HIT Consultant

APRIL 3, 2025

Pregnancy is a 2+ patient health event Pregnancy is unique in that it affects both the mother and the developing fetus, creating a heightened sense of responsibility that often leads mothers to prioritize health management more diligently. Addressing this oversight in reimbursement could enable RPM to reach its full potential.

Medicaid 87

Medicaid Medicaid Health Outcomes Hospitals 87

HIT Consultant

APRIL 14, 2025

However, the affected providers revealed that the initial loan agreements contained stipulations that allowed for payments to be garnished in the event of non-repayment. Mazzola clarified that these withheld funds were reimbursements owed from New Jersey Medicaid plans.

Health Insurance 98

Health Insurance Medicaid Medicaid 98

Center for Health Insurance Reform

FEBRUARY 27, 2023

After a three-year pause on Medicaid redeterminations, states can begin the process of removing residents from their rolls beginning on April 1. Many people who are terminated from Medicaid will be eligible for free or low-cost plans through the Affordable Care Act’s Marketplaces.

Health Insurance 92

Health Insurance Medicaid Medicaid 92

Healthcare IT Today

OCTOBER 21, 2022

Brave Health , the largest virtual mental health provider and engagement platform focused on serving Medicaid populations, today announced a $40M Series C funding round led by Town Hall Ventures, with existing investors Union Square Ventures, City Light Capital and others joining as well.

Medicaid 110

Medicaid Medicaid Health Outcomes Public Health 110

Compliance Now

AUGUST 10, 2023

As background, according to federal Health Insurance Portability and Accountability Act (HIPAA) rules, individuals have 60 days from losing CHIP and Medicaid eligibility to elect coverage under their group plan. A flyer employers can share with employees who are enrolled in Medicaid or CHIP and may lose their coverage.

Medicaid 100

Medicaid Medicaid COVID-19 Compliance 100

Compliance Now

AUGUST 10, 2023

As background, according to federal Health Insurance Portability and Accountability Act (HIPAA) rules, individuals have 60 days from losing CHIP and Medicaid eligibility to elect coverage under their group plan. A flyer employers can share with employees who are enrolled in Medicaid or CHIP and may lose their coverage.

Medicaid 100

Medicaid Medicaid COVID-19 Compliance 100

Healthcare It News

JUNE 3, 2022

Since California expanded health coverage under the Affordable Care Act, a large number of people have been mistakenly bounced between Covered California, the state’s marketplace for those who buy their own insurance, and Medi-Cal, the state’s Medicaid program for low-income residents. “This shouldn’t be happening.

Public Health 323

Public Health Health Insurance Professionals ACA COVID-19 323

Center for Health Insurance Reform

JULY 26, 2023

Last month, the Centers for Medicare & Medicaid Services (CMS) held the first ever CMS Health Equity Conference. CHIR members who attended the inaugural conference provide an overview of the meeting—including a presentation by CHIR’s Christine Monahan—and its implications for current and future health equity initiatives.

Medicaid 98

Medicaid Medicaid Medicare Medicare 98

Healthcare IT News - Telehealth

OCTOBER 26, 2020

Furthermore, questions of post-discharge patient activity are likely to loom large in the coming weeks, as the Centers for Medicare and Medicaid Services require hospitals to send electronic notifications to other healthcare facilities when a patient is admitted, discharged or transferred.

Telemedicine 203

Telemedicine Hospitals Medicaid Medicaid 203

Healthcare IT News - Telehealth

AUGUST 5, 2020

In March, the Centers for Medicare and Medicaid Services released new guidance regarding remote patient monitoring. You're heading off events before they become acute. If you do roll out RPM, pretty much these are the results you should expect," said Iance. "You're being very proactive with your patients.

COVID-19 211

COVID-19 Medicaid Medicaid Public Health 211

HIPAA Journal

APRIL 17, 2025

If finalized, the proposals will not only become standards required for HIPAA compliance , but may also be adopted by CMS as conditions for participation in Medicare and Medicaid. It would be very simple for CMS to extend the existing EP Rule Elements to include HHS Cybersecurity Performance Goals.

HIPAA 62

HIPAA Compliance Medicaid Medicaid 62

Hanys

AUGUST 2, 2024

Briefing with the NYS Office of Medicaid Inspector General Aug. 5 Practical guidance to improve diagnostic quality and safety Aug. 8 Standing membership call on state and federal issues Aug. 20 Giving up the reins: Enhancing virtual nursing through change management Aug. 29 44th Annual Trustee Conference Sept.

Medicaid 52

Medicaid Medicaid Nurses 52

Healthcare It News

JANUARY 4, 2022

"The adoption of hospital-at-home programs across the country has been rapid, with nearly 200 hospitals participating in the Centers for Medicare and Medicaid Services’ Acute Hospital Care at Home program in only a year since its launch," said Majmudar. This is just the beginning: The future of healthcare is in the home."

COVID-19 362

COVID-19 Hospitals Nurses Medicaid 362

MedTrainer

FEBRUARY 29, 2024

Healthcare has its own near-miss events where a complication or medical error causes injury but the patient survives. What are near-miss events in healthcare? In this blog, we’ll describe near-miss events and how incident reporting software helps healthcare organizations better understand causes and ways to prevent future problems.

US Department of Health and Human Services 52

US Department of Health and Human Services Compliance Nurses World Health 52

Bill of Health

NOVEMBER 17, 2022

Characterization and corroboration of safety signals identified from the US Food and Drug Administration Adverse Event Reporting System, 2008-19: cross sectional study. Medicaid Spending on Antiretrovirals from 2007-2019. Dhodapkar MM, Shi X, Ramachandran R, Chen EM, Wallach JD, Ross JS. 2022 Oct 5;379:e071752. Value Health.

FDA 189

FDA World Health Medicaid Medicaid 189

HIT Consultant

MARCH 28, 2022

The COVID-19 pandemic feels like a once-in-a-lifetime event for those of us involved in healthcare, but the patterns of how the crisis affected our industry feel familiar. The Dow Jones Industrial Average dropped precipitously and this event served as the turning point for improving how the financial world shared information.

COVID-19 138

COVID-19 Medicaid Medicaid Medicare 138

Healthcare IT Today

DECEMBER 22, 2024

DUOS updated its digital health platform for seniors to enable end-to-end applications for federal and state assistance programs such as SNAP and Medicaid. Autoimmune disease support platform WellTheory launched a womens health program to help address symptoms often associated with hormonal imbalances.

Medicare 84

Medicare Medicare FDA Telemedicine 84

Health Populi

JUNE 18, 2021

with employer-sponsored health insurance worry that a major health event in their household could lead to bankruptcy, according to research gathered by West Health and Gallup in Business Speaks: The Future of Employer-Sponsored Insurance. One in two people in the U.S. Health Populi’s Hot Points: U.S. households.

ACA 139

ACA Health Insurance Medicaid Medicaid 139

Healthcare IT News - Telehealth

APRIL 24, 2020

The Alliance for Integrated Care of New York (AICNY) oversees the healthcare needs of roughly 6,200 dually eligible Medicare and Medicaid beneficiaries with intellectual and developmental disabilities (IDD). Many AICNY beneficiaries reside in group homes and use Federally Qualified Community Health Centers. THE PROBLEM. ” PROPOSAL.

Telemedicine 198

Telemedicine COVID-19 Medicaid Medicaid 198

HIT Consultant

DECEMBER 15, 2021

What You Should Know: – Bamboo Health announced that it has expanded its care coordination partnership with Oak Street Health intended to arm the network of value-based primary care centers (for Medicare) with an additional level of resources for managing real-time patient event notifications. Real-Time Patient Event Notifications.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Healthcare Law Blog

JANUARY 20, 2023

To add uniformity to this practice, CMS codified this flexibility in the 2016 Medicaid and Children’s Health Insurance Plan (CHIP) managed care final rule by authorizing coverage for “In Lieu of Service or Settings” (ILOS). [i] ILOSs must advance the objectives of the Medicaid program. ILOSs must be medically appropriate.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

HIT Consultant

JUNE 30, 2022

– The center offers tailored resources, including policy reports, market research, and roundtable educational events, to help health plans, policymakers, and other stakeholders address social issues that impact health and wellbeing, such as housing and food insecurity and insufficient access to transportation.

Medicaid 98

Medicaid Medicaid Health Outcomes 98

Healthcare IT News - Telehealth

JUNE 12, 2020

The good news for telehealth is that the reimbursement environment has improved, with the Center for Medicare and Medicaid Services bringing telehealth and eVisits on par with in-person visits for the duration of the pandemic, along with a relaxing of rules for virtual consults across state lines.

COVID-19 218

COVID-19 Hospitals Medicaid Medicaid 218

Total Medical Compliance Resources

APRIL 16, 2025

Several regulatory agencies, including the Joint Commission and Centers for Medicare and Medicaid mandate documentation. The Center for Disease Control (CDC) and the Association of Perioperative Registered Nurses (AORN) have steps to follow in the event a spore testing is positive.

Medicaid 52

Medicaid Medicaid Nurses Medicare 52

HIT Consultant

MARCH 8, 2022

Under the PHE, states must keep Medicaid enrollees continuously covered, irrespective of their circumstances. . By December 2021, enrollment in Medicaid and CHIP (Children’s Health Insurance Program) grew to a record high of more than 83 million individuals, primarily due to the continuous coverage requirements of the PHE.

Public Health 98

Public Health Medicaid Medicaid COVID-19 98

HIT Consultant

OCTOBER 18, 2021

– Papa and Uber are working together to mitigate social isolation and negative health outcomes among Medicare and Medicaid recipients as well as those with employer health plans. The partnership advances Papa’s and Uber Health’s shared missions to support population health among vulnerable communities.

Medicaid 95

Medicaid Medicaid Health Outcomes HIPAA 95

Healthcare IT News - Telehealth

NOVEMBER 8, 2021

We are appalled by the idea that our patients could be stranded at home in case of an emergency or adverse event, with no way to get immediate help or medical intervention and treatment," said the statement. "Nurses know that our patients can be fragile and their condition can deteriorate quickly and unexpectedly. ON THE RECORD.

Nurses 192

Nurses COVID-19 Patient Satisfaction Hospitals 192

Healthcare IT News - Telehealth

NOVEMBER 8, 2022

Orlando Health's program is the first in Central Florida to be approved by Centers for Medicare and Medicaid Services, and represents an expansion of a federal enhanced care model created during the pandemic to extend the scop of hospital resources. 15 and 16 from noon-4 p.m. THE LARGER TREND.

Hospitals 146

Hospitals Nurses COVID-19 Medicaid 146

Jane Sarashon

APRIL 14, 2025

As Weight Watchers prepares to initiate bankruptcy proceedings, I file the news event under “thinking the unthinkable.” ” “Thinking about the unthinkable” is what Herman Kahn, a father of scenario planning, asked us to do when he pioneered the process.

Medicaid 59

Medicaid Medicaid Medicare Medicare 59

Hanys

OCTOBER 6, 2023

Briefing with the NYS Office of Medicaid Inspector General Oct. 16 Telehealth: Challenges and Opportunities Oct. 18 Supporting patients with dementia Oct. 19 Best practice approach: Days Not Final Billed and denials management to optimize results Oct. 24 Incremental rebate opportunities to lower hospital inpatient drug costs Oct.

Medicaid 40

Medicaid Medicaid Hospitals 40

Hanys

OCTOBER 13, 2023

Briefing with the NYS Office of Medicaid Inspector General Oct. 16 HANYS standing membership call on state and federal issues Oct. 17 Telehealth: Challenges and Opportunities Oct. 18 Supporting patients with dementia Oct. 19 Fiscal policy update call Oct.

Medicaid 40

Medicaid Medicaid 40

Hanys

JUNE 30, 2023

HANYS standing membership call on state and federal issues July 11 2020 Medicaid DSH audit kick-off July 11 Understanding CMS' new QAPI interpretive guidelines July 13 Emerging strategies to keep staff safe July 13 Government relations update July 14 Patients who stay against medical advice July 20 Fiscal policy update call July 20

Medicaid 40

Medicaid Medicaid Governance 40

Hanys

JULY 7, 2023

2020 Medicaid DSH audit kick-off July 11 Understanding CMS' new QAPI interpretive guidelines July 13 Emerging strategies to keep staff safe July 13 Body reservoirs July 13 Government relations update July 14 Patients who stay against medical advice July 20 Fiscal policy update call July 20 HANYS standing membership call on state and federal issues (..)

Medicaid 40

Medicaid Medicaid Governance 40

Hanys

MARCH 1, 2024

Standing membership call on state and federal issues March 5 2024 Healthcare Advocacy Day March 6 Hospital clinical staffing committees: Operational best practices March 7 Long-term Care Infection Control and Prevention Educational Series March 13 Spring 2024 HIM user group meeting March 14 Benefits of New York state's Medicaid doula services March (..)

Medicaid 40

Medicaid Medicaid Governance Hospitals 40

Hanys

MARCH 8, 2024

Long-term Care Infection Control and Prevention Educational Series March 13 Spring 2024 HIM user group meeting March 14 Benefits of New York state's Medicaid doula services March 14 Standing membership call on state and federal issues March 19 Transforming mental health in healthcare March 20 The new cloud and the value for healthcare March 21 Government (..)

Medicaid 40

Medicaid Medicaid Governance 40

Hanys

MAY 20, 2022

2019 Medicaid DSH audit kick-off webinar. Using rapid PDSA cycles to ease staffing crises. Health information management user group meeting. HANYS government relations update call. Standing membership call. Condition critical: The emergency department liability experience. AHEI Virtual Learning Series.

Governance 40

Governance Medicaid Medicaid Hospitals 40

Healthcare IT Today

AUGUST 10, 2023

These datasets, which are critical to patient care, workflow processes, quality reporting, financial claims, and operational tasks, are encoded with granular medical event data and are represented using common data standards such as HL7, FHIR, EDI, and 837s, among others.

Health Insurance 97

Health Insurance Medicaid Medicaid Medicare 97