MedTrainer

NOVEMBER 30, 2023

Healthcare compliance in Missouri is uniquely challenging due to state-specific regulations, such as the surgical smoke plume evacuation system requirement. This article provides a concise overview of Missouri’s healthcare compliance, highlighting the state-specific requirements to be aware of.

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Compliance Compliance Officers Hospitals Public Health 52

Innovaare Compliance

APRIL 27, 2023

Regulatory changes and allied economics have always influenced ACA flux since its inception The Inflation Reduction Act enabled a continued extension of tax credits for ACA plan purchases till 2026, and includes provisions to offset the enhanced premium rise.

ACA 52

ACA Medicaid Medicaid Health Outcomes 52

Healthcare Law Blog

DECEMBER 15, 2022

Citing the ongoing impact that prior authorization has on patient care, health system costs, and administrative burdens for providers, CMS seeks to streamline the prior authorization process in the Proposed Rule by requiring the following changes. The CMS Fact Sheet and FAQs provide further insight on the proposed changes.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Medisys Compliance

APRIL 18, 2022

Although many state initiatives are underway, relatively few have been evaluated for their impact on total cost of care of health outcomes. Beginning in 2026, QPs will receive a higher annual Medicare fee schedule adjustment than non-QPs. Types of Alternative Payment Models.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicaid Medicaid 52

Healthcare IT Today

JANUARY 11, 2023

Providing intelligence at the point of care holds the promise of not only supporting clinical decision making, but of lessening administrative burden and improving health outcomes across care settings. Elizabeth A. Delahoussaye, Chief Privacy Officer at Ciox. The updated proposal was finally released on December 6, 2022.

Hospitals 111

Hospitals Health Outcomes Public Health Governance 111

Healthcare Law Blog

NOVEMBER 13, 2023

A chronically ill enrollee is defined as an MA member with one or more complex chronic conditions, who is at risk for hospitalization or other adverse health outcomes, and who requires intensive care coordination. This proposal would shift the burden from CMS to the MA organization to demonstrate compliance with this standard.

Medicare 59

Medicare Medicare Medicaid Medicaid 59