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Importance of Regulatory Compliance in Healthcare

Compliancy Group

Also, all insurance and Medicare or Medicaid claims must only include charges for services and treatments ordered and deemed necessary. Department of Health and Human Services (HHS) enforces laws relevant to patient care, healthcare delivery and billing, and workplace safety in the U.S. name, phone number).

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Churntables: A Look at the Record on Medicaid Redetermination Plans

Bill of Health

This policy improves coverage and helps reduce churn , which is associated with poor health outcomes. Two weeks after CMS issued its March 2022 guidance, the Kaiser Family Foundation released its annual survey of state Medicaid and Children’s Health Insurance Program (CHIP). What States Are Doing Now.

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Wellth Announces $20M Series B for Continued Growth of Behavioral Science-Based Platform

Healthcare IT Today

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.,

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A Tale of Two America’s for Health

Health Populi

Health citizens living in states in New England, and then those west of Michigan and north of Missouri and Kansas, demonstrate better-than-average health outcomes. The social determinants of health — income and good jobs, using tobacco, and having health insurance — bolster good health.

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CMS Includes MAOs in Data Exchange and Prior Authorization Requirements

Healthcare Law Blog

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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Health Provider News

Hall Render

ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M Elizabeth Medical Center to receive nearly $400k in federal funds to combat substance abuse UofL lands nearly $12 million grant from National Institute of Health Winchester physician Michael Kuduk, M.D.,

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The Cost of Health Care for a Family of 4 in America Will Reach $28,256 in 2021

Health Populi

and how much care would be postponed or never realized in the health care system. A big uncertainty in this year’s forecast, pondering the 2022 picture, is what extent eliminate care will have on future adverse health outcomes… something that keeps my scenario planning humming across various modeling.

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