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Leveraging Data to Reduce Member Churn, Maintain Access to Care, and Avoid Care Gaps as a Result of the Medicaid Redetermination Process

Healthcare IT Today

The following is a guest article by Ashley Perry, MPH, Chief Strategy and Solutions Officer at Socially Determined When Congress passed the Consolidated Appropriations Act of 2023 , it decoupled the Public Health Emergency (PHE) from the Medicaid program’s continuous enrollment provision, which was implemented as part of the PHE in March 2020.

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Taking Social Determinants of Health (SDoH) From Data to Analysis and Action

Healthcare IT Today

The following is a guest article by Diana Zuskov, MPH, Associate Vice President of Healthcare Strategy at LexisNexis® Risk Solutions. Prioritizing data that has been purpose-built and clinically validated ensures that we’re tracking data that truly predicts and impacts health outcomes, not just correlation.

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Hospital Value-Based Purchasing Program Adds Scoring for Health Disparities

Hall Render

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”). Hall Render blog posts and articles are intended for informational purposes only.

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Managing Healthcare Compliance in Kentucky

MedTrainer

This article gives a clear and detailed look at the important things you need to know about following healthcare laws in Kentucky, especially for those who provide healthcare and manage compliance. Medicaid Telehealth Regulations In Kentucky, Medicaid telehealth regulations are crucial for healthcare providers and compliance professionals.

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Managing Healthcare Compliance in Michigan

MedTrainer

This article serves as a quick-reference guide for maintaining healthcare compliance in Michigan State. Since its inception in 1919, the MHA advocates for its member hospitals and health systems in legislative and regulatory matters, focusing on important issues such as quality of care, affordability, and accessibility.

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Managing Healthcare Compliance in Ohio

MedTrainer

This article outlines some of the key compliance aspects specific to Ohio, so you know what’s needed to establish a sufficient compliance program. For over a century, OHA has been dedicated to assisting member hospitals in addressing community health needs. The license is valid for three years unless revoked.

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Leadership in a Value-Based Care (VBC) Environment

AIHC

Part 1 in a Series of Leadership Articles on Value-Based Care Written by Joanne Byron, LPN, BS, CCA, CIFHA, CHA, COCAS, CORCM, CHCO, OHCC, CMDP, ICDCT-CM/PCS ​ Edited by Julie Rickman , MBA, CHC, CHPC, CHCO ​ This article is the first in a series sponsored by the American Institute of Healthcare Compliance (AIHC) Volunteer Education Committee.