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How AI and machine learning can help predict SDOH needs

Healthcare It News

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?

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CMS Program Integrity’s Role in Combatting FWA While Maintaining Health Equity

HIT Consultant

Tom Wriggins, Principal Industry Advisor at SAS John Maynard, CPA, CFE, AHFI Principal Solutions Architect at SAS In 2022, the Center for Medicare and Medicaid Services (CMS) established health equity as a pillar of its future work. Health outcomes and Medicaid program integrity Health outcomes are a function of the quality of care.

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Managing Healthcare Compliance in Kentucky

MedTrainer

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.

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Managing Healthcare Compliance in Nebraska

MedTrainer

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. The law controls the growth of healthcare services, particularly in areas such as rehabilitation and nursing home beds.

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Managing Healthcare Compliance in North Carolina

MedTrainer

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).

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Raising Clinical Outcomes and Engagement Through Healthcare Equity: What Health Plans Need to Know

HIT Consultant

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.

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Leadership in a Value-Based Care (VBC) Environment

AIHC

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.