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

Healthcare It News

DECEMBER 16, 2022

The Medicaid and CHIP Access to Prescription Digital Therapeutics Act seeks to expand care options that can help improve health outcomes and quality of life for those facing barriers to healthcare. The Digital Therapeutics Alliance this week encouraged legislators to support its efforts to broaden access to DTx. WHY IT MATTERS.

Medicaid 174

Medicaid Medicaid COVID-19 Health Outcomes 174

Healthcare It News

OCTOBER 31, 2022

The USCDI standard consists of a core set of data classes and elements for health information exchanges to capture information about conditions outside of medical practice that put a person’s health and well-being at risk – chiefly food, housing and transportation access.

Licensing 254

Licensing Health Outcomes Medicaid Medicaid 254

HIT Consultant

DECEMBER 20, 2022

This translates to an estimated annual cost of $264 billion in lost income and poorer health outcomes. Carallel already supports more than 400,000 Medicare Advantage and commercially insured members and their caregivers nationally. Adoption/Traction to Date. Reducing Stress in 90% of Caregivers.

Medicare 92

Medicare Medicare Health Outcomes 92

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

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 News

OCTOBER 27, 2023

Expanding those successful screening practices across departments and practices, like family medicine, maternal and infant health, pediatrics and cardiology, etc. Gathering reliable data for research that can explore associations between positive screens and health outcomes, healthcare utilization and cost.

Medicaid 226

Medicaid Medicaid World Health Health Outcomes 226

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

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 81

Health Outcomes Governance Compliance Medicaid 81

Healthcare IT News - Telehealth

MARCH 1, 2021

She pointed to recent rulemaking in which the OIG recognized the promise that digital health technologies, including telemedicine, have for improving care coordination and health outcomes. Advocates applauded the statement, saying they are ready to work with the agency to ensure telehealth services continue safe care.

Fraud 186

Fraud Telemedicine Department of Veterans Affairs COVID-19 186

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

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 172

Hospitals Health Outcomes Medicaid Medicaid 172

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 106

Health Outcomes Electronic Medical Records Medicaid Medicaid 106

HIT Consultant

AUGUST 11, 2022

This explosive growth, coupled with the difficulty in accessing the right treatment for many populations, is part of the impetus for the Ellipsis Health and Ceras Health partnership.

Medicare 98

Medicare Medicare Health Outcomes 98

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 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 93

Department of Veterans Affairs Nursing Homes Health Outcomes Hospitals 93

HIT Consultant

FEBRUARY 1, 2024

The Valendo Health solution unfolds in three stages: 1. In Phase 1, Valendo collaborates with practices to boost clinical capacity and patient services through telehealth and remote monitoring, fostering better health outcomes and practice growth opportunities. The collaboration aims to enhance diabetes care success.

Telemedicine 52

Telemedicine Health Outcomes Medicare Medicare 52

Healthcare It News

DECEMBER 7, 2023

We spoke with him about what he's learning from these conversations. Together, these benefits optimize the patient’s decision about accessing the most appropriate and convenient care for them. AI can be an important tool to inform these decisions.

Patient Satisfaction 256

Patient Satisfaction Hospitals Health Outcomes Medicare 256

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

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

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

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 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

Healthcare IT Today

APRIL 13, 2023

Although this focus started with attention to the population covered by Medicaid, the healthcare field has recognized that health equity is a relevant issue to populations covered by Medicare, Commercial, and other health insurance coverage. We are defining VBC as a methodology to align incentives between a Payor and a Provider.

Medicaid 66

Medicaid Medicaid Medicare Medicare 66

HIT Consultant

NOVEMBER 2, 2022

. – HealthTap completed a successful beta period for Eval360 for over 15,000 seniors through its partnership with a leading Medicare Advantage (MA) plan, and now intends to expand Eval360’s reach to plans nationwide of all types, from Medicare Advantage to commercial plans. post-visit star rating.

Doctors 52

Doctors Medicare Medicare Health Outcomes 52

HIT Consultant

NOVEMBER 7, 2022

For example, it is sometimes challenging to quantify behavioral health outcomes. Telehealth clinicians can often be sent to see patients with little to no support, yielding costly and sometimes dangerous health outcomes. First, let’s talk about URAC accreditation. About Dr. Jessica Badichek, PharmD, BCGP.

Health Insurance 97

Health Insurance Compliance Officers Health Outcomes Compliance 97

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. Q: I was going to ask about the Amazon piece.

Hospitals 217

Hospitals COVID-19 Medicare Medicare 217

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 102

Medical Device Industry Medicaid Medicaid Nurses 102

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 96

Health Outcomes Hospitals Medicaid Medicaid 96

Healthcare IT Today

APRIL 21, 2023

Series B funding proceeds will enable Scene to further accelerate its ability to serve Medicaid and Medicare managed care plans, pharmaceutical companies, and clinical research organizations. Scene reaching a milestone of impacting more than 200,000 lives with over 40M engagements through its 360° model of care.

Medicaid 56

Medicaid Medicaid Medicare Medicare 56

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

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 87

Health Outcomes Hospitals ACA Doctors 87

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

MAY 1, 2023

Within DTx, the emergence of precision engagement is a development that holds great promise, especially for chronic conditions where day-to-day choices and behaviors have a significant impact on health outcomes—conditions like diabetes, obesity, and hypertension.

Health Outcomes 87

Health Outcomes Medicare Medicare Telemedicine 87

Healthcare IT Today

APRIL 28, 2023

billion through Arcadia’s Medicare Shared Savings Program (MSSP) service. About Arcadia Arcadia is dedicated to happier, healthier days for all. The past year included several important milestones for Arcadia, including: Inclusion on Inc. We transform data into powerful insights that deliver results.

Medicare 76

Medicare Medicare Health Outcomes Hospitals 76

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

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 126

Healthcare information Technology Health Outcomes Medicaid Medicaid 126