HIT Consultant

OCTOBER 21, 2024

Enhancing Health Outcomes for Older Adults through Uber Health and NationsBenefits Partnership The Uber Health and NationsBenefits partnership streamlines access to essential services, facilitating a seamless experience from booking to payment.

Health Outcomes 98

Health Outcomes Medicare Medicare 98

HIT Consultant

OCTOBER 17, 2024

Komodo Health’s National Drug Projections: Advancing Data-Driven Insights for Healthcare and Life Sciences Komodo Health, a leading technology platform, is redefining real-world data analytics by integrating artificial intelligence with the industry’s most comprehensive view of patient encounters.

Health Outcomes 98

Health Outcomes Medicare Medicare 98

Healthcare IT Today

FEBRUARY 20, 2023

That care will be enhanced by CVS Health’s community, home and digital offerings. Together with CVS Health, we will have access to greater resources and capabilities to expand the reach of our platform, provide more opportunities for our teammates and, most importantly, make a meaningful difference in the lives of the patients we serve.”

Medicare 97

Medicare Medicare Nurses Health Outcomes 97

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

COVID-19 98

COVID-19 Medicaid Medicaid Health Outcomes 98

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”). The Waiver Amendment was approved on January 9, 2024, by the Centers for Medicare & Medicaid Services (“CMS”) under Section 1115(a) of the Social Security Act and will expire on March 31, 2027.

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Medicaid Medicaid Medicare Medicare 52

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”). With a few exceptions, the Final Rule is a wholesale codification of the proposed rule.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

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

DECEMBER 12, 2022

The Centers for Medicare & Medicaid Services (CMS) Innovation Center continues to move forward with its “strategic refresh” initiative. Through this shift, CMS aims to examine and enhance payments for specialty care provided to Medicare beneficiaries. Value-Based Care and ACOs.

Medicare 52

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. Due to rapid growth of the 65-and-older portion of the population, Medicare expenditures are forecast to reach $1,559.4 – Continued increase in overall Medicare costs.

Medicare 52

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.

Medicare 40

Medicare Medicare Hospitals Medicaid 40

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. Two states have enacted such measures.

FDA 69

FDA Medicare Medicare Hospitals 69

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

Healthcare IT Today

JANUARY 12, 2023

Doing so creates exciting opportunities for personalized engagement, whole person care, precision medicine, and improved health outcomes. healthcare business will grow from $2b to $12b by 2025. Craig Worland, Chief Development Officer at Southeast Primary Care Partners. Walgreens has stated that its U.S.

Hospitals 87

Hospitals COVID-19 Medicare Medicare 87

HIT Consultant

NOVEMBER 20, 2024

Challenges in Employer-Provided Healthcare Employers face significant barriers in healthcare, including: – Cost: US employers spend over $800 billion annually, often paying hospitals nearly three times Medicare rates. increase projected for 2025. – Cost Efficiency: Prices within the network are at or below Medicare levels.

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Doctors Nurses Medicare Medicare 97

Healthcare IT News - Telehealth

NOVEMBER 2, 2021

Based on work with a number of organizations , including Halodoc, Doctor Anywhere and Doctor Raskam, we've seen telehealth driving better health outcomes in several ways. There are currently 11 petabytes of data on the platform, and this is expected to grow to 40 petabytes by 2025. In the U.S.,

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COVID-19 Telemedicine Doctors Hospitals 218

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.

Medicaid 71

Medicaid Medicaid COVID-19 Federal Policy 71

Healthcare IT Today

JANUARY 5, 2024

A population health-based approach that incorporates social determinants of health and sexual orientation and gender identity will significantly improve community health outcomes. It showcases a growing patient preference for healthcare providers that prioritize value and outcomes. Improving the cancer journey.

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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. The Medicare Trust Fund is financed by payroll taxes, general tax revenue, and the premiums enrollees pay. of the U.S. of the U.S.

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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.

Medicaid 52

Medicaid Medicaid ACA Medicare 52

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. The guidance goes into effect February 24, 2025. health care costs by $38B annually.

Hospitals 40

Hospitals Nursing Homes COVID-19 Vaccine COVID-19 40

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”). Refining Definitions for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

HIT Consultant

AUGUST 5, 2024

Department of Health and Human Services (HHS) announced the final rule for Medicare payments and policies for inpatient hospitals and long-term care hospitals (LTCHs) for fiscal year (FY) 2025. The FY 2025 IPPS and LTCH PPS final rule can be downloaded from the Federal Register at: [link]

Medicare 52

Medicare Medicare Hospitals COVID-19 52

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.

Nurses 94

Nurses Medicare Medicare Medicaid 94

AIHC

AUGUST 13, 2024

It applies to health programs and activities that receive federal financial assistance, known as covered entities. The Final Rule does not apply to employment practices, including the provision of employee health benefits. Reporting Requirements : Establish guidelines for reporting discrimination and health outcomes.

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Compliance ACA Health Insurance Medicaid 52

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).

Medicare 59

Medicare Medicare Medicaid Medicaid 59

HIT Consultant

APRIL 21, 2025

Medicaid is by far the largest payer of LTSS, followed by Medicare, with private insurers accounting for a much smaller sliver. How does Medicaid address the mental health needs of its beneficiaries? What are some of the key initiatives or programs that have shown success in improving mental health outcomes?

Medicaid 59

Medicaid Medicaid Health Outcomes COVID-19 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. Did it work?

Nursing Homes 40

Nursing Homes Nurses Hospitals Fraud 40

Hall Render

FEBRUARY 23, 2024

See Latest Data RHODE ISLAND Lifespan’s primary care group transitions to Epic Teenage Depression Rates in Rhode Island Prompt ‘Crisis’ Rhode Island native’s AI company helping predict patient health outcomes Coastal Medical switches to Lifespan’s electronic health record R.I.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Hall Render

AUGUST 23, 2024

renovation Maryland nursing home under historic oversight after state investigation This MD Hospital Listed Among Americas Greatest In New List Black-owned Laurel radiology practice sues UM Medical System alleging unfair bidding practices MASSACHUSETTS A closer look at the health systems trying to buy Steward’s Mass. 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

renovation Maryland nursing home under historic oversight after state investigation This MD Hospital Listed Among Americas Greatest In New List Black-owned Laurel radiology practice sues UM Medical System alleging unfair bidding practices MASSACHUSETTS A closer look at the health systems trying to buy Steward’s Mass. 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

Nursing Homes 40

Nursing Homes Fraud Nurses Hospitals 40

Hall Render

NOVEMBER 17, 2023

million Staff shortages hit Medicare Advantage stars, Kaiser exec says Sutter Health slips to 0.1% million Staff shortages hit Medicare Advantage stars, Kaiser exec says Sutter Health slips to 0.1% Luke’s Hospital CEO to exit WakeMed and Humana contract dispute could last ‘well into 2024’.

Nursing Homes 40

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

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Hall Render

MAY 19, 2023

Anthony Regional Hospital Pursues Critical Access Hospital Designation To Strengthen Long-Term Viability UI Health Care ranks second in most trusted healthcare brands University of Iowa eyes consultant to assess value of other health care entities U.S.

COVID-19 40

COVID-19 Nurses Hospitals Nursing Homes 40

Hall Render

DECEMBER 15, 2023

NATIONAL AHA pushes back on HHS proposal to penalize hospitals for cyberattacks AHA urges Congress to oppose H.R. Newsom seeks changes to California’s new healthcare wage law Prime completes California hospital sale Rare disease tech company was rolled up two years ago.

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 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. CALIFORNIA 8 ASCs opening in Florida, California and New York A bankrupt California hospital left a health care desert.

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.

Medicaid 52

Medicaid Medicaid Health Outcomes Medicare 52