Health Populi

AUGUST 24, 2021

In that introductory editorial, Ending Structural Racism in the US Health Care System to Eliminate Health Care Inequities, Ortega and Roby write that, “3 studies in this issue of JAMA show that access to and utilization of services is not merely predicated on health insurance or the availability of health care.

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COVID-19 Health Care Inequity COVID-19 Vaccine Medicare 133

Bill of Health

APRIL 13, 2022

The COVID-19 Public Health Emergency (PHE) expires at the end of this week, with Department of Health and Human Services (HHS) Secretary Xavier Becerra expected to renew the PHE once more to extend through mid-July. This policy improves coverage and helps reduce churn , which is associated with poor health outcomes.

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Medicaid Medicaid COVID-19 Public Health 144

Health Populi

FEBRUARY 17, 2021

The COVID-19 pandemic forced consumers to define what were basic or essential needs to them; for most people, those items have been hygiene products, food, and connectivity to the Internet. A new report from CoverMyMeds details the current state of medication access weaving together key health care industry and consumer data.

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COVID-19 Health Insurance Health Outcomes Medicaid 141

Healthcare It News

JANUARY 18, 2022

How do care management interventions to mitigate SDOH as a risk for undesired health outcomes work? Recently, population health management strategies have begun to incorporate evaluations for patients' social needs connected to SDOH, as well as interventions addressing these needs.

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Health Outcomes Medicaid Medicaid Patient Satisfaction 346

Healthcare IT News - Telehealth

FEBRUARY 26, 2021

The funding for this coordination of these social determinants of health aims to break down siloed efforts and better align care and social service providers – ideally enabling better health outcomes, reducing costs and protecting vulnerable populations.

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COVID-19 Medicare Medicare Telemedicine 153

Healthcare It News

FEBRUARY 28, 2023

THE OPPORTUNITY The COVID-19 pandemic created an immediate opportunity for UPMC Central to rethink healthcare beyond the walls of the office setting. The payer mix of health insurance is typical, with 35% of patients representing government insurance such as Medicare or Medicaid, 60% commercial insurance, and 6% self-pay patients.

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Electronic Medical Records Telemedicine Health Insurance Health Outcomes 235

Healthcare IT Today

JUNE 21, 2023

With inflation brings financial concerns that lead to cost-cutting efforts often resulting in poorer health outcomes from millions of Americans. Inflation, the COVID-19 pandemic, and healthcare staffing shortages have reshaped the industry landscape.

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Medicare Medicare COVID-19 Medicaid 62

Healthcare Law Blog

MAY 16, 2022

On April 29, 2022 , the Centers for Medicare and Medicaid Services (“CMS”), issued the final rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Final Rule”). With a few exceptions, the Final Rule is a wholesale codification of the proposed rule.

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Healthcare It News

SEPTEMBER 8, 2022

Consistently, according to the Robert Wood Johnson Foundation's County Health Rankings, Southeast Kansas and Northeast Oklahoma have some of the worst health outcomes and health factors in their respective states. " Many lack the resources to purchase a needed blood pressure device for at-home use, she added.

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Nurses Telemedicine Health Outcomes COVID-19 321

Healthcare IT News - Telehealth

JUNE 3, 2021

Chief Medical Information Officer, Urban Health Plan. As CMIO of Urban Health Plan, a Bronx-based Federally-Qualified Health Center, Connelly-Flores has worked to boost COVID-19 vaccination rates via texting campaigns, online vaccine registration and other patient engagement projects focused on one of the areas in the U.S.

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Department of Veterans Affairs COVID-19 COVID-19 Vaccine Nurses 95

HIT Consultant

OCTOBER 6, 2021

It doesn’t take you to a health plan website. It doesn’t even take you to the Centers for Medicare & Medicaid Services (CMS) website. – About 23 percent of caregivers say caregiving has made their own health worse , up from 17 percent in 2015. Try Googling the word “caregiving.” In addition, President Biden’s $1.9

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COVID-19 Doctors Health Outcomes Licensing 98

HIT Consultant

SEPTEMBER 2, 2021

Expanding data sources and enhancing analytics capabilities allows health plans to develop the capacity for more precise, holistic member engagement while improving the most impactful health outcomes in individuals and populations. – Kidney disease diagnoses down 19%. Pandemic-Era Compliance Levels.

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COVID-19 Compliance Medicare Medicare 52

Healthcare IT News - Telehealth

AUGUST 16, 2023

The COVID-19 public health emergency prompted a rapid shift to telemedicine as both a replacement and adjunct to usual in-person care. However, based on the National Institute on Aging's National Health and Aging Trends Study , researchers estimated roughly one-third of older adults in the U.S.

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Telemedicine COVID-19 Health Outcomes Medicaid 142

HIT Consultant

AUGUST 17, 2021

In 2018, 36% of spending was via alternative payment models and by 2025, CMS has targeted 100% of Medicare and 50% of Commercial and Medicaid spending.4 4 AI will help providers succeed under these models because it gives them the ability to predict patient-specific outcomes so they can adjust patient care, improve outcomes, and reduce costs.

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COVID-19 Health Outcomes Medicaid Medicaid 98

HIT Consultant

OCTOBER 14, 2021

Before HLTH 2021 kicks off in Boston on October 17th, here are 15 predictions from digital health executives to watch: Siva Namasivayam, co-founder and CEO of Cohere Health. I expect the other trend will be focusing on mental health, especially in the context of the post-Covid era.

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Hall Render

SEPTEMBER 1, 2023

ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M

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COVID-19 Nurses Nursing Homes Hospitals 40

Healthcare IT News - Telehealth

MARCH 23, 2021

But the fact that these ideas are even being discussed points to how far the conversation has shifted since the onset of the COVID-19 pandemic. Meanwhile, there's real-world progress being made at some of the more forward-thinking health systems. For Medicare, before the waiver, there was no reimbursement.

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Hospitals COVID-19 Medicare Medicare 217

Healthcare IT Today

OCTOBER 19, 2023

For instance, Centers for Medicare & Medicaid Services has 50 data sets pointing to available help; states and the Department of Veterans Affairs has other data sets. Like other organizations in this series, Surgo Health conducts surveys and mines various data sets to inform their analyses.

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Department of Veterans Affairs Nursing Homes Health Outcomes Hospitals 101

HIT Consultant

JUNE 28, 2022

The results are one example of the gains that can be made in addressing health inequities—differences in health status or distribution of health resources by race, population, gender, income and more—by exploring the nuances that perpetuate disparities in health outcomes. Digging Deeper into Disparities in Care.

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Health Outcomes COVID-19 Medicaid Medicaid 52

Healthcare Law Blog

JANUARY 10, 2022

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”). Refining Definitions for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2

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Medicare Medicare COVID-19 Medicaid 98

HIT Consultant

NOVEMBER 9, 2023

Director of Healthcare Strategy, LexisNexis Risk Solutions During the peak of the Covid-19 pandemic, over 10 million Americans enrolled in Medicaid – nearly a 14% increase from the beginning of 2020. A month before the public health emergency ended on May 11, 2023, 87 million individuals were enrolled in Medicaid.

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Medicaid Medicaid Health Insurance Health Outcomes 64

Healthcare IT News - Telehealth

JUNE 17, 2020

Since the start of the COVID-19 pandemic, federal policymakers have enacted 31 changes to enable greater access to telehealth. "Our job should be to ensure that change is done with the goals of better outcomes and better patient experiences at a lower cost," said Alexander. Lamar Alexander, R-Tenn.,

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US Department of Health and Human Services Telemedicine COVID-19 Doctors 159

Healthcare Law Blog

FEBRUARY 1, 2023

These companies strive to improve health outcomes and lower expenses by focusing on specific gaps, issues or illnesses, prioritizing technological innovation, and customizing individualized care plans. The global mental health apps market size was valued at $5.2 from 2023 to 2030.

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Electronic Medical Records Medicare Medicare Health Outcomes 52

Hall Render

JUNE 10, 2022

COVID-19 rising in Alabama, experts believe cases are higher than reported. How drones are innovating Alabama’s health care industry. Alaska’s Covid-19 emergency order to end July 1. Alaska’s COVID-19 data shows 25% rise in cases reported to state since last week. CALIFORNIA.

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COVID-19 Nursing Homes Nurses Hospitals 40

HIT Consultant

OCTOBER 26, 2021

COVID was a forced pilot at a massive scale that shifted the norms around RPM and other virtual care offerings. Telehealth appointments save patients over 100 minutes of time compared to an in-person visit, and providers are able to tap into new markets and drive better health outcomes for their patients. Meet with enthusiasm .

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COVID-19 Health Outcomes Doctors Hospitals 52

Health Populi

JUNE 26, 2023

This “choice” to self-ration health care due to among health-insured Americans varies by health insurance plan type — notably, foregoing care is more likely the act of someone enrolled in a marketplace plan (50%) or Medicaid (51%). The top reason people in the U.S. The top reason people in the U.S.

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Health Insurance Doctors COVID-19 Medical Billing 62

Healthcare IT Today

JANUARY 4, 2023

The ability to seek treatment from a doctor specializing in your specific medical need is beneficial and improves health outcomes. Yet, an intrinsic outcome of this personalization is data fragmentation — data points from different doctors, platforms and tools stored in multiple systems, completely disconnected from each other.

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US Department of Health and Human Services Doctors Health Outcomes COVID-19 64

Hall Render

NOVEMBER 4, 2022

AMA scrutinizes lack of competition, consumer harms in Medicare Advantage plans. CMS gives nursing homes a longer leash on staff COVID-19 vaccination requirements. CMS makes big changes to Medicare Shared Savings Program. 2 orthopedic hospitals facing Medicare readmission penalties. CMS bumps ASC payments to 3.8

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US Department of Health and Human Services COVID-19 Nurses Nursing Homes 40

Health Populi

SEPTEMBER 27, 2023

healthcare spending, with curves moving up and to the right, and the Medicare Hospital Insurance Trust Fund moving into the opposite direction toward insolvency by 2033. You can read more about this fact here in Health Populi , most recently in this post ]. have not returned to pre-pandemic levels by the end of 2022.

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COVID-19 Medical Billing Health Care Access Hospitals 96

HIT Consultant

FEBRUARY 7, 2022

Research says that those Americans who live in rural communities have less access to care and subsequently worse health outcomes than those who live in non-rural communities. African American adults are more likely to report they cannot afford to see a doctor, leading to worse health outcomes.

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Doctors Health Outcomes COVID-19 Health Insurance 98

HIT Consultant

OCTOBER 7, 2021

Value-based care, a model that rewards better patient health outcomes, has experienced a surge in interest amid heightened consumer awareness and among payers seeking to lower costs and stabilize reimbursement.

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COVID-19 Nurses Nursing Homes Health Insurance 98

Healthcare IT News - Telehealth

AUGUST 9, 2023

By necessity, the COVID-19 pandemic brought physicians into patients' living rooms virtually. We interviewed Bronwyn Spira, CEO and cofounder of Force Therapeutics, a vendor of a digital care management platform, to offer a deep dive into RTM and explain how it can improve health outcomes.

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Hospitals Doctors COVID-19 Health Outcomes 111

Hall Render

FEBRUARY 23, 2024

hospital sees less severe cases Georgia Supreme Court vacates judgement in case with Northside Hospital, NGMC Poor Health: How Is Georgia Addressing The State’s Mental Health Woes? Acquisition of BCBSLA Paused a Second Time It was the biggest health care deal in Louisiana history. And lawmakers are trying to help.

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Nursing Homes Nurses Hospitals Medicaid 40

HIT Consultant

FEBRUARY 8, 2022

But during the COVID pandemic, this olden idea has received a high-tech upgrade in the form of telehealth. The Centers for Medicare and Medicaid services recently acted in the best interests of patients and health care providers by covering telehealth services through 2023.

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Health Outcomes Medicaid Medicaid Hospitals 52

Hall Render

JANUARY 5, 2024

Wade; expected to remain big issue in 2024 races Most nursing home residents in Arizona still haven’t gotten their COVID-19 booster COVID-19 hospitalizations are up in Arizona and around the U.S. region has health officials worried Half of Black D.C.

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COVID-19 Nursing Homes Nurses Hospitals 40

Health Populi

JUNE 2, 2021

But like a déjà vu all over again, annual health care costs for a family of four enrolled in a PPO will climb to over $28,000 in 2021, based on the latest 2021 Milliman Medical Index (MMI). The first chart shows how health care costs declined in our Year of COVID, 2020, by over $1,000 for that hypothetical U.S. consumers).

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COVID-19 Health Insurance Health Outcomes Public Health 174

Hall Render

AUGUST 19, 2022

Amazon to offer behavioral health services through Ginger partnership. CDC ends social distancing, COVID-19 quarantines. CDC, amid criticism for COVID-19 response, plans reorganization as public health threats grow. Campaign to boost Alaska’s health care workforce gets a nearly $10 million infusion.

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COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40