Bill of Health

NOVEMBER 15, 2023

health care system, but that are especially present for behavioral health needs like substance use, and are exacerbated by other challenges related to stigma, lack of employment, and fragmented or nonexistent care coordination. This reality reflects structural, policy, and legal misalignments common to the entire U.S.

Governance 167

Governance Public Health Telemedicine Medicaid 167

Healthcare IT Today

FEBRUARY 14, 2024

HealthPolicyValentines — Eric Michael Garcia (@EricMGarcia) February 13, 2024 Roses are red; A color intense. PatientChat #Medx — Alan Brewington (@abrewi3010) February 12, 2024 Roses are red, ? HealthPolicyValentines — Heather K (@korb_heather) February 12, 2024 Resurrecting this zinger from a couple years back.

Medicare 80

Medicare Medicare Medicaid Medicaid 80

Hall Render

MARCH 28, 2023

On January 30, 2023, the Biden Administration announced the COVID public health emergency (“PHE”) will expire and end on May 11, 2023. CMS waived requirements at section 1834(m)(4)(E) of the Social Security Act and 42 CFR § 410.78 (b)(2) to expand the types of health care professionals that can provide telehealth services.

Public Health 40

Public Health Nurses Nursing Homes COVID-19 40

Healthcare Law Today

JANUARY 4, 2023

million omnibus spending bill that became law December 29, 2022, the Centers for Medicare & Medicaid Services (CMS) extended, through December 31, 2024, the Acute Hospital Care at Home (H@H) initiative whereby individual hospitals may seek waivers to operate H@H programs. As part of the $1.7

Hospitals 52

Hospitals Nurses Medicare Medicare 52

Hall Render

FEBRUARY 22, 2024

In the FY 2024 IPPS Final Rule (the “Final Rule”), the Centers for Medicare & Medicaid Services (“CMS”) incorporated certain social risk factors into the Hospital Value-Based Purchasing (“VBP”) Program (“the Program”).

Hospitals 66

Hospitals Medicare Medicare Medicaid 66

Healthcare IT Today

APRIL 5, 2024

The acquisition advances Healthy Together’s mission to improve collective health and make government and enterprises more efficient. Early detection supports rapid interventions throughout the public and private healthcare ecosystem. ” said Inder Singh , Founder of Kinsa Health.

Public Health 68

Public Health Medicaid Medicaid Governance 68

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. or $140 million in 2024.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

Hall Render

MAY 2, 2023

The CMS Memo confirms that this requirement will remain in effect until May 21, 2024 unless additional regulatory action is taken. In the CY 2022 Rule, CMS set December 31, 2024, as a termination date for most COVID SNF notification requirements. The F-Tag associated with this regulation is F-887. COVID Staff Vaccine.

Nursing Homes 40

Nursing Homes Public Health Nurses COVID-19 40

Healthcare It News

OCTOBER 25, 2022

With those flexibilities due to sunset 151 days after the federal Public Health Emergency expires, HIMSS is calling on its members to contact their senators and representatives and urge them to extend coverage of telehealth services under Medicare until at least December 31, 2024.

COVID-19 229

COVID-19 Medicaid Medicaid Public Health 229

Medisys Compliance

APRIL 1, 2024

After December 31st, 2024, new POS codes specifically for telehealth will be implemented: POS 02 – Telehealth (originating site is not the patient’s home) POS 10 – Telehealth (patient’s home is the originating site) HCPCS Codes These codes identify specific telehealth services beyond a standard visit.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing COVID-19 Medicaid 59

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.

Medicare 52

Medicare Medicare Payment Systems Governance 52

Kaiser Health News

NOVEMBER 27, 2023

Newsom, a liberal firebrand in his second term as governor of California, isn’t running for president in 2024. Earlier this year, DeSantis blasted California for being too generous with public benefit programs, such as Medicaid, which the Golden State has expanded to all eligible residents regardless of immigration status.

COVID-19 Vaccine 107

COVID-19 Vaccine COVID-19 Medicaid Medicaid 107

HIT Consultant

FEBRUARY 8, 2024

As part of their obligations under the Centers for Medicare & Medicaid Services (CMS) programs, hospitals are mandated to transmit ADT notifications to community providers. Additionally, a legal requirement mandates most California hospitals to comply with this regulation by January 31, 2024.

Nurses 52

Nurses Hospitals Medicaid Medicaid 52

HIPAA Journal

DECEMBER 22, 2022

Funding for the Centers for Medicare and Medicaid Services will increase by $100 million, the National Institutes of Health will receive an additional $2.5 This will help to ensure that telehealth and hospital-at-home programs can continue to provide convenient and accessible medical treatment for patients.

FDA 104

FDA Governance COVID-19 Medicaid 104

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

Jane Sarashon

JANUARY 19, 2024

Elevance Health, the health plan organization comprising XXX plans serving 117 million members, launched a program to channel mobile phones and data plans into the hands of some Medicaid plan enrollees, explained in the organization’s press release on the program.

Medicaid 70

Medicaid Medicaid COVID-19 Health Outcomes 70

Jane Sarashon

FEBRUARY 27, 2024

While the digital health stakeholder community is convening this week at VIVE in Los Angeles to share innovations in health tech, NABIP has assembled health insurance leaders in Washington, DC, for the 2024 Capital Conference to focus on major health reform issues that are top-of-mind for health care payors — which in today’s U.S.

ACA 113

ACA Prescription Drug Pricing Health Insurance Hospitals 113

Kaiser Health News

AUGUST 24, 2023

This week’s panelists are Julie Rovner of KFF Health News, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Victoria Knight of Axios, and Margot Sanger-Katz of The New York Times. It seems to be the first such legal case to emerge since the Medicaid “unwinding” began in April.

COVID-19 56

COVID-19 Medicaid Medicaid Health Insurance 56

Healthcare IT News - Telehealth

MAY 30, 2023

The COVID-19 public health emergency came to an end on May 11. This also happens to coincide with the World Health Organization declaring an end to the COVID-19 global health emergency. What does the end of the public health emergency mean for the future of the healthcare industry?

Telemedicine 187

Telemedicine COVID-19 Governance Medicare 187

Healthcare IT News - Telehealth

FEBRUARY 5, 2024

Regarding telepsychiatry, she says in 2024: 1. Telehealth will continue to grow because it fills a void in the mental health space by creating improved access for many individuals who lacked this access previously. The first of your three predictions for telepsychiatry in 2024 concerns access.

COVID-19 137

COVID-19 Public Health Licensing FDA 137

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. FQHCs can participate in APMs through Medicare and Medicaid Managed Care Organizations (MCOs).

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Jane Sarashon

FEBRUARY 4, 2024

Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. Patients and health plan members continue evolving into medical bill payers, with their homes and budgets baked into the concept.

US Department of Health and Human Services 70

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

Healthcare Law Blog

JANUARY 6, 2023

In addition to funding, the Act modifies certain telehealth provisions, expands and extends components of the Medicare and Medicaid programs, and supports initiatives within the behavioral health and substance use treatment spaces. In-Person Visit Requirement for Telehealth Mental Health Services. The Act provides for nearly $1.7

COVID-19 52

COVID-19 Medicaid Medicaid Medicare 52

Verisys

JULY 12, 2023

Effective July 1, 2024, individuals with a midwife certification from the American Midwifery Certification Board will be able to apply for state licensure as a Certified Midwife. CO SB23-083 CO Medical Board Rule Updates Indiana: Legislation has been passed to amend the Indiana Code Concerning Health.

Licensing 52

Licensing COVID-19 Medicaid Medicaid 52

HIPAA Journal

MARCH 29, 2024

United Health Group has also confirmed that it has paid out more than $3.3 billion has been provided to safety net hospitals and federally qualified health centers that serve high-risk patients and communities. 40% of the $3.3 UHG has also confirmed that the forensic investigation has uncovered the source of the intrusion.

Ransomware 98

Ransomware US Department of Health and Human Services HIPAA Hospitals 98

Kaiser Health News

JULY 7, 2023

Amelia Huntsberger, an OB-GYN and a member of the committee, noted also that patients covered by Medicaid during pregnancy are overrepresented in maternal death rates, which led the panel to recommend expansion of postpartum Medicaid coverage to 12 months rather than the current 60 days.

Medicaid 98

Medicaid Medicaid Governance Hospitals 98

MedTrainer

NOVEMBER 17, 2023

Regulations unique to Illinois include those around the state’s Medicaid program and also encompass telehealth licensure, reimbursement, and practice standards for healthcare providers delivering care remotely. Regulations Unique to Illinois To meet the standards of healthcare compliance in Illinois, there are a few additional regulations.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

NOVEMBER 27, 2023

Ohio Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Ohio Department of Health (ODH) is key to safeguarding and enhancing the health of Ohio residents. For over a century, OHA has been dedicated to assisting member hospitals in addressing community health needs.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Innovaare Compliance

MARCH 4, 2024

Until the enactment of the Medicare Modernization Act (MMA) in 2006 [1] , the Centers for Medicare & Medicaid Services does not cover most outpatient prescription drugs under Part B (“Part B drugs”). When a public health emergency (PHE) was in effect, CMS noticed that Part B versus Part D evaluation was omitted.

Medicare 52

Medicare Medicare Nurses Medicaid 52

Health Care Law Brief

MAY 11, 2022

Bonuses will be required to be paid based on the number of hours worked by a covered worker during defined vesting periods to be determined by the state Commissioner of Health. Bonus amounts will be commensurate with the number of hours worked by covered workers during designated vesting periods up to a total of $3,000 per covered worker.

Medicaid 97

Medicaid Medicaid Overpayments Overpayment 97

Health Care Law Brief

FEBRUARY 6, 2023

On February 1, 2023, New York Governor Kathy Hochul announced the 2024 Executive Budget. The legislative proposals related to health care, as contained in the Governor’s budget, were introduced as Senate Bill 4007 and Assembly Bill A3007. See 2023 New York Senate-Assembly Bill S4007 , A3007 , Part M § 5.

Patient Satisfaction 52

Patient Satisfaction Licensing Health Insurance Health Outcomes 52

MedTrainer

NOVEMBER 29, 2023

The Massachusetts Health & Hospital Association (MHA) is a prominent organization representing hospitals and health systems across Massachusetts, advocating for policies and practices that support healthcare delivery and patient care. Non-compliance with the law may result in legal and/or financial penalties.

Compliance 52

Compliance Public Health Health Insurance Hospitals 52

Health Law Advisor

JULY 5, 2023

This local law, referred to as Local Law 78, was signed by Mayor Adams on June 23, 2023, and will be effective beginning on February 22, 2024. In addition, the Act includes Resolution 512, which calls on New York State to create an independent commission to oversee hospital pricing and to increase access to healthcare services.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Hall Render

JANUARY 5, 2024

Wade; expected to remain big issue in 2024 races Most nursing home residents in Arizona still haven’t gotten their COVID-19 booster COVID-19 hospitalizations are up in Arizona and around the U.S.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Medisys Compliance

DECEMBER 23, 2022

The finalized 2023 Medicare Physician Fee Schedule was announced by the Centers for Medicare & Medicaid Services (CMS) on November 1 2022. Patients can look forward to CMS continuing to pay for extended telehealth services even after the Public Health Emergency has expired. The CMS will postpone this modification until 2024.

Medicare 98

Medicare Medicare Medical Billing Medical Billing Outsourcing 98

Healthcare Law Blog

MARCH 3, 2023

This surge was facilitated, in part, by certain flexibilities authorized by the Centers for Medicare & Medicaid Services in its response to the public health emergency (“PHE”) declared in March of 2020 and which was repeatedly renewed until now. trillion omnibus spending bill intended to fund the U.S. federal government.

Fraud 52

Fraud Nurses Telemedicine COVID-19 52

Hall Render

FEBRUARY 9, 2024

Mary’s hospitals in $100M deal University of California reaches $975M deal to buy 4 hospitals from Tenet University of the Pacific doubles size of physician assistant program with new building in Oak Park How a new California agency aims to cap your health care costs California health care workers won a path to $25 minimum wage.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40