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OB-GYN shortages: The supply of OB-GYNs in non-metro areas is projected to fall significantly short of demand by 2030. These challenges are particularly acute in Georgia, where Medicaid covers nearly 50% of all births and the state ranks 31st out of 40 in maternal mortality. Maternity care deserts: Over 35% of U.S.
billion by 2030, according to Research and Markets Reports. Companies can also tap into OpenLoop’s Regulatory & Legal and Licensing & Credentialing services to keep their practice and clinicians up-to-date with industry laws and compliance standards while they focus on their patients. billion, is predicted to grow to $455.3
But to keep building on models for staying at home as we age will require policy changes for public sector programs, such as Medicare and Medicaid, as well as commercial/private sector programs that can support people in aging in novel ways not yet served up in the private sector.
The Centers for Medicare and Medicaid Services (“CMS”) recently imposed financial penalties for the first time against two hospitals for failure to comply with the Hospital Price Transparency Rule requirements. First Reported Penalties. CMS issued the first Notices on June 7, 2022, to two hospitals that are in the same system.
Here are some of the most common challenges for behavioral health credentialing and Medicare enrollment: Understanding Medicare Requirements: The Center for Medicare and Medicaid (CMS) divides counselors into two main categories: marriage and family therapist (MFT) and mental health counselor (MHC). billion by 2030.
The Report is another example of the OIG fanning the fire of criticism of MAOs by ignoring the overwhelming evidence that MAOs provide access to medically necessary services and also minimized the program requirements and guidance from the Centers for Medicare and Medicaid Services (“CMS”), with which MAOs must comply. The OIG Report.
CMS is also proposing that REHs may provide outpatient services that are not otherwise paid under the OPPS (such as services paid under the Clinical Lab Fee Schedule) as well as post-hospital extended care services furnished in a unit of the facility that is a distinct part of the facility and licensed as a skilled nursing facility.
Additionally, CMS (Centers for Medicare & Medicaid Services) will repeal the patient data collection requirements needed to bill certain RTM codes, removing a substantial barrier to billing and making it easier to adopt remote monitoring solutions for patient care. And by 2030, all boomers will be at least age 65.
Payers will pay more attention to “Duals” dual-eligible Medicare and Medicaid beneficiaries and the richer pmpm payments they receive to enroll them. This was already predicted to be a problem by the early 2030’s when we will have more people over 65 than under 18 for the first time in our country’s history.
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