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Health Provider News

Hall Render

for physician referral scheme In Los Angeles, hospital CEO pay could be capped Kaiser Permanente ratings affirmed amid healthy financial profile Nurses vote ‘no confidence’ in California hospital administration, board Nursing facility, management company settle physician kickback allegations for $3.8M

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Why Data Analytics are Critical in a Value-Based Care (VBC) Environment

AIHC

The Centers for Medicare & Medicaid Services (CMS) HCC model was initiated in 2004 and is becoming increasingly prevalent as the environment shifts to value-based payment models. As more and more potential and real fraud, waste, and abuse was uncovered in the FFS arena, it was also discovered that patient outcomes were less than stellar.

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Why Data Analytics are Critical in a Value-Based Care (VBC) Environment

AIHC

The Centers for Medicare & Medicaid Services (CMS) HCC model was initiated in 2004 and is becoming increasingly prevalent as the environment shifts to value-based payment models. As more and more potential and real fraud, waste, and abuse was uncovered in the FFS arena, it was also discovered that patient outcomes were less than stellar.

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October-December 2021 State Regulatory Developments

New Jersey Healthcare Blog

1783(a), the Department of Human Services, Division of Medical Assistance and Health Services adopted new rules regarding nursing facility patient care ratio requirements. 1843(c), the Department of Human Services, Division of Medical Assistance and Health Services published a notice of readoption of N.J.A.C.

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As Medical Cost Trend Remains Flat, Patients Face Growing Health Consumer Financial Stress

Health Populi

. “Employer health spending has grown from 6 percent of total wages in 1988 to more than 12 percent in 2018,” driven by healthcare prices growing faster than the general economy, and the adoption of new technologies, procedures, and increasingly expensive new prescription drugs, PwC observes. economy by 2026.

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COVID-19 as Disability Interest Convergence?

Bill of Health

Similarly, private employers have expressed concerns about potential costs associated with everything from group health insurance, to disability accommodations related to COVID and long COVID. Why Haven’t Interests Converged During the COVID-19 Pandemic?

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The Consumer and the Payor, Bingo and Trust: My Day At Medecision Liberator Bootcamp

Health Populi

That individual could be a member of a health plan, a nurse, a physician, a grandparent-caregiver tapping into her grandchild’s medical portal…all people, with different abilities to read and comprehend data, values, and incentives. Health insurance plans? Not so much.