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

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.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

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.

Health Outcomes 348

Health Outcomes Medicaid Medicaid Patient Satisfaction 348

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

Healthcare IT Today

NOVEMBER 25, 2022

Reimbursement is also closely linked to quality because of the use of outcome measures by the Centers for Medicare and Medicaid Services (CMS) to determine a hospital’s overall quality, including: Mortality. Lack of access to reliable transportation for essential health needs results in 41% more excess days in the hospital.

Governance 76

Governance Health Outcomes Medicaid Medicaid 76

AIHC

NOVEMBER 29, 2023

Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes indicates that in 2021 the U.S. percent of the gross domestic product (GDP) on healthcare, which was almost two times the average of other high-income countries, while the health outcomes in the U.S. healthcare system were exorbitant.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

AIHC

NOVEMBER 29, 2023

Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes indicates that in 2021 the U.S. percent of the gross domestic product (GDP) on healthcare, which was almost two times the average of other high-income countries, while the health outcomes in the U.S. healthcare system were exorbitant.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

HIT Consultant

NOVEMBER 9, 2023

The increase was driven by multiple factors, including the pause of all periodic eligibility reviews during the public health emergency. Government agencies are the primary stakeholders reaching out to educate current members and qualifying individuals, yet some Medicaid members may not entirely trust them.

Medicaid 64

Medicaid Medicaid Health Insurance Health Outcomes 64

Healthcare IT News - Telehealth

JULY 29, 2019

" A potential Bennet Administration would make expansion of health coverage one of its top priorities, he said, boosting care through a combination of the "Medicare-X" public option the Colorado Senator introduced with his Democratic colleague, Virginia Sen. Tim Kaine, in 2017. ON THE RECORD.

Telemedicine 131

Telemedicine Governance Health Outcomes Hospitals 131

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

Healthcare Law Blog

MARCH 17, 2022

On Thursday, March 16, the Office of the Inspector General for the Department of Health and Human Services (“OIG”) issued OIG Advisory Opinion (“AO”) No. 22-05 , relating to subsidization of certain Medicare cost-sharing obligations in the context of a clinical trial involving medical devices (the “Proposed Arrangement”).

US Department of Health and Human Services 52

US Department of Health and Human Services Informed Consent Medicare Medicare 52

Healthcare IT Today

MAY 18, 2023

Furthermore, the acquisition of BST strengthens MultiPlan’s foothold in large and fast-growing adjacent markets by unlocking the value of its significant and expanding claims flows for in-network commercial, Medicare Advantage and other government programs, property and casualty, and supplemental insurance markets.

Governance 73

Governance Health Outcomes Medicare Medicare 73

HIT Consultant

AUGUST 15, 2022

Approximately 42% of Medicare beneficiaries are enrolled in Medicare Advantage plans—a segment projected to reach 46% by 2025. Due to rapid growth of the 65-and-older portion of the population, Medicare expenditures are forecast to reach $1,559.4 – Continued increase in overall Medicare costs.

Medicare 52

Medicare Medicare Medicaid Medicaid 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 References: National Health Care Anti-Fraud Association.

Fraud 52

Fraud Health Insurance Compliance Medicaid 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

Healthcare IT Today

OCTOBER 19, 2023

According to Karl Ulfers, co-founder and vice president of growth at DUOS , governments offer excellent listings of resources with which care managers and clinicians can address housing, food, transportation, and other SDoH. Machine learning creates predictions for people who were not in the original sample.

Department of Veterans Affairs 95

Department of Veterans Affairs Nursing Homes Health Outcomes Hospitals 95

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

The resources provided by these New Mexico state agencies are essential for promoting public health, ensuring access to healthcare, supporting healthcare professionals, and enhancing overall health outcomes for the residents of New Mexico.

Compliance 52

Compliance Licensing Medicaid Medicaid 52

Health Law Advisor

JULY 21, 2023

On June 22, 2023, the Centers for Medicare & Medicaid Services (CMS) announced its proposed “Transitional Coverage for Technologies” (TCET) pathway—the Biden administration’s highly anticipated take on a mechanism to expedite coverage for certain devices designated by the U.S. Food and Drug Administration (FDA) as breakthrough devices. [1]

FDA 52

FDA Medicare Medicare Patient Advocacy 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

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

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). and 422.107).

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

Healthcare IT Today

FEBRUARY 15, 2024

Sarah Carroll, Senior Vice President, Center for Care Transformation at AVIA Health Medicaid and Medicare have become one of the biggest quiet crises in health systems today. As artificial intelligence becomes increasingly integral to healthcare, the urgency to integrate ethical governance cannot be overstated.

Medical Device Industry 105

Medical Device Industry Medicaid Medicaid Nurses 105

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.

US Department of Health and Human Services 64

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

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

Healthcare IT Today

JANUARY 5, 2024

As value-based care increasingly becomes a priority for people, community health workers will play a pivotal role in bridging the gap between healthcare delivery and building trust within communities. Digital health will be critical for advancing health equity. Improving the cancer journey.

Nurses 110

Nurses Medicare Medicare Health Outcomes 110

Healthcare IT News - Telehealth

NOVEMBER 2, 2021

Based on work with a number of organizations , including Halodoc, Doctor Anywhere and Doctor Raskam, we've seen telehealth driving better health outcomes in several ways. Over the last 18 months, Brazil has legalized the use of telemedicine, and Australia has made telehealth a part of the national health service going forward.

COVID-19 203

COVID-19 Telemedicine Doctors Hospitals 203

Healthcare IT Today

OCTOBER 16, 2023

An oft-cited statistic estimates that 80% of health outcomes can be attributed to SDoH. Dr. Geoff Rutledge, chief medical officer of HealthTap , says that variations in healthcare outcomes between adjacent counties can be huge. Spatially Health applies geospatial analysis to expand a provider’s understanding of SDoH data.

US Department of Health and Human Services 104

US Department of Health and Human Services COVID-19 Hospitals Public Health 104

Healthcare IT News - Telehealth

JUNE 3, 2021

Before joining Geisinger, she served as Pennsylvania’s secretary of health, where she developed an innovative payment and delivery model for rural hospitals. Before that she served as director of the State Innovation Models Initiative at the Centers for Medicare and Medicaid Services. CIO, Delaware Valley Community Health.

Department of Veterans Affairs 97

Department of Veterans Affairs COVID-19 COVID-19 Vaccine Nurses 97

Redox

OCTOBER 12, 2023

These enhancements have the potential to not only reduce provider costs, but also prevent errors, advance treatments, and improve health outcomes. AI’s superpower lies in its ability to intelligently mine insights from the exponential amount of health data that is generated every second. Two states have enacted such measures.

FDA 69

FDA Hospitals Medicare Medicare 69

MedTrainer

DECEMBER 7, 2023

The resources provided by these Maine state agencies are essential for promoting public health, ensuring access to healthcare, supporting healthcare professionals, and enhancing overall health outcomes for the residents of Maine.

Compliance 52

Compliance Licensing Compliance Officers Medicaid 52

Healthcare It News

AUGUST 7, 2023

The passing of the Telehealth Expansion Act of 2023 shows the federal government’s commitment to health equity, emphasizing the importance of increasing access to quality healthcare for all citizens, regardless of location or socioeconomic status.

US Department of Health and Human Services 203

US Department of Health and Human Services Governance Patient Satisfaction Health Outcomes 203

CMS.gov

MARCH 14, 2019

Administrator, Centers for Medicare & Medicaid Services. I’ve heard the derisive comments from those in the health policy stratosphere that prefer centralized government command and control of health care in America. Good Ideas Must Be Evaluated. Jeremy.Booth@c…. Thu, 03/14/2019 - 17:33. Seema Verma. Initiatives.

Medicaid 31

Medicaid Medicaid Governance Medicare 31

Health Populi

OCTOBER 8, 2018

With “Economy” embodied in the law’s name, a rationale for including HITECH in ARRA was, in part, to help stimulate the nation’s economy beyond the revenues of health IT companies many of whom, in the short-term, directly benefited from the law. Some historical perspective is useful for context. Why would a grocer lobby for such a project?

Hospitals 61

Hospitals Health Insurance Health Outcomes Telemedicine 61

CMS.gov

JULY 18, 2018

CMS Doubling Down on Health IT; Patients. Administrator, Centers for Medicare & Medicaid Services. Through MyHealthEData, CMS envisions a future in which all patients have access to their own health data and use it to make the right decisions for themselves and to get the best value. Mohanraj.Balas…. Thu, 07/19/2018 - 00:03.

Medicare 35

Medicare Medicare Governance Health Outcomes 35

Health Care Law Brief

APRIL 11, 2022

As the OIG explained, the safe harbor was created “to improve quality, health outcomes, and efficiency”—recognizing “the important role that digital health technology plans in advancing [HHS’s] goals in connection with the Regulatory Sprint, including improving the coordination and management of patient care.”

Fraud 52

Fraud Medicare Medicare Compliance 52

Hall Render

FEBRUARY 23, 2024

NATIONAL 382 rural hospitals cut chemotherapy, breakdown by state 1 year after Amazon-One Medical deal finalized: What’s happened since ACOs want increased participation of long-term and post-acute care providers ‘Behind the times’: DC tries to catch up with AI’s use in health care CMS finalizes DSH payment cuts for some safety-net hospitals: (..)

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40