Healthcare IT News - Telehealth

JANUARY 19, 2022

It is Brooklyn's tertiary care hub serving diverse communities with large Medicaid, Medicare and uninsured populations. In 2018, Maimonides' leadership established digital health as a strategic priority for the medical center. "It is impossible to describe what came next without the context of COVID-19," Cimino said.

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COVID-19 Telemedicine Hospitals Medicaid 161

Compliancy Group

DECEMBER 20, 2024

The attacks affected the electronic protected health information (ePHI) of approximately 85,000 individuals between February and March of 2018. In May of 2018, Gulf Coast hired an independent contractor to provide business consulting services. WCCCs assertion that it was dealing with the COVID-19 pandemic.

Ransomware 98

Ransomware HIPAA Fraud Electronic Medical Records 98

Health Populi

NOVEMBER 2, 2020

In the 2018 mid-term elections, U.S. The key issues for health care voters were costs (for care and prescription drugs) and access (read: protecting pre-existing conditions and expanding Medicaid). Issue #2 for 2018 voters was the economy. concerned about state citizens’ public health in the era of COVID-19.

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COVID-19 ACA Public Health Nurses 18

HIT Consultant

AUGUST 17, 2021

In 2018, 36% of spending was via alternative payment models and by 2025, CMS has targeted 100% of Medicare and 50% of Commercial and Medicaid spending.4 Helped HCOs impact 10M+ lives with its open source COVID-19 index, published in Journal of Medical AI. ? Empowering The Data Science Team.

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COVID-19 Medicaid Medicaid Health Outcomes 98

Health Populi

SEPTEMBER 14, 2021

The COVID-19 pandemic exacerbated food insecurity in the U.S., Nutrition insecurity can lead to obesity, Type-2 diabetes, and the increasing risk of severe illness from COVID-19 and eventual hospitalization. “Will people enrolled in Medicaid want to be Amazon Prime’d?” month or $99 a year.

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COVID-19 Public Health Medicaid Medicaid 62

Healthcare Law Blog

NOVEMBER 1, 2022

On November 1, 2018 , CMS issued a proposed rule that, among other changes, would use extrapolation in RADV contract-level audits of MAOs starting with payment year 2011 contract-level audits and would not apply a FFS Adjuster to such audit findings. The original proposed rule was published on November 1, 2018, four years ago today.

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Medicare Medicare COVID-19 Public Health 52

HIT Consultant

OCTOBER 27, 2021

Centers for Medicare & Medicaid Services (CMS) in August 2021, which calls for a $17 billion, five-year program designed to address health disparities and systemic health care delivery issues underscored by COVID-19.

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COVID-19 Medicaid Medicaid Medicare 40

AIHC

JANUARY 28, 2022

The Centers for Medicare and Medicaid Services (CMS) distributes a prospectively determined amount of uncompensated care payments to “Medicare disproportionate share hospitals” or better known as “DSH.” This is calculated based on the hospital’s relative share of uncompensated care nationally. In this rule, CMS will distribute roughly $8.3

Medicare 40

Medicare Medicare Hospitals Payment Systems 40

Healthcare It News

MARCH 18, 2022

Norden is particularly passionate about funding companies focused on the Medicaid population – a traditionally tricky and often ignored area. What has been one digital health investment trend during the COVID-19 pandemic, and why is it important? Worse yet, COVID-19 has exacerbated mental and behavioral health issues.

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Medicaid Medicaid COVID-19 Telemedicine 362

Innovaare Compliance

JANUARY 19, 2021

It has become evident by changes to the Centers for Medicare & Medicaid Services (CMS) Star Rating formulas over the past several years—and especially with changes implemented for the 2021 Plan Year—that member experience and medication adherence is of utmost importance to the CMS.

Medicare 52

Medicare Medicare COVID-19 Compliance 52

Hall Render

JUNE 22, 2022

On Friday, June 17, 2022, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2023 Home Health Prospective Payment System Rate Update (“PPS Rule”). CMS concluded that it would be difficult, if not impossible, to identify changes to PDGM and those due to COVID-19.

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COVID-19 Payment Systems Medicare Medicare 40

Innovaare Compliance

APRIL 7, 2024

The Centers for Medicare & Medicaid Services (CMS) officially announced capitation rates for Medicare Advantage (MA) plans for CY 2025 – average increase of 3.7% 9] Step Therapy for Part B guidance published by CMS on August 7, 2018, shows one of the ways to manage utilization compliantly. generics) beginning in 2025 [1].

Medicare 59

Medicare Medicare COVID-19 Medicaid 59

Jane Sarashon

FEBRUARY 4, 2024

Mom’s Meals, a provider of medically-tailored meals working with health plans and providers, shared results of a program run by Inland Empire Health Plan (IEHP) providing medically-tailored meals to dually eligible (Medicare + Medicaid) members in California. These trends began to take hold in the U.S.

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US Department of Health and Human Services Health Insurance Medicare Medicare 75

Innovaare Compliance

APRIL 6, 2024

The Centers for Medicare & Medicaid Services (CMS) officially announced capitation rates for Medicare Advantage (MA) plans for CY 2025 – average increase of 3.7% 9] Step Therapy for Part B guidance published by CMS on August 7, 2018, shows one of the ways to manage utilization compliantly. generics) beginning in 2025 [1].

Medicare 52

Medicare Medicare COVID-19 Medicaid 52

Innovaare Compliance

APRIL 7, 2024

The Centers for Medicare & Medicaid Services (CMS) officially announced capitation rates for Medicare Advantage (MA) plans for CY 2025 – average increase of 3.7% 9] Step Therapy for Part B guidance published by CMS on August 7, 2018, shows one of the ways to manage utilization compliantly. generics) beginning in 2025 [1].

Medicare 52

Medicare Medicare COVID-19 Medicaid 52

Hall Render

JULY 14, 2023

On Friday, June 20, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update (“PPS Rule”), which has since been published in the Federal Register and is currently open for comment. Physical Therapy 3.30

Medicare 52

Medicare Medicare Payment Systems COVID-19 52

Health Populi

AUGUST 24, 2020

The Physicians Foundation surveyed 3,513 physicians in July 2020 on their perspectives on COVID-19 and how the pandemic has impacted practices and patients. Part 2 will cover the impact of COVID-19 on physician well-being, and Part 3, on the impact of the coronavirus on the health care system.

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COVID-19 Telemedicine Doctors Medicare 154

Hall Render

NOVEMBER 28, 2023

On November 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update Final Rule (“2024 Final Rule”), which has since been filed in the Federal Register. 7,872 2018 5,851 77.1% 7,589 2019 5,871 79.3%

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

Health Populi

JUNE 27, 2022

The second bar chart illustrates the per member/per month (PMPM) spend for commercially insured workers, showing growth of over 7% from 2018 to 2019, and nearly 7% drop from 2019 to 2020 in the first year of the pandemic. from the start of the COVID-19 pandemic in 2019 to 1.29

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COVID-19 Health Insurance Medicaid Medicaid 125

Health Populi

SEPTEMBER 17, 2020

In fact, the number of uninsured Americans rose by 2 million people in 2018 , and by 1.9 Nearly 7 million Americans lost health coverage due to COVID-19, a national survey from Civis Analytics found, in The State of Health Insurance in COVID-19 America. Just weeks into the COVID-19 pandemic, cracks in the U.S.

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COVID-19 Health Insurance Public Health Health Care Access 62

Healthcare IT News - Telehealth

JUNE 12, 2024

The acquisition will enable Brightside to help improve access to SUD treatment, which increased significantly beyond the onset of the opioid epidemic and through the COVID-19 pandemic. Centers for Disease Control said it measured 39% more SUD cases between 2018 and 2021, according to the company.

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Hospitals COVID-19 Medicaid Medicaid 165

HIT Consultant

MARCH 1, 2022

You don’t have to be a news junkie or political aficionado to know that state unemployment information systems massively failed during the COVID-19 pandemic at a time when they were most desperately needed. For Medicaid, the threat comes as potential expansion looms. Brett Furst, President, HHS Technology Group.

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Medicaid Medicaid COVID-19 Overpayments 52

Kaiser Health News

FEBRUARY 8, 2022

The penalties — a 1% reduction in Medicare payments over 12 months — are based on the experiences of Medicare patients discharged from the hospital between July 2018 and the end of 2019, before the pandemic began in earnest.

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Medicare Medicare Hospitals COVID-19 125

HIT Consultant

OCTOBER 21, 2022

Sepsis, in contrast to infection-negative systemic immune response, is life-threatening, must be treated quickly, and is responsive to an antibiotic, antiviral (most recently as evidenced by the COVID-19 pandemic), or anti-fungal treatments. Carlson joined Immunexpress in 2018 as CEO.

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Hospitals FDA Compliance COVID-19 98

Healthcare IT News - Telehealth

JUNE 3, 2021

As CMIO of Urban Health Plan, a Bronx-based Federally-Qualified Health Center, Connelly-Flores has worked to boost COVID-19 vaccination rates via texting campaigns, online vaccine registration and other patient engagement projects focused on one of the areas in the U.S. He earned a HIMSS Davies Award of Excellence in 2018.

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COVID-19 Department of Veterans Affairs COVID-19 Vaccine Nurses 116

HIPAA Journal

JUNE 26, 2023

Nationwide Discretion Announced during the COVID-19 Pandemic During the COVID-19 pandemic, healthcare providers had to deal with a nationwide public health crisis, the likes of which had never been seen before.

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HIPAA COVID-19 COVID-19 Vaccine Public Health 68

Health Care Law Brief

APRIL 3, 2023

On Friday, March 31, 2023, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2024 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies ( Rate Announcement ). hip and knee replacements), and to reflect an increase in dual-eligible beneficiaries enrolling in MA.

Medicare 52

Medicare Medicare Overpayments Overpayment 52

Jane Sarashon

JULY 18, 2024

Note, too, the driving cost-force of behavioral health, which has grown in adoption as the COVID-19 pandemic revealed the unmet and fast-growing need for mental health care — across the generations.

Doctors 59

Doctors Prescription Drug Pricing Hospitals Health Insurance 59

HIPAA Journal

MAY 29, 2023

reduction in total penalties compared to 2018, falling from $28.7 million in 2018 to just $1.6 million in 2018 (median: $500,000) to just $407,000 in 2022 (median: $183,250). Now that the COVID-19 Public Health Emergency has been declared over, that period of enforcement discretion is due to terminate.

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HIPAA Compliance Due Diligence COVID-19 106

AIHC

FEBRUARY 16, 2024

Because aspiration pneumonia is excluded from Centers for Medical & Medicaid Services (CMS) pneumonia mortality scores, the implicit conclusion is that a hospital can improve its public rating by coding its oldest and sickest patients with pneumonia as having aspiration pneumonia. Some say the COVID-19 lockdowns.

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Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

Because aspiration pneumonia is excluded from Centers for Medical & Medicaid Services (CMS) pneumonia mortality scores, the implicit conclusion is that a hospital can improve its public rating by coding its oldest and sickest patients with pneumonia as having aspiration pneumonia. Some say the COVID-19 lockdowns.

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Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

AUGUST 8, 2023

Because aspiration pneumonia is excluded from Centers for Medical & Medicaid Services (CMS) pneumonia mortality scores, the implicit conclusion is that a hospital can improve its public rating by coding its oldest and sickest patients with pneumonia as having aspiration pneumonia. Some say the COVID-19 lockdowns.

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COVID-19 Governance Hospitals Medicaid 40

Health Populi

JULY 13, 2021

As the COVID-19 pandemic shifts to a more endemic phase — becoming part of peoples’ everyday life for months to come — impacts on peoples’ mental health will persist, according to new research from CVS Health in the company’s annual Health Care Insights Study. adults in March 2021.

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COVID-19 Health Insurance Medicaid Medicaid 71

Healthcare IT News - Telehealth

DECEMBER 16, 2020

The insights also can help healthcare organizations navigate vaccine distribution, as well as the ebbs and flows of patient volumes due to COVID-19 in the year ahead, according to the new report. Healthcare right-sizes after the telemedicine explosion. “Quite a bit, it turns out.

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COVID-19 Hospitals Doctors Health Insurance 218

Healthcare Law Blog

JANUARY 10, 2022

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”). Additional Opportunities for Integration through State Medicaid Agency Contracts.

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Medicare Medicare COVID-19 Medicaid 98

New Jersey Healthcare Blog

JANUARY 12, 2022

103, which declared a Public Health Emergency for the state in response to COVID-19. 1846(a), the Department of Human Services, Division of Medical Assistance and Health Services published a notice of readoption of New Jersey Care … Special Medicaid Programs Manual. 10:69, AFDC-Related Medicaid, or 10:71, Medicaid Only.

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Licensing Medicaid Medicaid Nurses 40

Healthcare Law Blog

JANUARY 13, 2022

Let’s talk about fixing the huge American diabetes problem, providing better healthcare for Medicaid and dual eligible beneficiaries, and helping people beat cancer. All that, plus a COVID-19 thought exercise…. Making Medicaid Better and Physicians More Accessible: Cityblock Health and ZocDoc.

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COVID-19 Medicaid Medicaid Doctors 52