Fierce Healthcare

MAY 31, 2023

Hospitals’ year-to-date operations broke even in April, though a rise in bad debt and a dip in volumes suggest the upward momentum will likely be short-lived, healthcare consulting firm Kaufman Hal | Kaufman Hall's latest monthly industry report showed a 0% year-to-date median operating margin across the hospital industry as well as signs of bad (..)

Medicaid 107

Medicaid Medicaid Hospitals 107

Fierce Healthcare

APRIL 14, 2023

Fitch Ratings says Medicaid disenrollment will pinch revenue for not-for-profit hospitals fdiamond Fri, 04/14/2023 - 14:26

Medicaid 125

Medicaid Medicaid Hospitals 125

Fierce Healthcare

APRIL 13, 2023

House oversight committee seeks answers on hospitals' COVID relief funds, improper Medicaid payments dmuoio Thu, 04/13/2023 - 13:59

Medicaid 104

Medicaid Medicaid Hospitals 104

Healthcare IT News - Telehealth

APRIL 3, 2024

Hospital patients with conditions like pneumonia, dehydration and heart failure have been shown to experience shorter recovery times with fewer complications when they receive more cost-effective healthcare at home – and many health systems have been preparing for this future.

Hospitals 150

Hospitals Medicaid Medicaid Medicare 150

Healthcare It News

APRIL 29, 2024

One way hospitals dealt with staffing shortages and the need for beds during COVID-19 was to use flexibilities allowed by the Centers for Medicare and Medicaid Services to treat acute care patients at

COVID-19 228

COVID-19 Medicaid Medicaid Nurses 228

Fierce Healthcare

NOVEMBER 21, 2023

The day her Medicaid coverage ended, Beverly Likens was in the hospital after a scary trip to the emergency room. Millions of people nationwide have lost Medicaid benefits after a pandemic-era mandate for coverage expired in March—most of them for administrative reasons unrelated to their actual eligibility.

Medicaid 109

Medicaid Medicaid Hospitals 109

Fierce Healthcare

JANUARY 6, 2023

Study: Medicaid expansion states saw declines in postpartum hospitalizations. Fri, 01/06/2023 - 15:49.

Medicaid 84

Medicaid Medicaid Hospitals 84

Fierce Healthcare

DECEMBER 10, 2021

Study: Medicaid expansion not a 'panacea' for solving critical access hospitals' financial woes. Fri, 12/10/2021 - 12:11.

Medicaid 120

Medicaid Medicaid Hospitals 120

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. You contend CMS's Acute Hospital Care at Home program needs scalability to survive.

Hospitals 168

Hospitals Health Outcomes Medicaid Medicaid 168

Healthcare Dive

MARCH 13, 2024

The budget request includes proposals for “Medicaid-like” coverage in non-expansion states and future penalties for hospitals that don’t implement cybersecurity standards.

ACA 262

ACA Medicaid Medicaid Hospitals 262

Healthcare Law Blog

FEBRUARY 12, 2024

CMS approved $500 million in infrastructure spending for NYS to establish social care networks (“ SCNs ”) to provide HRSN screening and referral services to Medicaid beneficiaries that are targeted populations for HRSN services. Medicaid Hospital Global Budget Initiative CMS authorized up to $2.2

Medicaid 52

Medicaid Medicaid Hospitals Nurses 52

Fierce Healthcare

NOVEMBER 7, 2022

Expanded Medicaid coverage may lower kidney-related hospitalizations. Mon, 11/07/2022 - 13:04.

Medicaid 78

Medicaid Medicaid Hospitals 78

Fierce Healthcare

FEBRUARY 23, 2023

Rural hospitals' uphill financial battle is even steeper in Medicaid non-expansion states, KFF finds dmuoio Thu, 02/23/2023 - 12:20

Medicaid 84

Medicaid Medicaid Hospitals 84

Fierce Healthcare

NOVEMBER 2, 2023

The Centers for Medicare & Medicaid Services has dropped the final rule to remedy the invalidated 340B-acquired drug payment policy for calendar years 2018 to 2022. |

Hospitals 117

Hospitals Medicare Medicare Medicaid 117

Bill of Health

APRIL 11, 2022

The latest wave of COVID cases and hospitalizations has raised concerns about the financial resilience of many hospitals in the United States. Large hospitals in metropolitan areas have, for the most part, weathered the storm. Rural hospital financial stress and resulting closures are nothing new.

Hospitals 226

Hospitals Medicaid Medicaid Public Health 226

Healthcare It News

NOVEMBER 30, 2023

Lurie Children's Hospital of Chicago had only two entry points for patients looking to receive care – calling the centralized access center or walking into the emergency room. Lurie Children's Hospital of Chicago. Prior to the growth, adoption and use of its patient portal, Ann & Robert H.

Hospitals 200

Hospitals Medicaid Medicaid 200

HIT Consultant

OCTOBER 18, 2023

What You Should Know: – Waymark , a San Francisco, CA-based Medicaid provider enablement company raises $42M in new financing to scale technology-enabled, community-based care for primary care providers and their patients enrolled in Medicaid programs.

Medicaid 52

Medicaid Medicaid Hospitals 52

Fierce Healthcare

JUNE 12, 2023

Industry hospital groups are pushing the Centers for Medicare & Medicaid Services to consider a higher annual pay bump and to shed some light on why it believes the number of uninsured patients | Public comments submitted to CMS by the hospital lobby were critical of a "woefully inadequate" 2.8%

Hospitals 119

Hospitals Payment Systems Medicaid Medicaid 119

Health Care Law Brief

FEBRUARY 2, 2024

While still subject to legislative approval, the Executive Budget incorporates the recently approved amendment (“Waiver Amendment”) to New York’s Medicaid Section 1115 Demonstration that includes $7.5 billion in Medicaid investments over the next three years. Services will be delivered via a two-tiered system.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

HIT Consultant

OCTOBER 26, 2021

What You Should Know: – Brave Health , a Miami-based virtual behavioral health provider for Medicaid, today announced it has closed a $10M Series B round ($20.75M in total) led by City Light Capital, Union Square Ventures and Able Partners, bringing its total funding to $20.75M. Recent Traction/Milestones. ”

Medicaid 97

Medicaid Medicaid Health Outcomes Public Health 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”).

Hospitals 66

Hospitals Medicare Medicare Medicaid 66

Medisys Compliance

MARCH 31, 2023

Ohio Medicaid is a government-sponsored healthcare program that provides medical benefits to eligible individuals in Ohio. To become a provider for Ohio Medicaid, you must first enroll in the Ohio Medicaid program. Here are the steps of provider enrollment for Ohio Medicaid: Provider Enrollment for Ohio Medicaid 1.

Medicaid 52

Medicaid Medicaid Licensing Medical Billing Outsourcing 52

HIPAA Journal

APRIL 4, 2023

Several hospitals have started notifying patients about a data breach at the consulting company, Adelanto HealthCare Ventures (AHCV). AHCV provided services to an unnamed business associate of the affected hospitals. AHCV provided services to an unnamed business associate of the affected hospitals.

Hospitals 103

Hospitals Medicaid Medicaid HIPAA 103

Health Law RX

FEBRUARY 15, 2023

Medicaid providers and suppliers have likely discovered this the hard way. A provider’s or supplier’s enrollment in the Medicaid program may be insufficient to assure that their provision of a covered and medically necessary good or service to a Medicaid patient will be deemed reimbursable. First, get the word out.

Medicaid 52

Medicaid Medicaid Health Care Lawyers Compliance 52

Healthcare Dive

FEBRUARY 16, 2022

Texas had the highest ratio of for-profit to nonprofit unreimbursed Medicaid costs to expenses, while New York and the District of Columbia had the lowest ratios, according to research published in JAMA Network Open.

Medicaid 264

Medicaid Medicaid Hospitals 264

Fierce Healthcare

AUGUST 28, 2023

Nationwide hospital finances hit a rough patch in July as reduced patient volumes, a bump in bad debt and charity care whittled operating margins.

Hospitals 98

Hospitals Medicaid Medicaid 98

Healthcare Dive

OCTOBER 26, 2023

The for-profit hospital operator grew revenue in the third quarter despite challenges in payer relations and Medicaid redeterminations.

Medicaid 200

Medicaid Medicaid Hospitals 200

Hanys

APRIL 21, 2023

2665, the Supporting Safety Net Hospitals Act , this week. The HANYS-supported legislation would avert billions of dollars in cuts to the Medicaid Disproportionate Share Hospital program through federal fiscal year 2026. Dan Crenshaw (R-TX), Diana DeGette (D-CO) and Michael Burgess (R-TX), introduced H.R.

Medicaid 52

Medicaid Medicaid Hospitals 52

HIPAA Journal

NOVEMBER 21, 2022

million being defrauded from Medicaid, Medicare, and private health insurance programs. The payments were intended for hospitals for providing covered medical services. The arrests were related to a series of scams that spoofed hospital email accounts. million, and $6.4 million, and $6.4

Medicaid 79

Medicaid Medicaid Medicare Medicare 79

Healthcare Law Blog

JANUARY 20, 2023

Research has indicated that healthcare systems that connect patients to basic resources have observed improvements in population health metrics, fostered trust with their patient base, and experienced reduced hospitalization costs. Please refer to our prior blog for more information on CalAIM.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

HIT Consultant

AUGUST 31, 2023

Adimika Arthur, Executive Director, HealthTech 4 Medicaid Manisha Sharma, Senior Medical Director, Promise Health Plan Blue Shield of California During the pandemic, Medicaid enrollment grew by nearly 30% to cover more than 93 million Americans , due in large part to COVID-19 provisions that included continuous Medicaid enrollment.

Medicaid 64

Medicaid Medicaid COVID-19 Doctors 64

Modern Healthcare

AUGUST 1, 2023

The Centers for Medicare and Medicaid Services also updated the hospital quality reporting program and outlined new health equity initiatives.

Hospitals 74

Hospitals Medicaid Medicaid Medicare 74

Healthcare IT News - Telehealth

NOVEMBER 8, 2022

Orlando Health on Monday announced that it's been approved by Florida's Agency for Health Care Administration to start delivering hospital-level acute care in adult patients’ homes. " Here are some tips for how health systems should be preparing now for the future of hospital-at-home. WHY IT MATTERS. ON THE RECORD.

Hospitals 120

Hospitals Nurses COVID-19 Medicaid 120

Healthcare IT News - Telehealth

MAY 14, 2021

Mayo Clinic and Kaiser Permanente announced this week that they will collaborate to build capacity for hospital-at-home care. Technology aimed at blurring the lines between at-home care and in-hospital services has taken on a renewed spotlight amidst the COVID-19 pandemic, when patients and providers have sought to avoid potential spread.

Hospitals 201

Hospitals COVID-19 Medicaid Medicaid 201

Fierce Healthcare

SEPTEMBER 14, 2023

Over 250 hospitals and health systems came together this week urging House and Senate leaders to again postpone or eliminate billions in funding cuts to the Medicaid disproportionate share hospital | The payments offsetting hospitals' uncompensated care costs are scheduled to dip by $8 billion annually beginning Oct.

Hospitals 73

Hospitals Medicaid Medicaid 73

HIT Consultant

DECEMBER 5, 2023

Jordan Messler, MD, SFHM, FACP, Chief Medical Officer at Glytec The modern-day hospital is grappling with an alarming trend. Hospitals and health systems have long understood the need to reduce preventable hypoglycemia, yet despite a renewed sense of urgency, many of them lack comprehensive glycemic management measures that can drive success.

Hospitals 98

Hospitals Nurses Health Outcomes Medicaid 98

Health Populi

FEBRUARY 18, 2020

There are 1,844 rural hospitals operating in the U.S. That number is down by 19 in the 2019 calendar year, the worst year of rural hospital closings seen in the past decade. That hockey-stick growth of closures is shown in the first chart, where 34 rural hospitals shut down in the past 2 years.

Hospitals 103

Hospitals Medicaid Medicaid Health Care Reform 103