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.

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Medicaid Medicaid Nurses Medicare 52

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”).

Medicare 52

Medicare Medicare Medicaid Medicaid 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

Hall Render

JUNE 14, 2023

On June 8, 2023, the Centers for Medicare & Medicaid Services (“CMS”) announced the Making Care Primary Model (“Model”), a new multi-payor, voluntary primary care model tested by the Center for Medicare and Medicaid Innovation (“CMMI”) and aimed at strengthening the primary care infrastructure for Medicare and Medicaid patients.

Medicaid 40

Medicaid Medicaid Medicare Medicare 40

Medisys Compliance

APRIL 18, 2022

In October 2021, the Center for Medicare and Medicaid Innovation (CMMI) announced a goal of having every Medicare beneficiary and the majority of Medicaid beneficiaries covered by some type of alternative payment model (APM) by 2030. In order to do so, a clinician must be in a Medicare Advanced APM.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicaid Medicaid 52

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

Healthcare Law Blog

DECEMBER 11, 2023

1] These modifications are intended to further the Biden Administration’s goals of advancing health equity by addressing disparities in access to quality care while minimizing administrative burdens and ensuring program integrity. Please contact a member of the Sheppard Mullin Healthcare Team if you have questions.

Medicaid 52

Medicaid Medicaid ACA Medicare 52

Hall Render

JULY 12, 2022

EOM aims to improve care coordination, quality and health outcomes while holding oncology physician practices accountable for total costs of care to make cancer care more affordable and accessible. The MEOS payment will be higher for beneficiaries dually eligible for Medicare and Medicaid. PGP’s across the U.S.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

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. Surgo Health prefers direct contact with people, asking them whom they trust, whom they live with, how far they have to go to get treatment, etc.

Department of Veterans Affairs 95

Department of Veterans Affairs Nursing Homes Health Outcomes Hospitals 95

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. name, phone number).

Regulatory Compliance 52

Regulatory Compliance Compliance US Department of Health and Human Services ACA 52

HIT Consultant

OCTOBER 6, 2021

It doesn’t take you to a health plan website. It doesn’t even take you to the Centers for Medicare & Medicaid Services (CMS) website. But there is rarely adequate time for discussion about possible barriers to carrying out these care recommendations or who to contact if there is confusion or a problem.

COVID-19 98

COVID-19 Doctors Health Outcomes Licensing 98

AIHC

FEBRUARY 7, 2023

The Roles of Primary Care Community Health Workers Primary care community health workers play an important role in improving the health and well-being of individuals and communities. They are often the first point of contact for people seeking healthcare services.

Public Health 52

Public Health Doctors Medicare Medicare 52

Healthcare IT News - Telehealth

AUGUST 9, 2023

We interviewed Bronwyn Spira, CEO and cofounder of Force Therapeutics, a vendor of a digital care management platform, to offer a deep dive into RTM and explain how it can improve health outcomes. He had a patient contact his care team through the digital care platform to say the patient was concerned and heading to the ED.

Hospitals 111

Hospitals Doctors COVID-19 Health Outcomes 111

Hall Render

JUNE 9, 2023

million from Miracle Day Arkansas Hospice Takes Over LifeTouch Hospice Arkansas hospitals say they are struggling; report questions those claims Arkansas law allows physician assistants to be rendering providers for Medicaid Arkansas rural hospitals work to keep their doors open Panda Express Pledges $1.2M

Nurses 40

Nurses COVID-19 Nursing Homes Hospitals 40

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