Bill of Health

JUNE 15, 2023

Merck alleges that the price negotiation program operates as a price control because it effectively requires manufacturers to accept the maximum fair price as a condition of participation in Medicare and Medicaid. Covered entities include various federally funded clinics and hospitals that serve low-income patients.

Medicare 195

Medicare Medicare Medicaid Medicaid 195

Healthcare It News

OCTOBER 31, 2022

Through the secure collection, documentation, reporting, access and use of data across provider types, ONC aims to address health inequities that have their root causes in poverty and racism. Andrea Fox is senior editor of Healthcare IT News. Email: afox@himss.org.

Licensing 320

Licensing Medicaid Medicaid Health Outcomes 320

Healthcare It News

JANUARY 4, 2022

"As a result of reaching a tipping point on these issues, I believe 2022 will see the beginning of a Peace Corps-type effort to address burnout through a combination of industry innovation and government incentives," he said.

COVID-19 361

COVID-19 Hospitals Nurses Medicaid 361

Bill of Health

JANUARY 10, 2022

The good news is the federal government has waived several of these unwarranted legal barriers during the COVID-19 pandemic. Non-hospital pharmacies are precluded by law from dispensing methadone and are often unwilling to stock and dispense buprenorphine. Second, individuals with OUD often lack access to critical pharmacy services.

COVID-19 328

COVID-19 Governance Medicaid Medicaid 328

Bill of Health

MARCH 15, 2022

During the early months of the pandemic, disabled people became unemployed at disproportionate rates , likely related to substantial employment declines in certain industries, such as retail and hospitality, where disabled people are overrepresented. In July 2021, the U.S.

COVID-19 246

COVID-19 ADA Medicaid Medicaid 246

Healthcare It News

JANUARY 18, 2022

Social determinants of health are major contributors to health inequity and rising healthcare costs in vulnerable populations such as Medicaid beneficiaries. That said, hospital social workers and nurse discharge planners are accustomed to having to help patients with these types of issues during an inpatient admission.

Medicaid 363

Medicaid Medicaid COVID-19 Patient Satisfaction 363

Health Populi

JULY 16, 2020

The median charge for hospitalizing a patient with COVID-19 ranged from $34,662 for people 23 to 30, and $45,683 for people between 51 and 60 years of age, according to FAIR Health’s research brief, Key Characteristics of COVID-19 Patients published July 14th, 2020. They used two ICD-10-CM diagnostic codes for this research: U07.1,

COVID-19 148

COVID-19 Hospitals Health Insurance Medicare 148

Healthcare IT Today

SEPTEMBER 19, 2024

The following is a guest article by Aaron Timm, EVP and Chief Commercial Officer at Vivalink In recent years, Hospital-at-Home (HaH) programs have been accepted more widely as a way of providing acute-level care to patients at home. with its introduction of the Acute Hospital Care at Home (AHCAH) waiver in 2020.

Hospitals 99

Hospitals Governance Telemedicine Payment Systems 99

HIPAA Journal

NOVEMBER 17, 2022

Caroline Cook, Privacy Consultant, GDH Government Consulting Services, has shared her thoughts. As a teenager, I volunteered in hospitals and nursing homes. That led to my serving as the Privacy Officer for the hospital beginning with the implementation of the Privacy Rule. I’ve worked in healthcare for over 30 years.

Governance 96

Governance HIPAA Compliance Nursing Homes 96

Kaiser Health News

FEBRUARY 8, 2022

The federal government has penalized 764 hospitals — including more than three dozen it simultaneously rates as among the best in the country — for having the highest numbers of patient infections and potentially avoidable complications.

Medicare 126

Medicare Medicare Hospitals COVID-19 126

Healthcare IT News - Telehealth

JUNE 30, 2020

Signers pointed out that the authorities granted to the Department of Health and Human Services and the Centers for Medicare and Medicaid Services are restricted to the public health emergency period triggered by COVID-19. Senate HELP Committee Chair Sen. Lamar Alexander, R-Tenn., Meanwhile, U.S. Butterfield, D-N.C., and Glenn Thompson, R-Pa.,

US Department of Health and Human Services 205

US Department of Health and Human Services COVID-19 Telemedicine Medicare 205

HIPAA Journal

NOVEMBER 21, 2022

million being defrauded from Medicaid, Medicare, and private health insurance programs. The payments were intended for hospitals for providing covered medical services. The arrests were related to a series of scams that spoofed hospital email accounts. million, and $6.4 million, and $6.4

Medicaid 86

Medicaid Medicaid Medicare Medicare 86

Fierce Healthcare

JANUARY 18, 2024

The Senate voted 77-18 to pass a bill Thursday that would punt a partial government shutdown, set to go into effect this weekend, back to early March. |

Medicaid 110

Medicaid Medicaid Governance Hospitals 110

Healthcare IT News - Telehealth

MAY 30, 2023

This change is yet another signal that the country is working to move past the pandemic, which falls in line with recent moves by the federal government to move the pandemic to a more controlled phase. Further, what should CIOs and other health IT leaders at hospitals and health systems be doing to address new telemedicine challenges?

Telemedicine 199

Telemedicine COVID-19 Governance Medicare 199

Healthcare It News

JULY 11, 2024

Department of Health and Human Services has already required Fast Healthcare Interoperability Resources APIs in all certified electronic health record systems across the provider ecosystem, which currently covers 97% of hospitals and more than 80% of ambulatory provider organizations, Tripathi noted.

US Department of Health and Human Services 264

US Department of Health and Human Services Public Health COVID-19 Governance 264

Healthcare IT News - Telehealth

OCTOBER 27, 2020

The government has signaled its support for reimbursing some telehealth services, at least in the short term. "The government can play a very positive role in telehealth by establishing clear standards and clear reimbursement guidelines," said Selesnick.

COVID-19 203

COVID-19 Governance Medicare Medicare 203

Healthcare IT News - Telehealth

NOVEMBER 8, 2021

National Nurses United and the California Nurses Association released a joint statement this past week criticizing Kaiser Permanente's aims to expand advanced hospital services into patients' homes. "The Advanced Care at Home Program does not limit the role of nurses in hospitals." WHY IT MATTERS.

Nurses 194

Nurses COVID-19 Patient Satisfaction Hospitals 194

Healthcare IT News - Telehealth

OCTOBER 2, 2020

Department of Health and Human Services to issue guidance to states about how to increase access to telehealth under Medicaid and the Children’s Health Insurance Program. Examples of states that have used waivers under the Medicaid program to test expanded access to telehealth. WHY IT MATTERS. healthcare system."

US Department of Health and Human Services 166

US Department of Health and Human Services COVID-19 Medicaid Medicaid 166

Healthcare IT News - Telehealth

AUGUST 5, 2020

In March, the Centers for Medicare and Medicaid Services released new guidance regarding remote patient monitoring. The change was just one of a number of government initiatives enacted to support RPM, explained Tyler Fletcher, global head of medical, advertising and Americas consulting at GlobalData, during a HIMSS20 Digital session.

COVID-19 195

COVID-19 Medicaid Medicaid Public Health 195

Healthcare IT News - Telehealth

NOVEMBER 2, 2020

Located in the heart of North Philadelphia, Temple University Hospital serves one of the nation’s most economically challenged and diverse urban populations. More than 85% of the patients served by Temple are covered by government programs, including Medicare and Medicaid. ” USING FCC AWARD FUNDS.

Telemedicine 178

Telemedicine COVID-19 Nurses Medicare 178

MedTrainer

JANUARY 30, 2024

What types of healthcare facilities are required by the government to have a compliance program? In this blog, we’ll outline what types of healthcare facilities are required by the government to have a compliance program and why compliance is crucial for both healthcare organizations and the agencies that support them.

Governance 52

Governance Compliance Nursing Homes Medicaid 52

Healthcare IT News - Telehealth

JULY 16, 2020

Now, the question becomes : How many of those changes, particularly regarding temporary waivers issued by the Centers for Medicare and Medicaid Services, will become permanent? "Currently there's parity between in-person and telehealth visits," Leary pointed out. "We anticipate a lot of discussion around that."

COVID-19 155

COVID-19 Medicare Medicare Governance 155

Healthcare It News

FEBRUARY 28, 2023

UPMC Central Pennsylvania, a hospital that in 2021 achieved Stage 7, the top of the HIMSS Electronic Medical Record Adoption Model, has been a leader in telemedicine, with more than two dozen robust virtual care programs. The majority of patients using the virtual-first clinic are females (70%), and the average age range has been 40-50.

Electronic Medical Records 298

Electronic Medical Records Telemedicine Health Insurance COVID-19 298

MedTrainer

NOVEMBER 14, 2023

While federal operations are slowed, reduced, or put on pause during a government shutdown, healthcare services must continue to operate. What Is a Government Shutdown? Without budget authorization from Congress, a variety of government services and operations come to a halt. But what does this mean for your healthcare business?

Governance 52

Governance Medicaid Medicaid Medicare 52

Health Populi

JUNE 3, 2020

McKinsey’s report models outpatient and office visits that can be virtually enabled for patients covered by both commercial and public sector health plans (Medicare and Medicaid). ” Those estimates include, 20% of diverted emergency department visits. 24% of all office visits and outpatient encounters, plus.

COVID-19 153

COVID-19 Hospitals Medicaid Medicaid 153

Medisys Compliance

MARCH 31, 2023

Ohio Medicaid is a government-sponsored healthcare program that provides medical benefits to eligible individuals in Ohio. To become a provider for Ohio Medicaid, you must first enroll in the Ohio Medicaid program. Here are the steps of provider enrollment for Ohio Medicaid: Provider Enrollment for Ohio Medicaid 1.

Medicaid 52

Medicaid Medicaid Licensing Medical Billing Outsourcing 52

Healthcare IT News - Telehealth

JULY 28, 2020

Lots of industry groups want to see the temporary government waivers enacted early on during the COVID-19 public health emergency – the ones enabling the vast expansion of telehealth and remote patient monitoring over the past four months – to be made permanent once the storm has subsided. And some legislators do too.

COVID-19 202

COVID-19 Public Health Nurses Medicare 202

C&M Health Law

APRIL 21, 2022

Department of Justice (DOJ) to resolve allegations that it had made donations in order to improperly inflate the funding four of its hospitals received from the federal Medicaid program. Florida Medicaid is administered by the state but jointly funded by both the state and federal governments.

Medicaid 52

Medicaid Medicaid Governance Fraud 52

Health Populi

JUNE 18, 2021

workers with private insurance more likely report poor access to health care, greater costs of care, and lower satisfaction with care versus people covered by public health insurance plans — whether Medicaid, Medicare, VHA or military coverage. One-half of U.S. Health Populi’s Hot Points: U.S. households.

ACA 139

ACA Health Insurance Medicaid Medicaid 139

Healthcare IT News - Telehealth

AUGUST 19, 2022

The pandemic has added to these challenges due to hospitals facing capacity issues during surges in cases, increased patient deaths, clinician health and safety risks, and uncertainty over treatments, which has led to a feeling of helplessness. Hospitalizations, for example, do not always require the patient to be within a medical facility.

COVID-19 194

COVID-19 Hospitals Nurses Licensing 194

Healthcare IT Today

OCTOBER 25, 2024

The recent ransomware attack on OneBlood , a blood center that serves hundreds of hospitals in the south, is just the latest example of a cyberattack having a real-world impact. taxpayer dollars, such as Medicaid and Medicare, if the requisite cybersecurity baseline is not met. medical claims.

Ransomware 121

Ransomware Hospitals Medicaid Medicaid 121

Healthcare Law Blog

FEBRUARY 3, 2023

Part 521 governing the implementation and operation of effective compliance programs for certain “required providers,” including, now for the first time, Medicaid managed care organizations (MMCOs). [1] New Subpart 521-1: Compliance Programs The adopted regulations represent substantial changes to 18 N.Y.C.R.R.

Medicaid 52

Medicaid Medicaid Compliance Overpayments 52

Healthcare IT News - Telehealth

SEPTEMBER 28, 2021

Centers for Medicare and Medicaid Services proposed for the first time a set of CPT codes for remote therapeutic monitoring. preventable hospitalizations and emergency department visits related to medication non-adherence cost more than $300 billion a year, according to National Institutes of Health research. In the U.S.,

COVID-19 216

COVID-19 Medicare Medicare Hospitals 216

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

NOVEMBER 8, 2021

Due to numerous variances in state populations including income, education and health status, as well as the mix and geographic location of doctors, hospitals and clinics, and the level of insurer competition, there truly is no one-size-fits-all federal solution when it comes to operating a health insurance exchange.

Health Insurance 98

Health Insurance Medicaid Medicaid Governance 98

AIHC

NOVEMBER 15, 2022

Written by Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS The Federal Hospital Price Transparency Rule helps Americans know the cost of a hospital item or service before receiving it. The regulation aims to improve the affordability of hospital care by promoting price competition.

Hospitals 52

Hospitals US Department of Health and Human Services Compliance Governance 52

HIT Consultant

APRIL 21, 2022

What You Should Know: – Centers for Medicare & Medicaid Services’ (CMS) payment adjustments did not adequately address hospitals increased costs for FY 2021, according to new data from Premier. – The data reveals this discrepancy has resulted in hospitals receiving only a 2.4 PINC AI™ Data Analysis.

Hospitals 52

Hospitals COVID-19 Payment Systems Medicaid 52