Healthcare Dive

APRIL 25, 2024

Despite business growth in the first quarter, Molina reiterated its prior 2024 guidance out of caution that it won’t be able to reprocure the contested contracts.

Medicaid 173

Medicaid Medicaid 173

Healthcare Dive

NOVEMBER 14, 2023

in the 2024 fiscal year — the largest year-over-year drop since 1998, according to KFF. Enrollment in the safety-net insurance program could plummet 8.6%

Medicaid 173

Medicaid Medicaid 173

Fierce Healthcare

JANUARY 18, 2024

2024 | This week, Humana announced workforce reductions, a study associated Medicaid expansion with reduced lung cancer mortality and Bright Health moved its corporate headquarters. Below is a round-up of payer-centric news for the week of Jan.

Medicaid 115

Medicaid Medicaid 115

Fierce Healthcare

MAY 10, 2024

Below is a roundup of payer-centric news headlines you may have missed during the month of May 2024. This month, Iowa signed into a law a postpartum Medicaid expansion, L.A. Care Health commited $3 million to providers, Aetna settled a lawsuit alleging fertility discrimination, a former NBA champion was sentenced to prison and more.

Medicaid 111

Medicaid Medicaid 111

Fierce Healthcare

SEPTEMBER 26, 2023

Expect premiums, benefits and plan choices for Medicare Advantage (MA) and the Medicare Part D prescription drug program to look similar in 2024, the Centers for Medicare & Medicaid Services (C | CMS announced that nearly three-quarters of MA plan beneficiaries will not see their premiums rise.

Medicare 119

Medicare Medicare Medicaid Medicaid 119

HIT Consultant

JULY 16, 2024

Anish Sebastian, CEO and Co-founder, Babyscripts A discussion of technology and the Medicaid population inevitably raises the topic of the digital divide — that is, the gap between people who have access to modern information and communications technology (ICTs) and those who don’t. “We But there’s a lot of reasons to be optimistic.

Medicaid 105

Medicaid Medicaid Health Insurance Health Outcomes 105

Center for Health Insurance Reform

OCTOBER 19, 2023

A number of new and ongoing policy changes will impact the Marketplace in 2024, including special enrollment opportunities tied to the Medicaid “unwinding,” continuing enhanced financial assistance, and administrative flexibilities designed to reduce barriers to enrollment.

ACA 104

ACA Medicaid Medicaid Health Insurance 104

HealthIT Answers

AUGUST 29, 2023

By Chris Emper - On July 13, the Centers for Medicare & Medicaid Services released a 1,920-page proposed rule that would update payment policies and programs regarding Medicare payments to physicians and other providers under the Physician Fee Schedule on or after January 1, 2024.

Medicare 111

Medicare Medicare Medicaid Medicaid 111

Center for Health Insurance Reform

JUNE 3, 2022

Beginning in 2023, CMS will require QHP provider networks for plans sold on the federal marketplace to meet minimum time-and-distance standards and, beginning in 2024, minimum standards for appointment wait times.

Medicaid 98

Medicaid Medicaid Health Insurance 98

Healthcare IT Today

JANUARY 4, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. We believe that trend will accelerate further in 2024 as obesity medication options and supply grow. In 2024, nurse leaders will drive the paradigm shift toward AI-enabled virtual nursing.

Nurses 96

Nurses Medicaid Medicaid Medicare 96

Healthcare IT Today

JANUARY 5, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. With legislation currently being drafted for nurses to receive the same reimbursement doctors and physicians do, this will likely become a top-of-mind topic in 2024.

Nurses 105

Nurses Medicare Medicare Medicaid 105

Healthcare IT Today

JANUARY 16, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. Florian Otto, CEO and Co-founder at Cedar Healthcare Affordability: Healthcare affordability will always be a problem, and it remains to be seen if 2024 will be better or worse than 2023.

Doctors 102

Doctors Hospitals Health Outcomes Patient Satisfaction 102

MedTrainer

JANUARY 10, 2024

It’s that time of the year to check your records for 2023 compliance deficiencies and set your organization up for success in 2024. Release of Industry-Specific Compliance Program Guidance (ICPG) is anticipated in 2024. It may seem a little early to do some spring cleaning, but not when it comes to compliance!

Compliance 94

Compliance Fraud HIPAA Compliance Officers 94

Healthcare IT Today

JANUARY 10, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. Jason Considine, Chief Commercial Officer at Experian Health Staffing shortages will continue to be a major pain point for providers in 2024 and have a direct impact on their bottom line. Morgenstern.

US Department of Health and Human Services 100

US Department of Health and Human Services Nurses Hospitals Telemedicine 100

Compliance Now

AUGUST 10, 2023

As background, according to federal Health Insurance Portability and Accountability Act (HIPAA) rules, individuals have 60 days from losing CHIP and Medicaid eligibility to elect coverage under their group plan. The real potential of this number growing daily is what has prompted the Agencies to issue this “request.”

Medicaid 100

Medicaid Medicaid Compliance COVID-19 100

Compliance Now

AUGUST 10, 2023

As background, according to federal Health Insurance Portability and Accountability Act (HIPAA) rules, individuals have 60 days from losing CHIP and Medicaid eligibility to elect coverage under their group plan. The real potential of this number growing daily is what has prompted the Agencies to issue this “request.”

Medicaid 100

Medicaid Medicaid Compliance COVID-19 100

HIT Consultant

APRIL 19, 2024

Medicare providers in hospitals and skilled nursing facilities (SNFs) are adjusting to new split/shared services documentation and billing regulations rolled out by the Centers for Medicare and Medicaid Services (CMS) as part of the 2024 Medicare Physician Fee Schedule (MPFS) final rule.

Nurses 102

Nurses Medicare Medicare Medicaid 102

Fierce Healthcare

JULY 13, 2023

The Centers for Medicare & Medicaid Services has released its proposed Medicare payment rates and policy updates under the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory S | The CY 2024 OPPS and ASC Payment System Proposed Rule includes a 2.8%

Payment Systems 98

Payment Systems Medicare Medicare Medicaid 98

Center for Health Insurance Reform

MARCH 31, 2023

With the twin goals of building on the enrollment gains and improving the consumer experience, the Centers for Medicare & Medicaid Services (CMS) has proposed an annual set of requirements. Stakeholder Perspectives on CMS’s 2024 Notice of Benefit and Payment Parameters: Health Insurers

Health Insurance 97

Health Insurance ACA Medicaid Medicaid 97

HIT Consultant

SEPTEMBER 27, 2024

Power 2024 U.S. Power 2024 U.S. The data is based on responses from 4,070 healthcare customers who utilized telehealth services in the past year, collected between September 2023 and July 2024. Telehealth Satisfaction Study. Study Background/Methodology The J.D.

Patient Satisfaction 105

Patient Satisfaction Medicaid Medicaid Public Health 105

Healthcare IT Today

JANUARY 14, 2024

The American Telehealth Association announced its policy priorities for 2024 ; they include making Medicare telehealth flexibilities permanent before the end of the year and removing the in-person requirement for the remote prescribing of controlled substances. Wellness app Vivoo launched an at-home digital UTI test.

Medicaid 97

Medicaid Medicaid FDA Medicare 97

Fierce Healthcare

JUNE 4, 2024

SCAN Health Plan secured a court victory Monday when a federal judge agreed that the Centers for Medicare & Medicaid Services (CMS) inappropriately calculated its star ratings for the 2024 plan | SCAN Health Plan secured a court victory Monday when a federal judge agreed that the Centers for Medicare & Medicaid Services inappropriately calculated (..)

Medicare 119

Medicare Medicare Medicaid Medicaid 119

Healthcare It News

OCTOBER 31, 2022

With the Centers for Medicare & Medicaid Services mandating hospitals be ready to report on SDOH screening quality in 2024, a multi-stakeholder effort to advance an FHIR-based approach is needed to help providers meet CMS requirements, according to HL7 CEO Dr.

Licensing 305

Licensing Medicaid Medicaid Health Outcomes 305

Fierce Healthcare

JULY 26, 2024

Centene beat the Street even as Medicaid redeterminations pose a significant headwind heading into the back half of 2024, according to its

Medicaid 75

Medicaid Medicaid 75

Healthcare IT Today

JANUARY 8, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. There is a growing interest in the integration of safety services with technology, and this will continue into 2024. In fact, we got so many that we had to narrow them down to just the best and most interesting.

Pharmaceutical Industry 93

Pharmaceutical Industry Due Diligence Compliance Regulatory Compliance 93

Healthcare It News

APRIL 5, 2024

During open enrollment for the 2024 plan year, the AI agent handled 14.5% of calls to affiliated brokers or Nevada Medicaid – about 2,100 additional calls. of the call center's demand, approximately 2,700 calls. Also, it transferred another 9.6%

US Department of Health and Human Services 275

US Department of Health and Human Services Medicaid Medicaid Hospitals 275

Healthcare IT Today

MARCH 9, 2024

Read more… Bonus Features for March 3, 2024: 75% of healthcare leaders expect widespread implementation of AI in 3 years, yet 78% of orgs lack knowledge on how to train employees to use AI. Dina raised $7 million in Series B funding ; the company supports network management for Medicare Advantage and Managed Medicaid.

Medicaid 96

Medicaid Medicaid Medicare Medicare 96

Compliancy Group

DECEMBER 18, 2024

In just the first three quarters of 2024, 155 providers have been added to the Texas Health and Human Services Commission Medicaid exclusion list. Over 4 million people in Texas are covered by Medicaid, and the Texas OIG exclusion list provides protection for each of them, as well as for healthcare facilities.

Medicaid 52

Medicaid Medicaid Compliance HIPAA 52

Modern Healthcare

JULY 31, 2023

Skilled nursing faciltiies will receive a higher Medicare pay bump in fiscal 2024 than proposed by the Centers for Medicare and Medicaid Services in April.

Nursing Homes 80

Nursing Homes Medicare Medicare Nurses 80

HIT Consultant

NOVEMBER 22, 2024

Expand Medicaid: Establish a federal fallback option to cover the millions of uninsured individuals in states that have not expanded Medicaid. Promote Continuous Coverage: Allow states to maintain continuous Medicaid eligibility for adults for 12 months to prevent gaps in coverage.

ACA 98

ACA Health Insurance Medicaid Medicaid 98

Fierce Healthcare

NOVEMBER 4, 2024

Days before the 2024 presidential election, the Centers for Medicare & Medicaid Services (CMS) released an unpublished version of the final calendar year 2025 physician fee schedule final rule | Digital therapeutics, telehealth, rural heath clinics and opioid treatment programs all got updates in the final 2025 Medicare physician fee schedule rule, (..)

Medicare 127

Medicare Medicare Medicaid Medicaid 127

Fierce Healthcare

AUGUST 2, 2024

Chutes & Ladders—Nevada BCBS Medicaid taps president; Cleveland Clinic hires AI officer; Bamboo Health brings on executives ebeavins Fri, 08/02/2024 - 09:57

Medicaid 69

Medicaid Medicaid 69

Healthcare It News

OCTOBER 25, 2022

With those flexibilities due to sunset 151 days after the federal Public Health Emergency expires, HIMSS is calling on its members to contact their senators and representatives and urge them to extend coverage of telehealth services under Medicare until at least December 31, 2024.

COVID-19 252

COVID-19 Medicaid Medicaid Public Health 252

Fierce Healthcare

NOVEMBER 1, 2023

Centers for Medicare & Medicaid Services (CMS) released a rule Wednesday that increases the 2024 home health payments by 0.8%, or $140 million. | CMS' new proposed rule will increase home health payments by 0.8%, or $140M, among other changes.

Medicaid 119

Medicaid Medicaid Medicare Medicare 119

Fierce Healthcare

JANUARY 29, 2024

In 2024, 50 accountable care organizations are new to the Medicare Shared Savings Program and 71 ACOs renewed participation, according to new numbers released by Centers for Medicare & Medicaid | CMS released new data Monday showing ACO participation in the Medicare Shared Savings Program, with 19 ACOs set to participate in a new payment option, (..)

Medicare 111

Medicare Medicare Medicaid Medicaid 111

Modern Healthcare

MARCH 31, 2023

The Centers for Medicare and Medicaid Services proposed a 2.8% increase in hospice payments for fiscal 2024, which would amount to $720 million across the sector.

Medicaid 112

Medicaid Medicaid Medicare Medicare 112

Healthcare IT Today

MAY 9, 2024

In order to get a good range of insights and opinions on what threats and opportunities health IT leaders should be looking out for, we reached out to our incredibly talented Healthcare IT Today Community while at ViVE 2024. The following video is a compilation of their answers!

Nurses 124

Nurses Hospitals Medicaid Medicaid 124