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How Medicare Advantage Programs Can Address Social Risk and Improve Health Outcomes

HIT Consultant

When a new member joins, MA plans usually lack insights into beneficiaries claim history, morbidity risk, and health behaviors. Without that data, understanding social risk becomes difficult for identifying beneficiary needs, guiding interventions, and ultimately improving health outcomes.

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HHAeXchange Acquires Sandata Technologies, Enhancing Ability to Serve Homecare Providers, Payers, and Caregivers Nationwide

Healthcare IT Today

Best Positioned to Deliver Transformative Technology that Accelerates the Industry’s Evolution and its Ability to Improve Health Outcomes HHAeXchange , a leader in homecare management solutions for providers, caregivers, managed care organizations (MCOs), and state Medicaid programs, today announced that it has acquired Sandata Technologies.

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Churntables: A Look at the Record on Medicaid Redetermination Plans

Bill of Health

When the PHE ultimately expires, this will also trigger the end of the Medicaid continuous enrollment requirement, under which states must provide continuous Medicaid coverage for enrollees through the end of the last month of the PHE in order to receive enhanced federal funding. Continuity of Coverage.

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Preventing Non-Compliance Consequences in Healthcare

Verisys

In the healthcare industry, compliance with regulatory standards is not merely a requirement but a cornerstone of safe, effective, and ethical patient care. When healthcare organizations fail to meet compliance standards, the consequences can be severespanning legal and financial realms. What is Non-Compliance in Healthcare?

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Comprehensive Case Management Training for Healthcare Professionals

American Medical Compliance

What You Will Learn: Specific duties of case managers Stages of the case management process Ethical issues that arise in case management Communication skills essential for case management Using interdisciplinary collaboration to enhance case management outcomes Details: Course length: 2 hours and 15 minutes; CME: 2.25 What is Case Management?

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Managing Healthcare Compliance in Kentucky

MedTrainer

Responsible healthcare providers and compliance professionals in each state of the United States must follow specific regulations, and achieving healthcare compliance in Kentucky is no exception. Regulations Unique to Kentucky To meet the standards of healthcare compliance in Kentucky , there are a few additional regulations.

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Managing Healthcare Compliance in Wisconsin

MedTrainer

Like other regions in the United States, Wisconsin is characterized by its unique blend of rules and mandates that govern healthcare compliance within the state. This post sheds light on certain aspects of healthcare compliance in Wisconsin, with tips for effectively managing your healthcare organization.