Health Care Law Brief

FEBRUARY 2, 2024

On Tuesday, January 16, 2024, Governor Kathy Hochul released the SFY 2025 New York State Executive Budget (“Executive Budget”). 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

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Medicaid Medicaid Medicare Medicare 52

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 CMS AI Health Outcomes Challenge. ? Empowering The Data Science Team. The push toward value-based care is significant. Won the historic healthcare AI contest: $1.6M

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COVID-19 Medicaid Medicaid Health Outcomes 98

Healthcare IT Today

MAY 25, 2023

More practices are adopting RPM programs because of the increasing patient acceptance of virtual care models, widespread reimbursement from CMS as well as private payers and Medicaid plans , and decreased cost of connected devices. And, by 2025, more than 70 million U.S. patients – 26.2%

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Electronic Medical Records COVID-19 Doctors Medicaid 115

Healthcare IT News - Telehealth

AUGUST 9, 2023

We interviewed Bronwyn Spira, CEO and cofounder of Force Therapeutics, a vendor of a digital care management platform, to offer a deep dive into RTM and explain how it can improve health outcomes. Please explain what remote therapeutic monitoring is and how it has come to the fore. As CMS continues to transition the U.S.

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COVID-19 Hospitals Doctors Medicaid 147

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”).

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Medicare Medicare Medicaid Medicaid 52

Healthcare Law Blog

DECEMBER 12, 2022

The Centers for Medicare & Medicaid Services (CMS) Innovation Center continues to move forward with its “strategic refresh” initiative. Value-based care is a healthcare reimbursement payment methodology based on health outcomes and the quality of care rendered to the patient. Value-Based Care and ACOs.

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Medicare Medicare Medicaid Medicaid 52

HIT Consultant

AUGUST 15, 2022

Approximately 42% of Medicare beneficiaries are enrolled in Medicare Advantage plans—a segment projected to reach 46% by 2025. – Innovation-driven initiatives from the Centers for Medicare & Medicaid Services (CMS). . – Innovation-driven initiatives from the Centers for Medicare & Medicaid Services (CMS).

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Medicare Medicare Medicaid Medicaid 52

Hall Render

MAY 10, 2024

On April 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) announced its plan to implement the Transforming Episode Accountability Model (“TEAM”), a new mandatory alternative payment model unveiled as part of the 2025 Hospital Inpatient Prospective Payment System proposed rule.

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Jane Sarashon

DECEMBER 13, 2021

We can turn now to the Global Wellness Institute’s latest forecast on the world market for wellness, which GWI expects will hit a $7 trillion market in 2025. In early December, FarmBoxRx was the first online grocer to be approved to channel food to SNAP/EBT recipients as payment from Medicare and Medicaid.

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COVID-19 Public Health Governance Medicaid 65

Redox

OCTOBER 12, 2023

These enhancements have the potential to not only reduce provider costs, but also prevent errors, advance treatments, and improve health outcomes. AI’s superpower lies in its ability to intelligently mine insights from the exponential amount of health data that is generated every second.

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FDA Medicare Medicare Hospitals 69

Healthcare IT Today

FEBRUARY 6, 2025

Advocacy efforts could include sharing patient stories, presenting evidence-based recommendations, and emphasizing how certain policy decisionsor the lack thereofaffect patient care and health outcomes. Health equity, beyond being an ethical imperative, should be viewed as a long-term investment.

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Medicaid Medicaid COVID-19 Federal Policy 71

Healthcare IT Today

JANUARY 5, 2024

To accelerate meaningful progress of value-based care in 2024, organizations will expand on their commitment to transcend health and gender inequities and engage marginalized populations largely through more proactive community-based outreach and care coordination. The 2020s are the years of Medicaid standardization.

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Nurses Medicare Medicare Medicaid 104

Health Populi

JULY 13, 2020

The Consumer Technology Association (CTA) collaborated with The Economist Intelligence Unit (EIU) on the research report, Reinvigorating Value-Based Health Care: Exploring the Role of Technology Innovation. National Health Expenditures are expected to consume 19.7% of the U.S. That would be $1 in every $5 of the American economy.

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COVID-19 Medicare Medicare Hospitals 110

Healthcare Law Blog

DECEMBER 11, 2023

1] These modifications are intended to further the Biden Administration’s goals of advancing health equity by addressing disparities in access to quality care while minimizing administrative burdens and ensuring program integrity. Reducing the risk adjustment user fee for 2025 from $0.21 for Medicare & Medicaid Servs.

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Medicaid Medicaid ACA Medicare 52

HIT Consultant

FEBRUARY 24, 2025

From automating administrative tasks to revolutionizing diagnostics and treatment, AI is poised to reshape the healthcare landscape in 2025. We’ve gathered insights from leading healthcare executives and innovators to provide a glimpse into the key trends and discussions expected to dominate HIMSS25.

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US Department of Health and Human Services Hospitals Governance Medicaid 75

Hall Render

DECEMBER 6, 2024

A study by Oregon Health & Science University found increased housing and food insecurity among Medicaid and Medicare recipients during the COVID-19 pandemic, which also correlated with poorer health outcomes. Oregon’s Medicaid program now provides rental and utility assistance to beneficiaries.

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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”).

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Medicare Medicare COVID-19 Medicaid 98

Healthcare IT Today

JANUARY 9, 2025

As we wrap up another year and get ready for 2025 to begin, it is once again time for everyone’s favorite annual tradition of Health IT Predictions! Check out the community’s predictions down below and be sure to follow along as we share more 2025 Health IT Predictions ! Deb Jones, Sr.

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Nurses Medicare Medicare Medicaid 94

AIHC

AUGUST 13, 2024

Those covered by the rule may include hospitals, health clinics, health insurance issuers, state Medicaid agencies, community health centers, physicians’ practices, and home health care agencies. The Final Rule does not apply to employment practices, including the provision of employee health benefits.

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Compliance ACA Health Insurance Medicaid 52

HIT Consultant

APRIL 21, 2025

Gary Jessee, Senior Vice President, National Consulting at Sellers Dorsey Medicaid plays a vital role in the American healthcare system, providing coverage for millions of vulnerable individuals. Can you provide specific examples of the unique services Medicaid covers that commercial payers typically don’t?

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Medicaid Medicaid Health Outcomes COVID-19 59

Healthcare Law Blog

NOVEMBER 13, 2023

On November 6, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released the contract year 2025 proposed rule for Medicare Advantage (“MA”) organizations and Part D sponsors (the “Proposed Rule”). The UM committee was established in April 2023 in the 2024 Medicare Advantage and Part D Final Rule (CMS-4201-F).

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Medicare Medicare Medicaid Medicaid 59

Hall Render

DECEMBER 20, 2024

operating margin in Q3 Ahead of anticipated AZ nursing shortage, NAU’s College of Nursing graduates first cohort IV fluid shortage still impacting southern Arizona hospitals Whos Who in Arizona Healthcare for 2025 ARKANSAS Arkansas hospital hit with immediate jeopardy warning amid leadership turmoil CHI St.

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Nursing Homes Nurses Hospitals Fraud 40

Hall Render

FEBRUARY 23, 2024

CT’s Medicaid reimbursement rates lower than peer states: report Better safety training, reporting, escorts for CT home health care workers focus of new legislation D.C. Acquisition of BCBSLA Paused a Second Time It was the biggest health care deal in Louisiana history. What they say sets them apart.

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Nursing Homes Nurses Hospitals Medicaid 40

Hall Render

AUGUST 23, 2024

hospital, university working to fight ambulance staff shortage Purchase of Wadley Regional Medical Center in Hope, Ark., hospital, university working to fight ambulance staff shortage Purchase of Wadley Regional Medical Center in Hope, Ark., Vincent Heart Center ranked No. 1 in Indiana, No.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

AUGUST 26, 2024

hospital, university working to fight ambulance staff shortage Purchase of Wadley Regional Medical Center in Hope, Ark., hospital, university working to fight ambulance staff shortage Purchase of Wadley Regional Medical Center in Hope, Ark., Vincent Heart Center ranked No. 1 in Indiana, No.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

JANUARY 3, 2025

in Medicare fraud settlement 10 behavioral health policy changes taking effect in 2025 An uncertain era for Stark law: 12 updates in 2024 CMS launches campaign to support nursing home staffing rule CMS taps 4 states for behavioral innovation model: 5 things to know Epic files to dismiss antitrust lawsuit Healthcare company to pay $15.2

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Nursing Homes Fraud Nurses Hospitals 40

Hall Render

NOVEMBER 17, 2023

to expand behavioral health services Michigan teaching hospital to bring in consultants amid debt covenant breach Trinity Health to grow West Michigan orthopedic practice after settling federal lawsuit Healthcare giant McLaren reveals data on 2.2 quarterly loss; CEO outlines expansion plans Temple’s Fox Chase Cancer Center awarded $13.3

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Nursing Homes Nurses Hospitals Doctors 40

Hall Render

JANUARY 10, 2025

A new state-sponsored group will help. UCHealth to use war medical tactic to help save lives in Northern Colorado New Northern Colorado program delivers whole blood to patients in the field CONNECTICUT $1.9

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Nursing Homes Nurses Hospitals Doctors 40

Hall Render

DECEMBER 15, 2023

s Vanda Pharmaceuticals pays $100M for commercial rights to Johnson & Johnson company’s drug Hundreds of DC’s Medicaid nursing home patients sent to Maryland Medical facility in DC’s Ward 8 gets $22.5M NATIONAL AHA pushes back on HHS proposal to penalize hospitals for cyberattacks AHA urges Congress to oppose H.R.

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

MAY 19, 2023

Vincent Healthcare nearing completion of Billings West End expansion ‘It takes time to turn the ship’: Billings Clinic CEO addresses budget shortfall progress Judge blocks enforcement of 15-week abortion restriction Montana is vying for federal funding for behavioral health services Rocky Boy Health Center to get new $11.3

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COVID-19 Nurses Hospitals Nursing Homes 40

Hall Render

FEBRUARY 16, 2024

CALIFORNIA 8 ASCs opening in Florida, California and New York A bankrupt California hospital left a health care desert. The health system’s prices are already high. medical office sale in Bridgewater Low pay in primary care is leading to a care crisis in New Jersey N.J.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

HIT Consultant

DECEMBER 9, 2024

Lucienne Ide, MD, PhD, Founder and CEO of Rimidi The Centers for Medicare and Medicaid Services (CMS) update to the 2025 Physician Fee Schedule includes a measure that holds significant promise for advancing cardiovascular disease management.

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Medicaid Medicaid Health Outcomes Medicare 52

Hall Render

MARCH 15, 2024

of Labor projects 6000 health care job openings per year Negotiations between Local 17 Nurses and Providence St. of Labor projects 6000 health care job openings per year Negotiations between Local 17 Nurses and Providence St. Patrick Hospital to take place at later date St.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

SEPTEMBER 13, 2024

cancer care investment at West Michigan hospital University foundation sells former Michigan hospital for $2.5M cancer care investment at West Michigan hospital University foundation sells former Michigan hospital for $2.5M Here’s why.

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US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Hall Render

NOVEMBER 8, 2024

to expand into Kent County Michigan health system selected as new owner of Warren hospitals Michigan hospitals plan merger Novant & Ascension offload ASCs Ontonagon Twp. Angie Longing Named President of CHI St. Angie Longing Named President of CHI St. Verdict Against Fla. on new ideas at gleaming new Helix tower Rutgers U gets $47.5M

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Nursing Homes US Department of Health and Human Services Nurses Hospitals 40

Hall Render

JANUARY 31, 2025

’s Vanda Pharmaceuticals battling FDA on multiple fronts Howard University physician group taps insider to be next CEO Deadline approaching for DC’s health care exchange D.C. What to know Lee Health breaks ground on new Fort Myers health care campus Marcus & Millichap Facilitates $23.4M

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US Department of Health and Human Services Nursing Homes Nurses Medicaid 40

Hall Render

MARCH 28, 2025

’s ‘Scorched-Earth’ Sanctions Bid YNHH hands out 150 pink slips at Northeast Medical Group s DC Ascension’s Providence Hospital shut down its urgent care center. Johns BayCare improved operating margin to 9.6%

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US Department of Health and Human Services Nurses Nursing Homes Hospitals 40