Healthcare IT Today

SEPTEMBER 26, 2024

This shift places health plans at the core of the healthcare experience, requiring them to adapt to the evolving member expectations. By 2027, the full integration of HEI will impact Star Ratings, pushing health plans to address health disparities more aggressively.

Health Outcomes 68

Health Outcomes Medicare Medicare Medicaid 68

Health Care Law Brief

FEBRUARY 2, 2024

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. billion in Medicaid investments over the next three years. Instead, such costs will be covered by the state. CMS has authorized up to $2.2

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

NY Health Law

FEBRUARY 13, 2024

On January 9, 2024, the federal Centers for Medicare and Medicaid Services (CMS) finally approved New York State’s 1115 waiver amendment to establish the New York Health Equity Reform (NYHER) Program. The waiver amendment authorizes up to $2.2 The actual Medicaid Hospital Global Budget Model to be used remains to be approved by CMS.

Medicaid 52

Medicaid Medicaid Nurses Medicare 52

HIT Consultant

MAY 1, 2023

Within DTx, the emergence of precision engagement is a development that holds great promise, especially for chronic conditions where day-to-day choices and behaviors have a significant impact on health outcomes—conditions like diabetes, obesity, and hypertension. billion in 2027. billion in 2020 to nearly $16.3

Health Outcomes 85

Health Outcomes Medicare Medicare Telemedicine 85

Healthcare Law Blog

APRIL 6, 2022

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). This option is available for five years and ends on March 31, 2027.

Medicaid 52

Medicaid Medicaid ACA Public Health 52

Healthcare IT Today

JANUARY 5, 2023

Transparent, useful, ethical AI will create better health outcomes for everyone. According to a recent industry survey by Sunwave Health, 91% of behavioral health providers said they experience moderate to severe staffing shortages. health expenses by 2027, thanks to rising labor and supply costs.

Nurses 104

Nurses Hospitals Licensing Health Outcomes 104

HIT Consultant

JANUARY 17, 2024

– Public reporting: Similar to Medicare FFS, impacted payers must report prior authorization metrics, increasing transparency and accountability. – Clearer communication: All payers must provide specific reasons for denial, allowing for easier resubmissions or appeals.

Compliance 89

Compliance Health Outcomes Nurses Doctors 89