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. Karin Schifter-Maor is CEO of Essence SmartCare, a senior and chronic care technology and services company.

Hospitals 160

Hospitals Health Outcomes Medicaid Medicaid 160

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

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. Health and Human Services to provide states with technical assistance as they consider coverage. WHY IT MATTERS.

Medicaid 174

Medicaid Medicaid COVID-19 Health Outcomes 174

Health Populi

MAY 16, 2019

This very question is addressed in this week’s New England Journal of Medicine in an essay, Toward Facilitated Self-Service in Health Care. . In each of these scenarios, financial services, hospitality, and petroleum operators have bent their industry cost-curves while engaging consumers in self-service.

US Department of Health and Human Services 121

US Department of Health and Human Services Doctors Payment Systems Medicare 121

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

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

HIT Consultant

FEBRUARY 28, 2023

Address Cardiometabolic Conditions and Maternal Health The three-year deal will leverage Walmart’s position as a retailer and provider of health and wellness services, and CareSource’s role in the administration and delivery of Medicaid, Medicare and other health plan benefits and services.

Medicaid 97

Medicaid Medicaid Health Outcomes Medicare 97

Healthcare IT News - Telehealth

JANUARY 25, 2021

According to a press statement from Thompson's office, it would: Eliminate most geographic and originating site restrictions on the use of telehealth in Medicare and establishing the patient’s home as an eligible distant site.

COVID-19 205

COVID-19 Medicare Medicare Telemedicine 205

Healthcare It News

JANUARY 10, 2023

The virtual care services will be delivered without copays, out-of-pocket costs or deductibles for families with active insurance or Medicaid coverage. WHY IT MATTERS. Breastfeeding has been found to decrease risks for maternal and infant diseases, yet there are numerous systematic barriers to supporting the practice.

COVID-19 234

COVID-19 Hospitals Telemedicine Health Outcomes 234

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

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. Services will be delivered via a two-tiered system. Instead, such costs will be covered by the state.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Healthcare It News

OCTOBER 31, 2022

"The ability to use and build from established standards in real-time and as part of screening practices that help identify specific needs related to insecurity is an important step in enabling more coordinated care and timely assistance or interventions needed to improve health outcomes," according to Argentieri, Meklir and Henry.

Licensing 254

Licensing Health Outcomes Medicaid Medicaid 254

NEJM

APRIL 7, 2023

People who are dually enrolled in Medicare and Medicaid face issues related to fragmented care and poor health outcomes associated with inadequate coordination of benefits and services.

Health Outcomes 53

Health Outcomes Medicaid Medicaid Medicare 53

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

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

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

HIT Consultant

MARCH 20, 2024

NYSE: HUM) and DUOS , a technology-enabled service provider announces a new collaborative program to enhance the healthcare experience and improve health outcomes for Louisiana veteran members with chronic conditions. What You Should Know: Humana Inc.

Medicare 52

Medicare Medicare Health Outcomes 52

C&M Health Law

JANUARY 18, 2023

On January 4, in its most recent effort to expand federal support for addressing health-related social needs (HRSNs), the Centers for Medicare & Medicaid Services (CMS) issued guidance to clarify an existing option for states to address HRSNs through the use of “in lieu of” services and settings policies in Medicaid managed care.

Medicaid 52

Medicaid Medicaid Health Outcomes Federal Policy 52

Healthcare IT News - Telehealth

MARCH 1, 2021

Department of Health and Human Services' Office of Inspector General recognized telehealth's potential while cautioning that steps must be taken to ensure virtual care will not be compromised by fraud. "OIG is conducting significant oversight work assessing telehealth services during the public health emergency.

Fraud 186

Fraud Telemedicine Department of Veterans Affairs COVID-19 186

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

HIT Consultant

NOVEMBER 2, 2023

– With rising expenses outpacing reimbursement rates, health systems and physician organizations are increasingly turning to value-based care to avoid layoffs and service cuts. This advanced value-based care model seeks to streamline care coordination and improve health outcomes for traditional Medicare patients.

Medicare 52

Medicare Medicare Medicaid Medicaid 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. All Medicaid beneficiaries will be eligible for Level 1 services, which include referrals to existing HRSN programs.

Medicaid 52

Medicaid Medicaid Nurses Medicare 52

Healthcare It News

JANUARY 18, 2022

Healthcare innovators are building proactive care management programs to mitigate SDOH risk by connecting high-risk members with community-based organizations to arrange food delivery, transportation to appointments, emergency housing and other services.

Health Outcomes 338

Health Outcomes Patient Satisfaction Medicaid Medicaid 338

Healthcare It News

FEBRUARY 28, 2023

The urgency, and patient demand for care, allowed UPMC to expand existing services and create a virtual center of excellence that has transformed healthcare. UPMC in Central Pennsylvania is a large health system serving a wide geography covering more than 10 counties. Click here to read the special report.

Electronic Medical Records 219

Electronic Medical Records Telemedicine Health Insurance Health Outcomes 219

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 cost of providing quality care services is soaring, creating a challenge for healthcare C-Suite executives. That alignment is the essence of empathy. This learning should begin during medical school.

Health Outcomes 59

Health Outcomes Medicare Medicare Governance 59

Healthcare IT News - Telehealth

JULY 16, 2020

House of Representatives on Thursday aims to ensure telehealth is able to continue to build on its potential in the years ahead, by making permanent some policies enacted during the pandemic and protecting Medicare beneficiaries' ability to engage in virtual care. WHY IT MATTERS. THE LARGER TREND. Schweikert in a statement.

COVID-19 159

COVID-19 Medicare Medicare Public Health 159

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

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

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 News

DECEMBER 20, 2022

With great barriers to healthcare, work on addressing the root causes of inequity is not enough to engender change, according to Melissa Sherry, vice president of social care integration at Unite Us, a tech company that builds coordinated care networks of health and social service providers.

Hospitals 172

Hospitals Health Outcomes Medicaid Medicaid 172

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

HIT Consultant

OCTOBER 18, 2021

– Papa and Uber are working together to mitigate social isolation and negative health outcomes among Medicare and Medicaid recipients as well as those with employer health plans.

Health Outcomes 83

Health Outcomes Medicaid Medicaid HIPAA 83

HIT Consultant

FEBRUARY 21, 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 52

Medicare Medicare Medicaid Medicaid 52

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

FEBRUARY 1, 2024

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. Despite the proven benefits, less than 10% of Medicare beneficiaries with diabetes had access to endocrinologists last year.

Telemedicine 52

Telemedicine Health Outcomes Medicare Medicare 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). 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

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