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This article was updated with additional comments. The Kaiser Family Foundation recently looked at state trends with regard to expanding access to telehealth-based behavioral care during the pandemic and found that states see telemedicine as a key component of maintaining access to behavioral healthcare for Medicaid enrollees.
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.
This article is copyrighted strictly for Electronic Health Reporter. 1, 2020, the Centers for Medicare and Medicaid Services (CMS) released its final ruling on policy and payment changes to the Medicare Physician Fee Schedule […]. Illegal copying is prohibited.
This article is copyrighted strictly for Electronic Health Reporter. The Centers for Medicare and Medicaid Services (CMS) in recent months predicted both lower premiums and richer benefits for Medicare Advantage (MA) […]. Illegal copying is prohibited.
A full posting of abstracts/summaries of these articles may be found on our? Associations Between Copays, Coverage Limits for Naloxone, and Prescribing in Medicaid. Daval CJR, Avorn J, Kesselheim AS. Holding Pharmaceutical and Medical Device Executives Accountable as Responsible Corporate Officers. JAMA Intern Med. 2022 Sep 19.
As artificial intelligence rapidly makes inroads in healthcare, federal agencies already have the authority to regulator AI at the hospital bedside, according to some healthcare researche | An article published in JAMA Health Forum argues that through the conditions of participation in Medicare and Medicaid, CMS has the authority to oversee how hospitals (..)
The Centers for Medicare and Medicaid Services (CMS) Medicare Advantage Risk Adjustment Data Validation (RADV) audit season peaks from March through April every year. View Full Article Health information (HI) professionals nationwide anticipate a looming tsunami of payer requests for medical records.
This article is copyrighted strictly for Electronic Health Reporter. Maven, the largest telemedicine provider for women’s and family health, announced a new partnership with MassHealth, the Massachusetts, Medicaid and the Children’s Health Insurance Program. Illegal copying is prohibited.
Accurate, properly documented, interoperable patient data is required to achieve CMS’s goal for 100 percent of Medicare (and the majority of Medicaid) beneficiaries to be enrolled in some type of accountable, or value-based, care arrangement by 2030. View Full Article
The CURES Act mandates the use of electronic visit verification, or EVV, for all Medicaid-funded personal care services. The article Choosing the Right Electronic Visit Verification Solution for Your Home Care Agency appeared first on electronichealthreporter.com.
This article is copyrighted strictly for Electronic Health Reporter. The Centers for Medicare and Medicaid Services (CMS) has made no secret of its intentions to crack down on fraud, abuse, and waste, throwing more budget dollars into audits, heightening program […]. Illegal copying is prohibited. By Dana Finnegan, MDaudit.
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. The Mississippi Division of Medicaid chose HHAeXchange and FEI Systems to build an electronic visit verification system for the state.
This article will explore the development of Food is Medicine and its limitations, and briefly offer recommendations for successful Food is Medicine initiatives. Some states have implemented initiatives to integrate Food is Medicine into Medicaid , which can be valuable to expand access to broader groups of the population.
A full posting of abstracts/summaries of these articles may be found on our? Medicaid Expenditures and Estimated Rebates on Line Extension Drugs, 2010-2018. Bakker E, Hendrikse NM, Ehmann F, van der Meer DS, Llinares Garcia J, Vetter T, Starokozhko V, Mol PGM. Hwang TJ, Vokinger KN. Lancet Oncol. 2022 Feb;23(2):e58. PMID: 35114127.
The following is a guest article by Ashley Perry, MPH, Chief Strategy and Solutions Officer at Socially Determined When Congress passed the Consolidated Appropriations Act of 2023 , it decoupled the Public Health Emergency (PHE) from the Medicaid program’s continuous enrollment provision, which was implemented as part of the PHE in March 2020.
Introduction The landscape of Medicare and Medicaid billing for behavioral health services has undergone significant changes recently. This article discusses the latest changes, providing a comprehensive guide to navigating the evolving billing landscape. All rights reserved.
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Welcome to the weekly edition of Healthcare IT Today Bonus Features. The program is supported by funding from the FCC’s Affordable Connectivity Program.
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A full posting of abstracts/summaries of these articles may be found on our? Medicaid Spending on Antiretrovirals from 2007-2019. Brown BL, Mitra-Majumdar M, Darrow JJ, Moneer O, Pham C, Avorn J, Kesselheim AS. Fulfillment of Postmarket Commitments and Requirements for New Drugs Approved by the FDA, 2013-2016. Value Health.
A full posting of abstracts/summaries of these articles may be found on our website. Market dynamics of authorized generics in Medicaid from 2014 to 2020. medical device regulation, to a review of price negotiation processes in peer countries and potential lessons for Medicare price regulation. 2023 Feb 25;S0012-3692(23)00301-X.
A full posting of abstracts/summaries of these articles may be found on our website. Anticipated efficiencies, real costs: Medicaid managed care organizations and the pharmacy benefit. Bendicksen L, Kesselheim AS. J Manag Care Spec Pharm. 2022 Mar;28(3):354-361. Dhruva SS, Darrow JJ, Kesselheim AS, Redberg RF.
In addition to highlighting the Patient’s Bill of Rights, NABIP’s keynotes and general sessions will speak to similar topics being brainstormed at VIVE this week — including mental health, maternal health, pharmacy and prescription drugs (pricing, PBMs), population health, and Medicare and Medicaid innovations.
The following is a guest article by Shannon West, Chief Product Officer at Datavant Since the dawn of electronic medical records, American healthcare delivery systems have traced a winding path toward the dream of seamless and timely health data interoperability.
The following is a guest article by Nick Barger, PharmD, Vice President, Product at DrFirst. This article is the fourth in the Healthcare Regulatory Talk series. Check out all the articles in the Healthcare Regulatory Talk series. DrFirst is a proud sponsor of Healthcare Scene.
This article is copyrighted strictly for Electronic Health Reporter. The article Regulatory Compliance For Healthcare Organizations appeared first on electronichealthreporter.com. Illegal copying is prohibited. By Jordan MacAvoy, vice president of marketing, Reciprocity Labs.
I recently wrote an article titled “Revenue Integrity: How to Reduce Costs and Retain Revenue” where I provided several tips on how to assess costs and resources and how to better prepare for audits to avoid denials. Maintaining and managing audits is one of the most time-consuming yet critical parts to ensure revenue integrity.
A full posting of abstracts/summaries of these articles may be found on our website. Inflationary Rebates For Generic Drugs Sold Through Medicaid Saved Billions During 2017-20. Cliff ERS, Kesselheim AS, Feldman WB. Ensuring Ethical Postprogression Therapy for Patients in Randomized Trial Control Arms. J Clin Oncol.
The following is a guest article by Mike Noshay, MSE, Founder and Chief Strategy & Marketing Officer at Verinovum. As 2020 comes to a close, healthcare industry leaders are looking ahead to 2021 with excitement and anticipation.
In an article that appeared on the Skilled Nursing News website , Mark Zimmet, CEO of Zimmet Healthcare Services Group, LLC, summarized the issue as follows: “SNF stakeholders now have access to an array of diverse resources to inform decision-making. Nursing homes are evolving.
This article seeks to summarize these developments in the law. This aligns with recent guidance from the Centers for Medicare and Medicaid Services that Medicare Advantage plans may not make a determination of medical necessity solely based on algorithms using broad data sets. AB 3030 focuses on the use of generative AI.
Sahni and colleagues published the data-details in an article published by McKinsey & Company , the top-line of which appears in the first graphic from the publication. asked and answered by Michael Chernew and Harrison Mintz, both of Harvard Medical School. Administrative spending comprise 25% of the $3.8 health care dollar.
This is the third article in a series about problems people have taking their medication. The previous article categorized various ways that information technology can help. This article looks at special conditions that weren’t covered in previous articles.
This is the final article in a series about social determinants of health (SDoH). Previous articles covered the definition, collection, sharing, and use of SDoH. Recently, though, Medicaid has imposed tight restrictions on its food programs , leaving more people food-insecure.
I recently wrote an article titled “Internal Audits Help Combat Payer Risk” where I described several keys for a smooth-running revenue cycle. Consider auditing software that can instantly transmit charts, discussions, and appeal filings to Medicare, Medicaid and commercial auditors, preventing file loss and delivery delay.
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Primary care platform Equality Health is now available for Medicaid beneficiaries in Virginia. Welcome to the weekly edition of Healthcare IT Today Bonus Features.
The following is a guest article by Adam Rademacher, Director of Operations at AMN Healthcare Language Services AI’s transformative impact spans across industries– including healthcare. Or “Do you have Medicare/Medicaid?”
No bonus amount may be paid to any worker who has been suspended or excluded under the Medicaid program during the vesting period and at the time an employer submits a claim. Bonus amounts will be commensurate with the number of hours worked by covered workers during designated vesting periods up to a total of $3,000 per covered worker.
A full posting of abstracts/summaries of these articles may be found on our? from 2018-2019. Aboy M, Liddell K, Jordan M, Crespo C, Liddicoat J. European patent protection for medical uses of known products and drug repurposing. Nat Biotechnol. 2022 Apr;40(4):465-471.
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This article is copyrighted strictly for Electronic Health Reporter. In the first few months alone, an […] The article The Looming End of A Long Redetermination Pause Calls For A Cleareyed Strategy appeared first on electronichealthreporter.com. Illegal copying is prohibited.
The following is a guest article by Serrah Linares, Vice President of Partner Sales at Change Healthcare , and Rachel Mack Robinson, Founder and President at DotCom Therapy. get their health coverage through Medicaid, this is absolutely essential to ensure healthcare equity. Today in the U.S.,
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