HIT Consultant

MARCH 9, 2023

Rajesh Sharma, Vice President and General Manager of Systems Integration, Data Analytics and Interoperability Product Offerings, Gainwell Technologies The Centers for Medicare and Medicaid Services (CMS) has laid the critical groundwork to create a connected healthcare system in which patients, providers, and payers can easily exchange information.

Health Outcomes 90

Health Outcomes Governance Compliance Medicaid 90

HIT Consultant

FEBRUARY 13, 2023

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.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Health Populi

JUNE 28, 2019

Harris and VP Biden on race, busing, and segregation — which in the larger public health context continue to have a direct impact on health equity, health disparities, and socio-economic status. Sanders explained that the vast majority of people will pay significantly less for health care than they do right now. .

Medicare 70

Medicare Medicare Health Insurance Governance 70

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 355

Health Outcomes Medicaid Medicaid Patient Satisfaction 355

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 243

Electronic Medical Records Telemedicine Health Insurance Health Outcomes 243

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 90

Governance Health Outcomes Medicaid Medicaid 90

HIT Consultant

JUNE 7, 2023

According to new research from the  Friedman School of Nutrition Science and Policy  at Tufts University, providing this service that was traditionally not a “covered” benefit has proven to improve health outcomes in the form of fewer hospitalizations nationally. million hospitalizations and save insurers a net amount of $13.6

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

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

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 137

Telemedicine Governance Health Outcomes Hospitals 137

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 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 86

Governance Health Outcomes Medicare Medicare 86

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

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 110

Department of Veterans Affairs Nursing Homes Health Outcomes Hospitals 110

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

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

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 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

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

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

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. Stakeholder input on social determinants of health, especially as they relate to homelessness.

Governance 52

Governance ACA Hospitals Health Outcomes 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

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

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

Health Populi

DECEMBER 30, 2019

A few of the mainstreaming-of-SDoH signposts in 2019 were: Cigna studying and focusing in on loneliness as a health and wellness risk factor. Humana’s Bold Goal initiative targeting Medicare Advantage enrollees. CVS building out an SDOH platform , collaborating with Unite US for the effort.

US Department of Health and Human Services 125

US Department of Health and Human Services Prescription Drug Pricing Public Health Medicare 125

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 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 117

Medical Device Industry Medicaid Medicaid Nurses 117

Health Populi

OCTOBER 2, 2023

In the nation’s search for spending smarter on health care, the U.S. “The City of Chicago is reimagining the role government can play in our lives by exploring a public option for grocery stores via a municipally owned grocery store and market,” a city economic security advisor noted.

Governance 73

Governance Public Health Health Outcomes Medicaid 73

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 125

Nurses Medicare Medicare Health Outcomes 125

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 117

US Department of Health and Human Services COVID-19 Hospitals Public Health 117

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-19 210

COVID-19 Telemedicine Doctors Hospitals 210

Health Populi

OCTOBER 12, 2018

Since the CVS+Aetna announcement last December, the Kaiser Family Foundation ran some numbers on how the merged organization could impact Medicare — a key payor for both health insurance and prescription drugs under Part D. Oh, what those values could do for consumer-focused healthcare!

US Department of Health and Human Services 58

US Department of Health and Human Services Prescription Drug Pricing Health Insurance Medicare 58