HIT Consultant

SEPTEMBER 12, 2022

– Using Gainwell’s advanced research platform and de-identified Medicaid claims data from select clients, Stanford concluded that 30 percent of patients prescribed opioids for the first time developed a dependency. Stanford used 180,000 de-identified Medicaid claims from six states.

Medicaid 97

Medicaid Medicaid Health Outcomes Governance 97

Healthcare It News

JANUARY 18, 2022

Social determinants of health are major contributors to health inequity and rising healthcare costs in vulnerable populations such as Medicaid beneficiaries. How do care management interventions to mitigate SDOH as a risk for undesired health outcomes work?

Health Outcomes 348

Health Outcomes Medicaid Medicaid Patient Satisfaction 348

Healthcare IT Today

APRIL 5, 2024

The acquisition advances Healthy Together’s mission to improve collective health and make government and enterprises more efficient. This acquisition reinforces Healthy Together’s commitment to driving positive change in public health outcomes.

Public Health 65

Public Health Medicaid Medicaid Governance 65

HIT Consultant

JUNE 7, 2023

In 2016, the Golden State began its Whole-Person Care (WPC) pilots at the county level integrating physical health, behavioral health, and social services for complex needs Medicaid enrollees. The reentry population faces complex barriers to healthcare and behavioral health help. And they were a great success!

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Healthcare It News

FEBRUARY 28, 2023

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. Virtual-first primary care has been shown to improve health outcomes by increasing access, he reported.

Electronic Medical Records 237

Electronic Medical Records Telemedicine Health Insurance Health Outcomes 237

MedTrainer

NOVEMBER 30, 2023

Like other regions in the United States, Wisconsin is characterized by its unique blend of rules and mandates that govern healthcare compliance within the state. Medicaid Telehealth Services For healthcare providers and compliance professionals in Wisconsin, the Medicaid Telehealth Expansion is an important policy to consider.

Compliance 52

Compliance Medicaid Medicaid Licensing 52

AIHC

OCTOBER 20, 2023

Value in healthcare is the measured improvement in a person’s health outcomes for the cost of achieving that improvement1. The government is reforming healthcare into a new health ecosystem. When done “right,” value-based healthcare’s focus for better health outcomes aligns clinicians with their patients.

Health Outcomes 59

Health Outcomes Medicare Medicare Governance 59

MedTrainer

DECEMBER 7, 2023

The Medical Assistance Division (MAD) within the New Mexico Human Services Department (HSD) administers the state’s Medicaid program, providing essential healthcare services and financial assistance to eligible low-income residents and families in New Mexico.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

HIT Consultant

MAY 3, 2022

Anne Davis, VP of Government Markets & Strategy at Wellth. Social drivers of health, which impact a disproportionate number of non-white Americans who live below the poverty line, account for as much as 90% of individuals’ health outcomes. These are just two examples of data that highlight the need for equity.

Medicaid 52

Medicaid Medicaid Governance Health Outcomes 52

MedTrainer

NOVEMBER 27, 2023

The Division of Health Benefits administers the state’s Medicaid program, which provides essential healthcare coverage to eligible individuals and families. Under this law, it is mandated that no individual or entity can start or offer a new institutional health service unless they have secured a certificate of need (CON).

Compliance 52

Compliance Licensing Telemedicine Medicaid 52

MedTrainer

NOVEMBER 27, 2023

Ohio Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Ohio Department of Health (ODH) is key to safeguarding and enhancing the health of Ohio residents. The license is valid for three years unless revoked.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

DECEMBER 4, 2023

Kentucky Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Kentucky Department for Public Health (DPH) plays a vital role in promoting and protecting the health and wellness of the citizens of Kentucky through various programs, initiatives, and health services.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Healthcare IT Today

MARCH 24, 2023

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. Cancer researchers are investigating the impacts of cancer on long-term health outcomes, financial strain, and household impact.

Health Outcomes 90

Health Outcomes Public Health Medicaid Medicaid 90

Healthcare Law Blog

APRIL 27, 2022

The Action Plan identified five types of barriers for equitable outcomes and specified concrete steps to mitigate those barriers along with medium term (2-4 years) and long-term (5-8 years) progress measures. HHS is working to expand postpartum care via CHIP and Medicaid and identifying ways to improve such care.

Governance 52

Governance ACA Hospitals Health Outcomes 52

Innovaare Compliance

MARCH 24, 2024

According to the National Health Care Anti-Fraud Association, the financial losses due to healthcare fraud are estimated to be in the billions of dollars annually. The Centers for Medicare & Medicaid Services (CMS) reported that in the fiscal year 2020, they recovered $3.1 billion in healthcare fraud judgments and settlements.

Fraud 52

Fraud Health Insurance Compliance Medicaid 52

MedTrainer

NOVEMBER 27, 2023

Georgia Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Georgia Department of Public Health (DPH) plays a crucial role in safeguarding the health and well-being of Georgians.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Bill of Health

SEPTEMBER 2, 2022

The rationale for SDOH interventions is that the identification of resource gaps coupled with closing those resource gaps will yield better health outcomes. billion dollars of health system funds were invested into SDOH efforts from 2017 to 2019. SSO is an acronym for social service organization. million in 2019 to $75.7

Informed Consent 246

Informed Consent Medicaid Medicaid Public Health 246

MedTrainer

DECEMBER 4, 2023

The Nebraska Hospital Association (NHA) represents and advocates for Nebraska’s hospitals and health systems, working to improve healthcare delivery and patient care across the state. Regulations Unique to Nebraska To meet the standards of healthcare compliance in Nebraska , there are a few additional regulations.

Compliance 52

Compliance Licensing Nursing Homes Nurses 52

MedTrainer

DECEMBER 4, 2023

Regulations in the district encompass diverse healthcare areas, including patient privacy and data security, Medicaid and Medicare compliance, health insurance marketplaces, and scope of practice for healthcare professionals.

Compliance 52

Compliance Health Insurance Health Outcomes Medicaid 52

MedTrainer

DECEMBER 4, 2023

Additionally, the state’s approach to Medicaid expansion involves unique waivers, impacting eligibility criteria and cost-sharing provisions. To maintain compliance with North Dakota healthcare regulations, healthcare organizations should proactively address compliance and stay informed about changes.

Compliance 52

Compliance Licensing Health Outcomes Medicaid 52

MedTrainer

DECEMBER 7, 2023

State-specific governing bodies, such as the West Virginia Department of Health and Human Resources (DHHR) and the Bureau for Medical Services (BMS) , oversee and enforce these regulations. Medicaid telehealth requires real-time, two-way communication with audio and video equipment.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

DECEMBER 7, 2023

For example, the Office of Health Care Assurance (OHCA) is one governing body that healthcare professionals need to understand in order to manage organizational licensure and healthcare compliance in Hawaii effectively. Robust, flexible, and reliable compliance programs must be developed to maintain compliance in Hawaii.

Compliance 52

Compliance Compliance Officers Licensing Medicaid 52

MedTrainer

DECEMBER 7, 2023

State-specific governing bodies, such as the Bureau of Facility Standards , provide oversight with certain standards, adding a layer of complexity to successfully managing healthcare compliance in Idaho. Similar to other states, Idaho has its own unique regulations and requirements that healthcare providers and organizations must adhere to.

Compliance 52

Compliance Licensing Compliance Officers Informed Consent 52

MedTrainer

NOVEMBER 29, 2023

The South Carolina Hospital Association (SCHA) is a private, non-profit organization dedicated to supporting and advocating for hospitals and health systems in South Carolina, aiming to improve healthcare quality and access across the state. Read on for vital information about maintaining healthcare compliance in South Carolina.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

NOVEMBER 28, 2023

The Arizona Health Care Cost Containment System (AHCCCS) is Arizona’s Medicaid agency, providing health care programs to serve Arizona residents through managed care, cost containment, and services aimed at improving the health of those it covers.

Compliance 52

Compliance Licensing Public Health Medicaid 52

MedTrainer

NOVEMBER 29, 2023

Louisiana Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Louisiana Department of Health (LDH) is the state agency responsible for public health initiatives, healthcare policy, and overseeing medical services and facilities throughout Louisiana.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

MedTrainer

NOVEMBER 28, 2023

New Jersey Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The New Jersey Department of Health (NJDOH) oversees various departments and initiatives aimed at ensuring public health, such as disease control, environmental health, emergency preparedness, and health equity.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

HIT Consultant

NOVEMBER 16, 2022

Millions of children and adults living with intellectual or developmental disabilities (ID/DD) rely on long-term services and support (LTSS) offered through the state Medicaid program to meet their complex health needs. Medicaid LTSS enables many to achieve personal goals and lead fulfilling lives. An estimated 5.3

Medicaid 52

Medicaid Medicaid Public Health Health Outcomes 52

MedTrainer

NOVEMBER 30, 2023

Minnesota, distinct from other states, carries a unique landscape of regulations and standards that govern its healthcare compliance. Navigating and managing compliance in Minnesota can certainly be a challenge for providers and facilities. Juggling top-notch patient services and the state’s compliance requirements is no easy task.

Compliance 52

Compliance Licensing Public Health Governance 52

MedTrainer

NOVEMBER 29, 2023

For healthcare compliance programs in Indiana to be successful, organizations must have methods in place for tracking and applying regulatory standards, while ensuring all staff are up to date with changes by governing bodies. This article provides an overview of the important aspects to healthcare compliance specific to Indiana State.

Compliance 52

Compliance Licensing Governance Public Health 52

MedTrainer

DECEMBER 7, 2023

The Maine Hospital Association (MHA) is a pivotal organization that advocates for and supports hospitals and health care systems across Maine, striving to improve healthcare quality and accessibility for all Mainers. Regulations Unique to Maine To meet the standards of healthcare compliance in Maine , there are a few additional regulations.

Compliance 52

Compliance Licensing Compliance Officers Medicaid 52

MedTrainer

NOVEMBER 28, 2023

Michigan Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Michigan Department of Health and Human Services (MDHHS) focuses on safeguarding public health, implementing health programs, and ensuring the overall health and safety of the population.

Compliance 52

Compliance Licensing Public Health Compliance Officers 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”). Enrollee Participation in Plan Governance (§ 422.107).

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

HIT Consultant

MARCH 28, 2023

Caring for each other is a foundational part of our humanity – it can be both beautiful and incredibly intense, impacting our work, our relationships, and our health. Now is the time for employers, healthcare organizations, and governments to invest in supporting unpaid caregivers in a sustainable way.

Medicaid 98

Medicaid Medicaid Medical Billing Medicare 98

MedTrainer

NOVEMBER 20, 2023

Florida Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Florida Department of Health (DOH) plays a crucial role in promoting and safeguarding the wellbeing of Floridians. While many states have rules that prohibit the storage of Medicaid data outside the U.S.,

Compliance 52

Compliance Licensing Regulatory Compliance Medicaid 52

Medisys Compliance

MAY 5, 2022

On 22 nd April 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update Medicare enrollment and eligibility rules that would expand coverage for people with Medicare and advance health equity. Our team is well versed and updated on billing and coding updates for government and private payers.

Medicare 52

Medicare Medicare Medical Billing Outsourcing Medical Billing 52

MedTrainer

NOVEMBER 20, 2023

Texas Healthcare Compliance Resources Let’s start with the important state government agencies you’ll need to work with: The Texas Department of State Health Services (DSHS) plays a crucial role in promoting the health and wellbeing of Texans. The Texas HHS oversees regulations for Medicare- and state Medicaid-funded services.

Compliance 52

Compliance Licensing Public Health Governance 52