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. Workforce: Workforce investments with a goal of equitable and sustainable access to care in Medicaid.

Medicaid 52

Medicaid Medicaid Nurses Medicare 52

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. Understandably, Medicaid and Medicare agencies attempt to reduce that abrasion.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

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. After the FDA approval, several large medical centers stated that they would not be administering Aduhelm due to concerns about its efficacy. [1]. What Happens Next?

Medicare 52

Medicare Medicare FDA Medicaid 52

Health Populi

JUNE 26, 2023

This “choice” to self-ration health care due to among health-insured Americans varies by health insurance plan type — notably, foregoing care is more likely the act of someone enrolled in a marketplace plan (50%) or Medicaid (51%). The top reason people in the U.S. The top reason people in the U.S.

Health Insurance 62

Health Insurance Doctors COVID-19 Medical Billing 62

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”).

Hospitals 66

Hospitals Medicare Medicare Medicaid 66

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 94

Health Outcomes Governance Compliance Medicaid 94

Health Law Advisor

MAY 2, 2023

The Centers for Medicare & Medicaid Services (“CMS”) is using its annual rulemaking process to update the CMS payment system rules for fiscal year (“FY”) 2024 as a mechanism to advance health equity systematically across various CMS payment programs. health system.” [9] health system.” [9]

Payment Systems 52

Payment Systems Medicare Medicare Nurses 52

Healthcare It News

DECEMBER 20, 2022

"While I am really hopeful about the momentum we are seeing across healthcare to address health disparities and their underlying causes, there is much work left to do," Sherry told Healthcare IT News in a look ahead at health equity in 2023. Andrea Fox is senior editor of Healthcare IT News.

Hospitals 183

Hospitals Health Outcomes Medicaid Medicaid 183

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). million people enrolled in Medicare that year, less than 2% had claims that incorporated Z codes.

Health Outcomes 114

Health Outcomes Electronic Medical Records Medicaid Medicaid 114

Healthcare IT Today

APRIL 13, 2023

The following is a guest article by Paul Barnes, Partner at CWH Advisors Today, there is widespread consensus that Social Determinants of Health (SDoH) have an impact on health inequities among various populations; resource scarcity in food, housing and other areas result in different health utilization and outcomes.

Medicaid 66

Medicaid Medicaid Medicare Medicare 66

Healthcare IT Today

APRIL 21, 2023

Funding Will Grow Medication Adherence Services for Medicaid and Other Under-Resourced Populations Scene Health , the leading medication engagement company, has closed an oversubscribed $17.7 Scene reaching a milestone of impacting more than 200,000 lives with over 40M engagements through its 360° model of care.

Medicaid 57

Medicaid Medicaid Medicare Medicare 57

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

Medisys Compliance

NOVEMBER 17, 2023

The healthcare landscape is undergoing a dynamic transformation, driven by a growing emphasis on value-based care and patient-centered outcomes. At the forefront of this shift is the Primary Care First Model, a voluntary alternative payment model introduced by the Centers for Medicare & Medicaid Services (CMS).

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicare Medicare 59

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…. Tim Engelhardt.

Medicare 35

Medicare Medicare Medicaid Medicaid 35

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 The Challenge of Health Care Fraud.

Fraud 52

Fraud Health Insurance Compliance Medicaid 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

Healthcare IT News - Telehealth

MARCH 23, 2021

" The group plans to lobby policymakers to broaden coverage for care services in the home – including extension and expansion of the Centers for Medicare and Medicaid Services' Hospital Without Walls provisions – advocate for bundled-payment models, home-based care and more. I think it's a good thing, really.

Hospitals 217

Hospitals COVID-19 Medicare Medicare 217

HIT Consultant

JULY 24, 2022

Through a combination of policy, education, and technology, we can start to turn the tide on PAD and improve health outcomes for vulnerable communities. About 40% of people with PAD have no symptoms, while the rest may experience pain and cramping while walking. About Elizabeth Hogan Hamacher.

Medicaid 98

Medicaid Medicaid Medicare Medicare 98

Healthcare IT Today

FEBRUARY 15, 2024

While everyone seems to be excited about it, you might be left with questions and concerns about what its impact will be. What health IT trend has you concerned? What can be done about it and what’s the impact if we do nothing? But sometimes, these changes can be concerning. Who owns the data?”

Medical Device Industry 105

Medical Device Industry Medicaid Medicaid Nurses 105

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. SDoH in the Field Two examples of clinical institutions putting SDoH to use today are the Medical Home Network (MHN) of Chicago and One Brooklyn Health.

Department of Veterans Affairs 96

Department of Veterans Affairs Nursing Homes Health Outcomes Hospitals 96

NY Health Law

JANUARY 4, 2024

For several years now, there has been an acknowledgment of the importance of health-related social needs (what we used to call social determinants of health) – things like food and housing, that are just as important to health outcomes as access to healthcare.

Health Outcomes 59

Health Outcomes Licensing Medicaid Medicaid 59

HIT Consultant

MARCH 28, 2023

Benjamin Zaniello, MD, MPH, Chief Medical Officer, PointClickCare Dr. Enrique Enguidanos, Founder & CEO of CBC Solutions About one out of five Americans with serious illness struggled to access care during the pandemic, and rates were significantly higher among disadvantaged populations, a 2022 study found. About Ben A.

Health Outcomes 98

Health Outcomes Hospitals Medicaid Medicaid 98

CMS.gov

OCTOBER 2, 2018

Better Data Will Serve as the Foundation in Modernizing the Medicaid Program. Administrator, Centers for Medicare & Medicaid Services. Medicaid & CHIP. Better Data Will Serve as the Foundation in Modernizing the Medicaid Program. Between 2013 and 2016, Federal spending on Medicaid grew by over $100 billion.

Medicaid 40

Medicaid Medicaid Fraud Health Outcomes 40

Healthcare IT Today

MARCH 7, 2023

The company continues to be the largest network of independent primary care in the country, with more than two million patients covered by more than 150 value-based contracts across Medicare, Medicare Advantage, Medicaid and commercial payers.

Medicare 77

Medicare Medicare Medicaid Medicaid 77

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 129

Healthcare information Technology Health Outcomes Medicaid Medicaid 129

HIT Consultant

MAY 3, 2022

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. One recent study of Arizona Medicaid plan members with severe mental illness, compounded by other co-occurring conditions, illustrates this.

Medicaid 52

Medicaid Medicaid Governance Health Outcomes 52

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. About Ashish Kachru.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

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

Jane Sarashon

MARCH 29, 2023

spends more on health care than any other nation in the world. Yet Americans’ health outcomes rank relatively low compared with other wealthy peer nations on Planet Earth, manifesting a low return-on-investment for this huge financial spend.

Health Outcomes 101

Health Outcomes Medicaid Medicaid Medicare 101

Healthcare IT Today

APRIL 10, 2023

Uncle Roy’s story is not unique; the individual behaviors that people with chronic conditions perform on a daily basis are the most important determinant of future health outcomes. But, it’s estimated that 40% of health outcomes are actually attributed to our individual behavior. In the U.S.,

Health Outcomes 89

Health Outcomes Hospitals ACA Doctors 89

Compliancy Group

MARCH 19, 2024

Also, all insurance and Medicare or Medicaid claims must only include charges for services and treatments ordered and deemed necessary. The PSQIA also led to the creation of Patient Safety Organizations (PSOs), which collect data about adverse health outcomes resulting from mistakes and negligence.

Regulatory Compliance 52

Regulatory Compliance Compliance US Department of Health and Human Services ACA 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. Learn more about MedTrainer today! Healthcare in D.C.

Compliance 52

Compliance Health Insurance Health Outcomes Medicaid 52

HIT Consultant

AUGUST 17, 2021

In 2018, 36% of spending was via alternative payment models and by 2025, CMS has targeted 100% of Medicare and 50% of Commercial and Medicaid spending.4 CMS AI Health Outcomes Challenge. ? ClosedLoop is on a mission to make every decision about the ‘best next action’ for a patient be data-driven and AI-enabled. “We

COVID-19 98

COVID-19 Health Outcomes Medicaid Medicaid 98

Healthcare IT News - Telehealth

AUGUST 16, 2023

"Some 70% to 80% of these DHA residents are established patients at Denver Health. "The majority of these patients are racial/ethnic minority populations (72%), dually eligible for Medicare/Medicaid, with multi-morbidity and high healthcare needs, and lower health and digital literacy," she added.

Telemedicine 142

Telemedicine COVID-19 Health Outcomes Medicaid 142

HIT Consultant

OCTOBER 6, 2021

For this woman, the issue is not simply a matter of not having received what, in her view, was adequate training, but also the anxiety she feels about potentially causing harm to her husband each time she carries out a skilled level of care that she believes would be better left to a qualified healthcare professional.

COVID-19 98

COVID-19 Doctors Health Outcomes Licensing 98

Healthcare Law Today

JANUARY 2, 2023

The Centers for Medicare and Medicaid Services (CMS) approved The Joint Commission’s proposed elimination and revision of standards, and confirmed that the eliminated and revised standards would not diminish or reduce CMS’ own regulatory requirements.

Hospitals 52

Hospitals Licensing Health Outcomes Medicaid 52

MedTrainer

NOVEMBER 27, 2023

For over a century, OHA has been dedicated to assisting member hospitals in addressing community health needs. The Ohio Department of Medicaid is responsible for administering the state’s Medicaid, a comprehensive healthcare program that provides medical coverage to low-income individuals and families in Ohio.

Compliance 52

Compliance Licensing Medicaid Medicaid 52