C&M Health Law

JANUARY 18, 2023

On January 4, in its most recent effort to expand federal support for addressing health-related social needs (HRSNs), the Centers for Medicare & Medicaid Services (CMS) issued guidance to clarify an existing option for states to address HRSNs through the use of “in lieu of” services and settings policies in Medicaid managed care.

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Medicaid Medicaid Health Outcomes Federal Policy 52

HIT Consultant

FEBRUARY 21, 2023

. – In addition, the company announced it has added 450 new independent primary care practices in 2023, making it the largest independent primary care network in the country.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

HIT Consultant

SEPTEMBER 18, 2023

Michael Pattwell, Principal Business Advisor, Value-Based Care, Edifecs While the need to address social determinants of health (SDOH) is definitely not new, 2023 marks the first year SDOH is codified into national and statewide value-based payment program mandates. million in 2019, according to the CMS report.

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Health Outcomes Electronic Medical Records Medicaid Medicaid 114

Healthcare It News

DECEMBER 20, 2022

"While I am really hopeful about the momentum we are seeing across healthcare to address health disparities and their underlying causes, there is much work left to do," Sherry told Healthcare IT News in a look ahead at health equity in 2023.

Hospitals 207

Hospitals Health Outcomes Medicaid Medicaid 207

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 Originally announced April 11th, 2023 This financing brings the total investment in Scene to over $25 million since its founding in 2014.

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Medicaid Medicaid Medicare Medicare 57

Innovaare Compliance

MARCH 24, 2024

According to the National Health Care Anti-Fraud Association, the financial losses due to healthcare fraud are estimated to be in the billions of dollars annually. The Centers for Medicare & Medicaid Services (CMS) reported that in the fiscal year 2020, they recovered $3.1 The Challenge of Health Care Fraud.

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Healthcare IT News - Telehealth

AUGUST 29, 2022

More than 85% of patients report improved health after receiving care from Galileo. Galileo first launched with in-home care for Medicare and Medicaid patients, creating a framework to include social determinants of health in clinical analysis and to bridge gaps in healthcare education. Census Bureau.

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AIHC

OCTOBER 20, 2023

Value in healthcare is the measured improvement in a person’s health outcomes for the cost of achieving that improvement1. The government is reforming healthcare into a new health ecosystem. When done “right,” value-based healthcare’s focus for better health outcomes aligns clinicians with their patients.

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Health Outcomes Medicare Medicare Governance 59

AIHC

NOVEMBER 29, 2023

Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes indicates that in 2021 the U.S. percent of the gross domestic product (GDP) on healthcare, which was almost two times the average of other high-income countries, while the health outcomes in the U.S. healthcare system were exorbitant.

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Medicare Medicare Medicaid Medicaid 59

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”).

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Medicare Medicare COVID-19 Medicaid 98

AIHC

NOVEMBER 29, 2023

Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes indicates that in 2021 the U.S. percent of the gross domestic product (GDP) on healthcare, which was almost two times the average of other high-income countries, while the health outcomes in the U.S. healthcare system were exorbitant.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

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. But, it’s estimated that 40% of health outcomes are actually attributed to our individual behavior. In the U.S.,

Health Outcomes 104

Health Outcomes Hospitals ACA Doctors 104

Healthcare Law Today

JANUARY 2, 2023

On Wednesday, December 21, 2022, The Joint Commission announced that, effective January 1, 2023, it is eliminating 168 (or 14%) of its accreditation standards across its accreditation programs, and revising 14 more. The review also took into account the opinions of experts within the field.

Hospitals 52

Hospitals Licensing Health Outcomes Medicaid 52

Jane Sarashon

MARCH 29, 2023

spends more on health care than any other nation in the world. Yet Americans’ health outcomes rank relatively low compared with other wealthy peer nations on Planet Earth, manifesting a low return-on-investment for this huge financial spend. health care.

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Health Outcomes Medicaid Medicaid Medicare 101

NY Health Law

JANUARY 4, 2024

And we can confidently say that 2024 is likely to see a continuation of many of the trends in healthcare policy that we saw in 2023. This means that these changes cannot just occur in the self-pay or commercial markets – Medicare and Medicaid need to be a part of that change.

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Health Outcomes Licensing Medicaid Medicaid 59

Healthcare IT News - Telehealth

AUGUST 16, 2023

"Some 70% to 80% of these DHA residents are established patients at Denver Health. "The majority of these patients are racial/ethnic minority populations (72%), dually eligible for Medicare/Medicaid, with multi-morbidity and high healthcare needs, and lower health and digital literacy," she added.

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Telemedicine COVID-19 Health Outcomes Medicaid 146

Redox

OCTOBER 12, 2023

These enhancements have the potential to not only reduce provider costs, but also prevent errors, advance treatments, and improve health outcomes. AI’s superpower lies in its ability to intelligently mine insights from the exponential amount of health data that is generated every second. Two states have enacted such measures.

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MedTrainer

NOVEMBER 27, 2023

For over a century, OHA has been dedicated to assisting member hospitals in addressing community health needs. The Ohio Department of Medicaid is responsible for administering the state’s Medicaid, a comprehensive healthcare program that provides medical coverage to low-income individuals and families in Ohio.

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Compliance Licensing Medicaid Medicaid 52

Health Populi

JUNE 26, 2023

The 2023 Kaiser Family Foundation Survey of Consumer Experiences with Health Insurance updates our understanding of and empathy for insured peoples’ Patient Administrative Burdens (PAB). adults 18 and over in February and March 2023 who had health insurance across different plan types.

Health Insurance 62

Health Insurance Doctors COVID-19 Medical Billing 62

MedTrainer

DECEMBER 7, 2023

The Medicaid and Health program of Idaho provides health coverage to eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities in the state, offering a range of medical and health-related services.

Compliance 52

Compliance Licensing Compliance Officers Informed Consent 52

MedTrainer

NOVEMBER 20, 2023

Texas Health and Human Services comprises hundreds of programs that work with federally qualified health clinics (FQHCs), medical associations, community partners, and local governments to help the public find the health care they need. The Texas HHS oversees regulations for Medicare- and state Medicaid-funded services.

Compliance 52

Compliance Licensing Public Health Governance 52

Healthcare Law Blog

DECEMBER 15, 2022

The Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule , “Advancing Interoperability and Improving Prior Authorization Processes” (the “Proposed Rule”), that is intended to improve patient and provider access to health information and streamline processes related to prior authorization for medical items and services.

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Medicaid Medicaid Medicare Medicare 52

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.

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HIT Consultant

FEBRUARY 8, 2022

The Centers for Medicare and Medicaid services recently acted in the best interests of patients and health care providers by covering telehealth services through 2023. But during the COVID pandemic, this olden idea has received a high-tech upgrade in the form of telehealth.

Health Outcomes 52

Health Outcomes Medicaid Medicaid Hospitals 52

Hall Render

SEPTEMBER 1, 2023

ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Jane Sarashon

DECEMBER 22, 2022

Entering 2023, U.S. health citizens face physical, financial, and mental health challenges of a syndemic, inflation, and stress – all of which will shape peoples’ demand side for health care and digital technology, and a supply side of providers challenged by tech-enabled organizations with design and data chops.

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COVID-19 Health Insurance Public Health Hospitals 52

Hall Render

JUNE 14, 2023

On June 8, 2023, the Centers for Medicare & Medicaid Services (“CMS”) announced the Making Care Primary Model (“Model”), a new multi-payor, voluntary primary care model tested by the Center for Medicare and Medicaid Innovation (“CMMI”) and aimed at strengthening the primary care infrastructure for Medicare and Medicaid patients.

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Medicaid Medicaid Medicare Medicare 40

Hall Render

NOVEMBER 4, 2022

AMA scrutinizes lack of competition, consumer harms in Medicare Advantage plans. CMS locks in court-ordered 340B drug payment rates for 2023, though back payments still to come. CMS makes big changes to Medicare Shared Savings Program. CMS releases final payment rules for 2023: 15 takeaways. CMS bumps ASC payments to 3.8

US Department of Health and Human Services 40

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

Healthcare IT Today

JANUARY 5, 2024

A population health-based approach that incorporates social determinants of health and sexual orientation and gender identity will significantly improve community health outcomes. It showcases a growing patient preference for healthcare providers that prioritize value and outcomes. Improving the cancer journey.

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Nurses Medicare Medicare Health Outcomes 131

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. Originally announced March 15th, 2023

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Health Outcomes Licensing Medicaid Medicaid 106

Healthcare It News

AUGUST 7, 2023

The passing of the Telehealth Expansion Act of 2023 shows the federal government’s commitment to health equity, emphasizing the importance of increasing access to quality healthcare for all citizens, regardless of location or socioeconomic status. Enterprise Taxonomy:

US Department of Health and Human Services 221

US Department of Health and Human Services Governance Patient Satisfaction Health Outcomes 221

Healthcare Law Blog

DECEMBER 11, 2023

On November 24, 2023, the U.S. 1] These modifications are intended to further the Biden Administration’s goals of advancing health equity by addressing disparities in access to quality care while minimizing administrative burdens and ensuring program integrity. for Medicare & Medicaid Servs.

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Medicaid Medicaid ACA Medicare 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. Then, on January 26, 2023, the CalAIM initiative stretched even deeper into the community. Over a 10-year period, $185.1

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Medicaid Medicaid Medicare Medicare 52

Hall Render

JANUARY 5, 2024

region has health officials worried Half of Black D.C. helped shape Galen College of Nursing’s culture Kentucky Association of Health Plans names 2024 officers, expands reach to improve health of all Kentucky’s registered nurse median salary ranks 38th in U.S.

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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. Originally announced June 8th, 2023

Medicaid 52

Medicaid Medicaid Patient Satisfaction Health Outcomes 52

Hall Render

JULY 12, 2022

EOM is the next phase in the Biden Administration’s Cancer Moonshot initiative and will run from July 2023 through July 2028. EOM aims to improve care coordination, quality and health outcomes while holding oncology physician practices accountable for total costs of care to make cancer care more affordable and accessible.

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Medicare Medicare Payment Systems Medicaid 40

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”). Please refer to our January 5, 2023 , November 4, 2022 and May 16, 2022 blog posts for more information.

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