for each note. minutes per note.

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Medicaid Medicaid Medicare Medicare 97

HIT Consultant

MARCH 8, 2022

The steep incline in unemployment and fears that millions of people would lose their health coverage drove the declaration of the national public health emergency (PHE) on January 31, 2020. Under the PHE, states must keep Medicaid enrollees continuously covered, irrespective of their circumstances. .

Public Health 98

Public Health Medicaid Medicaid Health Insurance 98

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 - Telehealth

MARCH 5, 2021

In a recent study, researchers examined data from nearly 150,000 unique patients who scheduled telemedicine visits from March 16 to May 11, 2020. In this study, older patients, Asian patients, Medicaid users and non-English speakers were less likely to complete telehealth visits. But it also may be replicating the digital divide.

Telemedicine 204

Telemedicine Medicaid Medicaid 204

Health Populi

FEBRUARY 16, 2021

By the autumn of 2020, U.S. The pandemic may have led to excess deaths from diabetes, dementia, hypertension, heart disease, and stroke, as well as record drug overdoses in the 12 months ending in May 2020. adults ages 18-64 as of September 11 through 28, 2020.

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COVID-19 Medicaid Medicaid Public Health 152

Hanys

JUNE 30, 2023

HANYS standing membership call on state and federal issues July 11 2020 Medicaid DSH audit kick-off July 11 Understanding CMS' new QAPI interpretive guidelines July 13 Emerging strategies to keep staff safe July 13 Government relations update July 14 Patients who stay against medical advice July 20 Fiscal policy update call July 20

Medicaid 40

Medicaid Medicaid Governance 40

Bill of Health

MARCH 15, 2022

Department of Labor’s Bureau of Labor Statistics , in 2020, only 18% of disabled people were employed, compared to 62% of nondisabled. However, expanding safety net programs , such as SSI and Medicaid, would be important as an interim measure. According to the U.S.

COVID-19 246

COVID-19 ADA Medicaid Medicaid 246

Healthcare IT Today

FEBRUARY 27, 2023

Many aspects, both technological and organizational, feed into success at CareMax, which treats people on Medicaid. As a bonus, you’ll hear an amazing story about how Wright set up a COVID-19 test center in just a few days in March of 2020! Setting expectations is key to improvement.

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COVID-19 Medicaid Medicaid Hospitals 130

Healthcare IT News - Telehealth

OCTOBER 2, 2020

The Telehealth Improvement for Kids’ Essential Services, or TIKES, Act of 2020 would require the Secretary of the U.S. Department of Health and Human Services to issue guidance to states about how to increase access to telehealth under Medicaid and the Children’s Health Insurance Program. Blunt Rochester in a statement.

US Department of Health and Human Services 154

US Department of Health and Human Services COVID-19 Medicaid Medicaid 154

Healthcare IT News - Telehealth

MAY 15, 2023

As an FQHC, 75% of patients are enrolled in Medicaid or Medicare; another 7% are uninsured. THE PROBLEM Prior to 2020 and the COVID-19 pandemic, there were federal and state policies in place that discouraged FQHCs like Ryan Health from adopting telehealth services due to payment restrictions. All visits were in-person visits.

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COVID-19 COVID-19 Vaccine Telemedicine Medicaid 122