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Long Awaited Approval of the 1115 Waiver Amendment for NYS Medicaid – Just in Time for the New York State Executive Budget State Fiscal Year (SFY) 2025

Health Care Law Brief

The Waiver Amendment was approved on January 9, 2024, by the Centers for Medicare & Medicaid Services (“CMS”) under Section 1115(a) of the Social Security Act and will expire on March 31, 2027. billion in Medicaid investments over the next three years. Instead, such costs will be covered by the state. CMS has authorized up to $2.2

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CMS Approves a New 1115 Waiver Amendment:  The New York Health Equity Reform (NYHER) Program

NY Health Law

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. The waiver amendment authorizes up to $2.2 The actual Medicaid Hospital Global Budget Model to be used remains to be approved by CMS.

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Expectations For The Connected Care Business In The Years Ahead

HIT Consultant

Within DTx, the emergence of precision engagement is a development that holds great promise, especially for chronic conditions where day-to-day choices and behaviors have a significant impact on health outcomes—conditions like diabetes, obesity, and hypertension. billion in 2027. billion in 2020 to nearly $16.3

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CMS Finalizes New Interoperability and Prior Authorization Rule

HIT Consultant

– Public reporting: Similar to Medicare FFS, impacted payers must report prior authorization metrics, increasing transparency and accountability. – Clearer communication: All payers must provide specific reasons for denial, allowing for easier resubmissions or appeals.

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Healthcare Workforce – 2023 Health IT Predictions

Healthcare IT Today

Transparent, useful, ethical AI will create better health outcomes for everyone. According to a recent industry survey by Sunwave Health, 91% of behavioral health providers said they experience moderate to severe staffing shortages. health expenses by 2027, thanks to rising labor and supply costs.

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CMS Begins Option to Extend Medicaid Postpartum Coverage

Healthcare Law Blog

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). This option is available for five years and ends on March 31, 2027.

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Health Provider News

Hall Render

million Staff shortages hit Medicare Advantage stars, Kaiser exec says Sutter Health slips to 0.1% million Staff shortages hit Medicare Advantage stars, Kaiser exec says Sutter Health slips to 0.1% million patients stolen during ransomware attack MINNESOTA CFO of the Year 2023: Penny Cermak, HealthPartners Inc.