Healthcare IT News - Telehealth

MARCH 25, 2024

The Centers for Medicare and Medicaid Services just released data on its Acute Hospital Care at Home initiative , which thus far has admitted 11,159 patients suffering from respiratory infections, heart failure and severe sepsis. Where is this data going to come from and what must hospital and health system IT executives do here?

Hospitals 168

Hospitals Health Outcomes Medicaid Medicaid 168

Healthcare It News

OCTOBER 31, 2022

The pilot, funded under a cooperative agreement by the Office of the National Coordinator for Health IT (ONC) and Health Level Seven International (HL7), focuses on applying FHIR Gravity social risk terminology – to exchange information.

Licensing 280

Licensing Health Outcomes Medicaid Medicaid 280

HIT Consultant

MARCH 21, 2024

While these tools promise better health outcomes and cost savings, the research paints a different picture: Small, Unsustained Improvements: HbA1c reductions, a key diabetes measure, were minimal (0.23 Payers: Health plans and employers should require evidence of tool benefits and tie financial coverage to clinical outcomes.

Health Outcomes 103

Health Outcomes Medicaid Medicaid Doctors 103

Health Populi

AUGUST 21, 2019

There are over 60 million enrollees in Medicare in 2019, and fully one-third are in Medicare Advantage plans. Medicare is adding 10,000 new beneficiaries every day in the U.S. Medicare Advantage enrollment is fast-growing, shown in the first chart where over 22 million people were in MA plans in January 2019.

Medicare 81

Medicare Medicare Health Outcomes HIPAA 81

Health Law Advisor

JANUARY 13, 2022

The proposed decision, which is subject to public comments that are due to CMS by February 10, 2022, does not endorse nationwide Medicare coverage for these drugs. The FDA’s determination does not mandate Medicare coverage for Aduhelm. The Medicare Part B program would not cover the drugs in any other setting.

Medicare 52

Medicare Medicare FDA Medicaid 52

HIT Consultant

SEPTEMBER 18, 2023

The newest value-based payment program purposely designed to address SDOH is the ACO Realizing Equity, Access, and Community Health (ACO REACH) model, launched by the Centers for Medicare & Medicaid Services (CMS). In 2021, the CMS Office of Minority Health published data on the use of ICD-10-CM Z codes.

Health Outcomes 113

Health Outcomes Electronic Medical Records Medicaid Medicaid 113

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

Health Populi

DECEMBER 9, 2019

That program has the potential to change our Medicare members manage meds at home to ensure better adherence, supporting better health outcomes and personal feelings of efficacy and control. [As Last week, the Giant Eagle grocery chain was the first pharmacy retailer to offer a new medication management skill via Alexa.

Medicare 62

Medicare Medicare Health Outcomes Health Insurance 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.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Healthcare IT News - Telehealth

MARCH 1, 2021

"OIG is conducting significant oversight work assessing telehealth services during the public health emergency. Once complete, these reviews will provide objective findings and recommendations that can further inform policymakers and other stakeholders considering what telehealth flexibilities should be permanent," wrote Grimm.

Fraud 193

Fraud Telemedicine Department of Veterans Affairs COVID-19 193

HIT Consultant

JANUARY 17, 2024

– Public reporting: Similar to Medicare FFS, impacted payers must report prior authorization metrics, increasing transparency and accountability. – Clearer communication: All payers must provide specific reasons for denial, allowing for easier resubmissions or appeals.

Compliance 96

Compliance Health Outcomes Doctors Nurses 96

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 97

Governance Health Outcomes Medicaid Medicaid 97

Hall Render

FEBRUARY 22, 2024

In the FY 2024 IPPS Final Rule (the “Final Rule”), the Centers for Medicare & Medicaid Services (“CMS”) incorporated certain social risk factors into the Hospital Value-Based Purchasing (“VBP”) Program (“the Program”). Hall Render blog posts and articles are intended for informational purposes only.

Hospitals 66

Hospitals Medicare Medicare Medicaid 66

HIT Consultant

AUGUST 24, 2022

. – The Pings rollout delivers real-time admission, discharge, and transfer (ADT) e-notifications for HTA’s 15,000 North Carolina PPO and HMO Medicare Advantage plan members. By integrating Pings, we are elevating healthcare provider awareness into patient health statuses, which results in more informed and complete patient care.

Medicare 52

Medicare Medicare Health Outcomes Hospitals 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. When done “right,” value-based healthcare’s focus for better health outcomes aligns clinicians with their patients. That alignment is the essence of empathy.

Health Outcomes 59

Health Outcomes Medicare Medicare Governance 59

Health Populi

NOVEMBER 1, 2023

The two biggest reasons patients look to share their data with physicians is to (1) take a more active role in their own care (for 82% of consumers) and (2) to improve their health outcomes (among 77%). 42% would be keen to share data from their devices with doctors to better manage a chronic condition.

Doctors 163

Doctors Health Outcomes Medicare Medicare 163

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.

Department of Veterans Affairs 115

Department of Veterans Affairs Nursing Homes Health Outcomes Hospitals 115

Healthcare IT News - Telehealth

OCTOBER 26, 2020

A recent study published in the American Journal of Managed Care found that provider use of a shared inpatient-outpatient electronic health record was associated with a shift toward follow-up delivered through a combination of telemedicine and outpatient laboratory tests, with no differences in 30-day emergency department visits.

Telemedicine 162

Telemedicine Hospitals Health Outcomes Medicaid 162

Healthcare IT Today

MARCH 1, 2023

Here’s a description of the position: New York eHealth Collaborative (NYeC) is a not-for-profit organization working in partnership with the New York State Department of Health to improve healthcare by collaboratively leading, connecting, and integrating health information exchange across the State.

Healthcare information Technology 140

Healthcare information Technology Health Outcomes Medicaid Medicaid 140

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 246

Electronic Medical Records Telemedicine Health Insurance Health Outcomes 246

MedTrainer

MARCH 8, 2024

FQHCs can receive financial rewards for deploying an individualized, patient-centered care model that builds trust between patients and providers, which has shown to improve health outcomes. FQHCs can participate in APMs through Medicare and Medicaid Managed Care Organizations (MCOs).

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Healthcare IT Today

JULY 10, 2023

Company Adds Two Board Members and a Senior Executive to Lead its Medicare Advantage Business Aledade , the largest network of independent primary care practices in the country, today announced the closing of a $260 million Series F funding round to enhance and acquire services and technology to support its practices.

Medicare 52

Medicare Medicare Health Outcomes 52

Hall Render

MAY 10, 2024

On April 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) announced its plan to implement the Transforming Episode Accountability Model (“TEAM”), a new mandatory alternative payment model unveiled as part of the 2025 Hospital Inpatient Prospective Payment System proposed rule.

Medicare 40

Medicare Medicare Hospitals Medicaid 40

HIT Consultant

NOVEMBER 16, 2022

What You Should Know: – Cipher Skin and Parker Health launches a new pilot program to help bring tech-enabled physical therapy to Medicare and Medicaid patients. And many patients—especially those on Medicare and Medicaid—do not have the luxury of extending their recovery time.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Healthcare IT Today

APRIL 28, 2023

Arcadia’s mission is to inform better healthcare decisions by unlocking the power of the vast amount of data that is captured in modern healthcare delivery and operations,” said Michael Meucci, CEO at Arcadia. billion through Arcadia’s Medicare Shared Savings Program (MSSP) service. For more information, visit arcadia.io.

Medicare 95

Medicare Medicare Health Outcomes Hospitals 95

HIT Consultant

FEBRUARY 21, 2023

For many organizations, data-driven insights and solutions hold the key to achieving higher quality that facilitates the delivery of high-quality, cost-effective, VBC with measurable outcomes. As a result, providers can focus on what matters most: delivering the best health outcomes. Three Tenets of Optimizing VBC 1.

Health Outcomes 52

Health Outcomes Medicaid Medicaid Medicare 52

NY Health Law

FEBRUARY 13, 2024

On January 9, 2024, the federal Centers for Medicare and Medicaid Services (CMS) finally approved New York State’s 1115 waiver amendment to establish the New York Health Equity Reform (NYHER) Program. The waiver amendment authorizes up to $2.2 The actual Medicaid Hospital Global Budget Model to be used remains to be approved by CMS.

Medicaid 52

Medicaid Medicaid Nurses Medicare 52

Health Care Law Brief

FEBRUARY 2, 2024

The Waiver Amendment was approved on January 9, 2024, by the Centers for Medicare & Medicaid Services (“CMS”) under Section 1115(a) of the Social Security Act and will expire on March 31, 2027. The rates must be at least 80% of Medicare rates. billion in Medicaid investments over the next three years. CMS has authorized up to $2.2

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Healthcare It News

DECEMBER 7, 2023

Generative AI tools also are demonstrating the ability to summarize vast amounts of information to the foremost points, allowing a multi-page discharge plan, that many patients will be unable to read and comprehend, to be more understandable within a paragraph or two. AI can be an important tool to inform these decisions.

Patient Satisfaction 283

Patient Satisfaction Hospitals Health Outcomes Medicare 283

Healthcare Law Blog

DECEMBER 12, 2022

The Centers for Medicare & Medicaid Services (CMS) Innovation Center continues to move forward with its “strategic refresh” initiative. Through this shift, CMS aims to examine and enhance payments for specialty care provided to Medicare beneficiaries. Value-Based Care and ACOs.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Healthcare IT Today

JUNE 21, 2023

The following is a guest article by Mike Pattwell, Principal Business Advisor, Value Based Care at Edifecs Consumers are at the heart of healthcare — their fears are forcing healthcare innovators to shift priorities to deliver consumer-centric digital health offerings. This is true today, tomorrow, and far into the future.

Medicare 62

Medicare Medicare COVID-19 Medicaid 62

HIT Consultant

NOVEMBER 9, 2023

Data Decay Among Medicaid Members Those most reliant on Medicaid are typically individuals who are the most difficult to reach and share information with. These members frequently move residences, resulting in a lack of consistency with reliable contact information.

Medicaid 64

Medicaid Medicaid Health Insurance Health Outcomes 64

Healthcare IT Today

MARCH 27, 2023

of the total market share due to increased adoption to manage chronic conditions and monitor health outcomes. OpenLoop White-Label Telehealth Solutions OpenLoop was founded with the mission to expand access to care and improve community health outcomes. For more information on OpenLoop, visit openloophealth.com.

Health Outcomes 105

Health Outcomes Licensing Medicaid Medicaid 105

CMS.gov

NOVEMBER 16, 2018

Washington Managed Fee-for-Service Demonstration: 2015 and 2016 Medicare Actuarial Savings Report. Director, Medicare-Medicaid Coordination Office, Topic. Medicare Parts A & B. Washington Managed Fee-for-Service Demonstration: 2015 and 2016 Medicare Actuarial Savings Report. Jeremy.Booth@c…. Fri, 11/16/2018 - 18:51.

Medicare 35

Medicare Medicare Medicaid Medicaid 35

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. "We were able to establish a total of 180 households in the CrawKan with better connectivity.

Nurses 327

Nurses Telemedicine Health Outcomes COVID-19 327

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. More and more policy makers are recognizing the same imperative.

COVID-19 154

COVID-19 Medicare Medicare Telemedicine 154

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