Kaiser Health News

OCTOBER 31, 2023

For millions of Americans who buy their own health insurance through the Affordable Care Act marketplace, the end of the year brings a day of reckoning: It’s time to compare benefits and prices and change to a new plan or enroll for the first time. 1 for the ACA’s federal and state exchanges.

ACA 112

ACA Health Insurance Medicaid Medicaid 112

Healthcare IT News - Telehealth

APRIL 22, 2024

CPT 99453 covers the time it takes to enroll patients in RPM and get them set up on their devices. CPT 99457 is for spending a minimum of 20 minutes of clinical staff time providing care management services related to patient readings and their treatment plan. The same goes for spending 11 to 19 minutes on care management under 99457.

Medicare 145

Medicare Medicare Medicaid Medicaid 145

Healthcare It News

MARCH 21, 2023

Today the company is a major health IT player, offering cloud-based electronic health record and practice management systems for practices of all types and sizes. The vendor also offers technologies for value-based care, patient engagement and revenue cycle management through robotic process automation.

Patient Satisfaction 249

Patient Satisfaction Health Outcomes Hospitals Public Health 249

Healthcare IT News - Telehealth

SEPTEMBER 8, 2022

Community Health Center of Southeast Kansas in Pittsburg, Kansas, is a federally qualified health center and a not-for-profit corporation. "The COVID-19 pandemic amplified the health issues faced by our patient population but CHC/SEK quickly adapted to the changing environment," Gagnon recalled.

Nurses 181

Nurses Telemedicine Health Outcomes COVID-19 181

Bill of Health

SEPTEMBER 16, 2022

One of the most important lessons from the ongoing COVID-19 pandemic needs to be about health surveillance of marginalized health populations — indeed, “who counts depends on who is counted.”. which operates a health register for people with IDD. By Doron Dorfman and Scott Landes. are woefully inadequate.

US Department of Health and Human Services 318

US Department of Health and Human Services COVID-19 Public Health Nursing Homes 318

Compliance Now

JULY 14, 2023

By Jessica Waltman Late last week, the Departments of Health and Human Services, Labor, and Treasury (the Departments) published a set of FAQs that clarify how certain surprise billing protections interact with the Affordable Care Act’s (ACA) maximum out-of-pocket limit (OOP) requirements.

ACA 100

ACA Hospitals 100

Healthcare IT News - Telehealth

NOVEMBER 6, 2023

The MAVEN Project is a nonprofit organization serving Federally Qualified Health Centers and free and charitable clinics, connecting expert specialty physician volunteers with clinic providers. That’s roughly 30 million Americans who receive medical care at more than 14,000 clinic sites across the country.

Doctors 115

Doctors Telemedicine Licensing 115

Healthcare IT News - Telehealth

SEPTEMBER 15, 2020

The Connected Health Initiative on Monday published an open letter to Sen. expressing support for the Telehealth Modernization Act and stressing the urgency of safeguarding access to virtual care before the public health emergency is set to expire. Department of Health and Human Services to expand telehealth in Medicare.

COVID-19 185

COVID-19 Medicare Medicare Public Health 185

Healthcare IT News - Telehealth

JUNE 27, 2023

TrueCare is a community health center in the North San Diego and Riverside Counties area focused on providing quality healthcare to underserved communities. MARKETPLACE There are many vendors of connected health and remote patient monitoring technology and services on the health IT market today.

Payment Systems 117

Payment Systems Doctors Compliance 117

MedTrainer

JANUARY 10, 2024

It’s that time of the year to check your records for 2023 compliance deficiencies and set your organization up for success in 2024. When you consider the potential financial consequences of non-compliance and the evolving regulatory environment, your organization has to understand and implement both federal and state laws.

Compliance 94

Compliance Fraud HIPAA Compliance Officers 94

Healthcare IT News - Telehealth

MARCH 2, 2022

A recent University of California study of telehealth implementation at community health centers found that although phone visits were beneficial to historically marginalized patients, continued virtual care use depends on increased technological resources. ON THE RECORD. Kat Jercich is senior editor of Healthcare IT News.

Telemedicine 114

Telemedicine Health Outcomes State Policy Public Health 114

HIT Consultant

JUNE 26, 2023

signed a Letter of Intent with CRISP Shared Services to participate in a health data interoperability pilot program that will lay the foundation for OHIT’s Health Information Exchange in the Territory. Virgin Islands (USVI) Governor Albert Bryan Jr. Why It Matters OHIT Director Michelle M.

US Department of Health and Human Services 52

US Department of Health and Human Services Local Policy Governance Medicaid 52

Healthcare It News

SEPTEMBER 28, 2021

GPW Health Center, a federally qualified health center in Northern Virginia, faced many issues that are common in a community health center setting. "Our online presence needed attention, as well," said David Calderon, COO at GPW Health Center. THE PROBLEM.

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Kaiser Health News

JANUARY 12, 2024

One key comment jumped out for those who follow health policy: Retton said she was uninsured, blaming that lack of coverage on 30 orthopedic surgeries that count as “preexisting conditions,” a divorce, and her poor finances. But Retton provided no details on what kind of health insurance she shopped for, or when.

Health Insurance 133

Health Insurance ACA Medicaid Medicaid 133

Healthcare IT News - Telehealth

AUGUST 11, 2020

During the public health crisis, the federal government has enacted dozens of short-term policies making telehealth easier to access – recently supplemented by President Donald Trump's executive order earlier this month. "In the context of digital care, that goes away."

Telemedicine 214

Telemedicine COVID-19 Public Health Doctors 214

MedTrainer

APRIL 17, 2024

Federally qualified health centers ( FQHCs ) are mandated to provide comprehensive healthcare services to medically underserved areas and populations, including those with limited access to healthcare due to factors such as income, location, or insurance status. Department of Health and Human Services ( HHS ).

Licensing 52

Licensing Compliance 52

Kaiser Health News

JULY 14, 2023

Becky Beard thought she’d found a fix for a shortage of assisted living care options for Montanans who can’t afford to pay for it themselves — a shortage she became aware of while searching for a suitable place for her mother to live. “They simply don’t care, because we had the money to do it.”

Medicaid 72

Medicaid Medicaid Nursing Homes Nurses 72

Healthcare IT News - Telehealth

SEPTEMBER 28, 2021

Centers for Medicare and Medicaid Services proposed for the first time a set of CPT codes for remote therapeutic monitoring. preventable hospitalizations and emergency department visits related to medication non-adherence cost more than $300 billion a year, according to National Institutes of Health research. In the U.S.,

COVID-19 207

COVID-19 Medicare Medicare Hospitals 207

MedTrainer

NOVEMBER 14, 2023

While federal operations are slowed, reduced, or put on pause during a government shutdown, healthcare services must continue to operate. During a shutdown, non-essential federal employees are furloughed, or placed on temporary unpaid leave, while essential personnel continue to work, sometimes without immediate pay.

Governance 52

Governance Medicaid Medicaid Medicare 52

Healthcare Law Blog

MARCH 3, 2023

This surge was facilitated, in part, by certain flexibilities authorized by the Centers for Medicare & Medicaid Services in its response to the public health emergency (“PHE”) declared in March of 2020 and which was repeatedly renewed until now. federal government. trillion omnibus spending bill intended to fund the U.S.

Fraud 52

Fraud Nurses Telemedicine COVID-19 52

Healthcare Law Blog

SEPTEMBER 6, 2022

In response to the COVID-19 Public Health Emergency (the “PHE”), the Centers for Medicare and Medicaid Services (“CMS”) issued numerous “blanket waivers” to increase access to medical services, and ease the regulatory burden on providers across the health care industry.

COVID-19 52

COVID-19 Public Health Medicare Medicare 52

Healthcare IT Today

JULY 19, 2023

For Suncoast Community Health Centers, moving to a cloud-based EHR was a no-brainer. With careful planning, cross-department collaboration, and help from their EHR partner, eClinicalWorks, the migration to the cloud was seamless. SCHC is a federally qualified health center (FQHC) that has been serving their community since 1977.

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Healthcare Law Blog

NOVEMBER 2, 2023

1] LTSS represents the wide-ranging health and social services that individuals require over an extended period of time, including assistive services. [2] 2] The increasing demand for these services will also likely proportionally increase health care expenditures of LTSS. trillion spent on personal health care. [3]

Nursing Homes 52

Nursing Homes Medicaid Medicaid Medicare 52

HIT Consultant

DECEMBER 15, 2021

What You Should Know: – Bamboo Health announced that it has expanded its care coordination partnership with Oak Street Health intended to arm the network of value-based primary care centers (for Medicare) with an additional level of resources for managing real-time patient event notifications.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

MedTrainer

OCTOBER 23, 2023

At its core, healthcare compliance is adherence to the vast array of regulatory and procedural standards that protect patients and ensure the highest standard of care. Office of Inspector General (OIG): Prevents fraud, waste, and abuse within the department’s vast array of Department of Health and Human Services (HHS) initiatives.

Compliance 52

Compliance Compliance Officers Fraud Governance 52

Healthcare IT News - Telehealth

SEPTEMBER 4, 2020

Department of Health and Human Services on Thursday released an 82-page Rural Action Plan aimed at evaluating and engaging challenges facing rural healthcare in the country. It also acknowledges broadband access as a continuing concern for making use of health IT. WHY IT MATTERS.

Medicare 119

Medicare Medicare COVID-19 Health Outcomes 119

MedTrainer

NOVEMBER 15, 2023

An Analogy As an analogy, think of how college programs are set up. There are a group of governing bodies (classes) that regulate healthcare compliance (the degree), and within each body are a set of requirements (projects) you need to complete. Let’s start by defining what a compliance framework is all about.

Compliance Framework 52

Compliance Framework Governance Compliance Medicaid 52

Healthcare IT News - Telehealth

JULY 20, 2020

The Boston-based MA FQHC Telehealth Consortium was created for Federally Qualified Health Centers to come together to master telehealth so that their patients could access quality care despite the pandemic. " Matt Mullaney, Community Care Cooperative. MARKETPLACE. MEETING THE CHALLENGE.

COVID-19 141

COVID-19 Telemedicine 141

Healthcare IT News - Telehealth

MAY 13, 2020

Many, however, say they plan to return to in-person care when possible, due to the challenges psychiatric telemedicine entail. Although research supported the efficacy of video telepsychiatry, the National Institute of Mental Health-funded study notes, only 5% of psychiatrists in the Medicare program had ever provided a telemedicine visit.

Telemedicine 216

Telemedicine COVID-19 HIPAA Medicare 216

Healthcare Law Blog

APRIL 13, 2022

The California Department of Managed Health Care (“DMHC”) issued a recent guidance interpreting the application of the No Surprises Act (“NSA”)—a new federal law prohibiting out-of-network healthcare providers from balance-billing patients for certain emergency and non-emergency services—in California. Executive Summary.

Governance 52

Governance Medical Billing Licensing Medicare 52

Healthcare Law Blog

DECEMBER 11, 2023

1] These modifications are intended to further the Biden Administration’s goals of advancing health equity by addressing disparities in access to quality care while minimizing administrative burdens and ensuring program integrity. On November 24, 2023, the U.S.

Medicaid 52

Medicaid Medicaid ACA Medicare 52

Healthcare IT News - Telehealth

DECEMBER 28, 2020

Sun River Health, based in Peekskill, New York, is a not-for-profit system of federally qualified health centers. Sun River Health was among the first organizations to receive funding under the Federal Communications Commission COVID-19 Telehealth Program. THE PROBLEM.

Telemedicine 171

Telemedicine COVID-19 Patient Satisfaction Public Health 171

Healthcare IT News - Telehealth

OCTOBER 3, 2023

is "aging and stretched thin," with the country needing "thousands more primary care doctors. is "aging and stretched thin," with the country needing "thousands more primary care doctors." What are the challenges that chronic care management faces today and into the future?

Telemedicine 148

Telemedicine Patient Advocacy Health Outcomes Doctors 148

Kaiser Health News

JULY 6, 2022

In medicine, prevention aims to spot problems before they worsen, affecting both a patient’s health and finances. One of the more popular parts of the Affordable Care Act, which allows patients to get certain tests or treatments without forking out cash to cover copayments or deductibles, is based on that idea.

ACA 80

ACA Medicare Medicare Medicaid 80

Healthcare IT News - Telehealth

APRIL 12, 2021

The pandemic exposed the need for the rapid adoption of increasingly innovative digital health technologies. A: Minority communities have long endured limited access to care and a greater likelihood of experiencing chronic conditions , such as diabetes, heart disease and obesity. This clearly is not a sustainable approach.

COVID-19 204

COVID-19 Doctors Nurses Medicaid 204

Health Care Law Brief

FEBRUARY 8, 2024

This year’s Health and Mental Hygiene Bill (“HMH Bill”) (part of the Governor’s FY 2025 Executive Budget) proposes a $233 billion balanced budget, which includes $35.5 billion to address serious mental illness and $6 billion in federal funding through the 1115 Waiver. Expanding home care collaborations.

Medicaid 52

Medicaid Medicaid Nurses Licensing 52

Healthcare IT News - Telehealth

JANUARY 23, 2023

With Congress providing telehealth waivers as part of its omnibus spending bill at the close of 2022, delaying the "telehealth cliff" for two years, HIMSS says it's now ready to make the case for permanent reimbursement of virtual care. We now have three years of data on the impact to the Medicare Trust Fund," he said.

Medicare 143

Medicare Medicare Governance Medicaid 143