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Medicaid managed care plans and the Children’s HealthInsurance Program (CHIP) will be subject to new wait time standards and quality ratings requirements, the Centers for Medicare & Medicaid S | CMS defended implementing stronger rules over nursinghome staffing as well as explained its thoughts behind Medicaid access and managed care rules.
The Centers for Medicare and Medicaid Services (CMS) began to allow for reimbursement for videoconferencing between healthcare provider and patient. This means patients can receive care wherever they are – at home, nursinghome, assisted living, etc.
This means your organization must comply with the HealthInsurance Portability and Accountability Act of 1996 (HIPAA). If you want to obtain or retain CMS certification in order to be reimbursed by services provided to patients with a Medicare/Medicaidhealth plan, you must comply with HIPAA rules and regulations.
AHCA is sending out postcards to existing Florida Medicaid providers (Providers) alerting them to upcoming changes in the Florida Medicaid program. Providers are urged to sign into their account on the Florida Medicaid portal immediately. County Health Department Certified Match Program Fee Schedule. Check your mailboxes.
Compliance is Mandatory for Federal Programs One constant is that organizations and facilities that participate in federal healthcare programs, such as Medicare and Medicaid, must have a compliance program. NursingHomes: Skilled nursing facilities, long-term care facilities, and other types of nursinghomes.
” Stronger forecasting could help health services providers predict volumes by service lines and sites of service, as well as plan for clinician staffing, personal protective equipment needs and vaccine distribution, HRI said. Implications of altered health portfolios. For example, nursinghomes were hit hard by the virus.
The Agency for Health Care Administration (AHCA) in Florida was created by Chapter 20 of the Florida Statutes and serves as the primary health policy and planning institution for all of Florida. Florida’s Medicaid program is worth $25.2 Background screenings for those who work as administrators or employees in nursinghomes.
The Office for Civil Rights (OCR) at the US Department of Health and Human Services (HHS) announced the resolution of eleven investigations in its HealthInsurance Portability and Accountability Act (HIPAA) Right of Access Initiative, bringing the total number of these enforcement actions to thirty-eight since the initiative began.
Ensuring the Financial Integrity of HHS Programs In fiscal year (FY) 2022, improper payments within healthcare programs like Medicare, Medicaid, and Children’s HealthInsurance Program (CHIP) were estimated at a staggering $131.6 With Medicaid, the challenges are equally formidable.
Office of Inspector General (OIG) Compliance Program Guidance Office of Inspector General (OIG) compliance program guidance is for individual providers like hospitals or nursinghomes.
Value-based care, a model that rewards better patient health outcomes, has experienced a surge in interest amid heightened consumer awareness and among payers seeking to lower costs and stabilize reimbursement. WEDI has close working relationships with both CMS and CAQH.
Mental health emergency co-responder program comes amid Illinois labor shortage. NursingHome Operator Leaving 8 Locations. Indiana sued for lack of mental health beds, accused of putting defendants in ‘legal limbo’ Study: Indiana ranks in top 10 for hospital prices in nation. Fort Kent hospital’s $13.6M
Former CMS Chief Seema Verma Blasts NursingHome Reform Proposals. Health Policy Brief: Pandemic-Driven Health Policies To Address Social Needs And Health Equity. How the PE NursingHome Crackdown Could Affect the HomeHealth Industry. Drug Shortages Worsening, Pharmacists Say.
GAO investigating private equity ownership of nursinghomes. HHS Secretary Outlines FY 2023 Mental Health Investments at Senate Hearing. Patient generated data can be a key factor in reducing health inequity. Supreme Court tosses Medicaid work requirement cases. 3 hacker gangs targeting hospitals. CONNECTICUT.
CT’s Medicaid reimbursement rates lower than peer states: report Better safety training, reporting, escorts for CT homehealth care workers focus of new legislation D.C. Acquisition of BCBSLA Paused a Second Time It was the biggest health care deal in Louisiana history. What they say sets them apart.
Joint Commission’s New Accreditation Standards Tackle Health Disparities. Nursinghomes and long-term care facilities face increased turnover, look to new solution to attract workers. Maternal health care is disappearing in rural communities. Rat infestation closes Veteran Affairs nursinghome in Arizona.
Care Taps Health Net Exec as New CEO COLORADO Aurora’s Fitzsimons plans development opportunities on 60 acres Boulder drug discovery co. operating margin in Q3 JLL Arranges $13.4M 3 in the U.S. for maternity care Healthcare Shifts Driving Demand For Outpatient Facilities In Denver Insider Breach, Email Attacks Net $1.7M
They all have healthinsurance. Orthopedic Associates Surgery Center earns joint replacement accreditation Healthcare-associated violence is under reported, a CT researcher found using AI D.C. celebrated by KidsABC for reaching key milestones Emory University and Emory St.
They all have healthinsurance. Orthopedic Associates Surgery Center earns joint replacement accreditation Healthcare-associated violence is under reported, a CT researcher found using AI D.C. celebrated by KidsABC for reaching key milestones Emory University and Emory St.
AZDHS not protecting nursinghome residents by reviewing complaints. Health care company expects to earn nearly $10 million in annual profits from AZ prisons contract. Arizona Becomes 3rd State to Provide In-Home Care for Sick Children. Pritzker signs nursinghome reform legislation.
1 Mass General Brigham to build AI products with Australian health tech company Mass General Brigham hospital workers to receive average 21% raises Mass General Brigham to integrate triage AI across system Mass General Brigham sued over infection control lapse Nurse practitioner pleads guilty to $7.8M Corewell Health reports 1.4%
Humana sues to reverse cut to Medicare Advantage ratings Karen Lynch steps down as CVS Health CEO Nursinghome survey teams don’t always have to include nurses: federal appeals court Senate report: How private equity ‘gutted’ dozens of U.S. health care company acquires three Del.
Children’s Hospital Colorado seeks congressional help on funding cuts UCHealth appoints new board members for Longs Peak, Broomfield hospitals CONNECTICUT Gov. New data shed light. Ochsner St. Martin redirecting ambulances due to flooding MAINE MaineHealth CFO announces retirement Sen. million bird flu shots to U.S.
4 Health Systems Join Provider-Created Data Collective to Improve Care. Full 4th Circuit to tackle Medicaid fraud standard under False Claims Act. On Average, Two Nurses Are Assaulted Every Hour, New Press Ganey Analysis Finds. Census: 7% of people in Illinois lack healthinsurance. Locals are skeptical.
ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M operating margin, $1B net gain halfway through its first year Illinois public health officials warn of “rising COVID-19 activity” St.
The CDC has stopped printing them Telehealth Visits Decline 46%, But Telebehavioral Healthcare Still High URAC to offer health equity accreditation Walgreens CIO is latest to leave in company’s C-suite shakeup AI is creating a complex landscape for healthcare executives ALABAMA Alabama hospital to remain on Cerner after sale Alabama gets $3.6M
The CDC has stopped printing them Telehealth Visits Decline 46%, But Telebehavioral Healthcare Still High URAC to offer health equity accreditation Walgreens CIO is latest to leave in company’s C-suite shakeup AI is creating a complex landscape for healthcare executives ALABAMA Alabama hospital to remain on Cerner after sale Alabama gets $3.6M
Vincent Partners With Park Plaza Mall on Community Health Programs Former Arkansas Medical Board Chair Brian Hyatt Arrested for Medicaid Fraud New Provider in Arkansas Focuses on No-Rush Health Care Walker Foundation Pledges $1M to UAMS Radiation Oncology Center Five nonprofits to split $5.9 Luke’s receives $1.5
in repairs Sutter Health faces possible $519M payout in alleged double billing case COLORADO Denver Health sued by sons after father’s jail death How a Kaiser Permanente worker strike could affect Colorado patients Kaiser names regional president Medical Office Building in Littleton Sells for $6.1M
million for rural hospital expansion Hospices in Arizona & other states receive scrutiny over concerns of fraud, waste & abuse Phoenix Children’s Building New 44,000-Square Foot Level IV Neonatal Intensive Care Unit Firefighters oppose Banner’s planned $400M hospital There’s a growing nurse shortage in Arizona.
CMS gives nursinghomes a longer leash on staff COVID-19 vaccination requirements. Feds approve program for rural Arkansas health care but it will cost local taxpayers more. Governor Hutchinson Announces Expansion To Rural Health Services With ARHOME Medicaid Program. Daniel Barchi named CIO of CommonSpirit Health.
American Hospital Association Throws Weight Behind NursingHome TNA Legislation. CMS leader says health innovation must be accessible to everyone. Decades of neglect in nursinghomes spur Biden plan for staff mandates. Health system cash reserves plummet. Louisiana nursinghome operator settles for $12.5M.
NATIONAL 5 Stark law issues physicians are closely watching Anti-monopoly advocates urge FTC to block McKesson, Cardinal Health’s big-ticket oncology acquisitions Biden administration doles out $68.5M to resolve fraudulent lab testing allegations Lilly to invest another $4.5B to make breast cancer treatments safer St.
New California rule aims to limit health care cost increases to 3% annually UC San Diego Health operations deal with California hospital slows to crawl Kaiser reports data breach affecting 13.4M in 256-Slice CT scanner Lifepoint reports $200M+ economic impact in Cen Ky St.
Alejandro Quiroga as president and CEO Kansas audit sounds alarm on security flaws at Osawatomie State Hospital NRH noted by COMPASS for commitments to patient safety, healthcare quality KENTUCKY Baptist Health Paducah top 10 in U.S.
’s most distinguished (and hardest-working) dogs Dozens laid off at the George Washington University Hospital GWU Hospital lays off dozens, citing ‘challenging time’ in health care MedStar agrees to pay in federal suit alleging disability discrimination MedStar, Justice Department reach settlement over allegations of ADA violations D.C.
in billing fraud Arizona system names new CEO Banner Health CEO Peter Fine to retire after 24 years, handing the reins to health system president Four UArizona bioscience startups selected for Flinn Foundation program Gov. s health, hospital chief says Raising Ky.’s
NursingHome Operating Expenses Could Balloon by $500K With Staffing Minimums in Place. Parkinson warns of new ‘enormous’ business problem for nursinghomes; highlights staffing-minimum alternative. Apprentice program addressing the nursing shortage crisis in Alabama. UnityPoint Health names nursing chief.
NATIONAL A deep dive into health system and health plan Q1 earnings Amazon building ‘modern pharmacy’ of the future: Medical Officer Breaking down the FTC noncompete ban, its impact on healthcare CISA, HHS warn healthcare of Black Basta ransomware attacks CMS extends Medicaid waivers to 2025 Could providers be liable in Change outage?
Health systems grow apprenticeships to tackle shortages. HHS alerts health sector to monkeypox-themed phishing campaign. House report attacks, nursinghomes fight back over allegations of deficient staffing, care and safe practices as pandemic hit. Workers’ comp insurers fight Florida’s hospital payment plan.
Tulane’s new nursing school hopes to help bolster the ranks. hospitals for maternity care UMass Memorial Medical Center to reinstate caregiver mask mandate Massachusetts health system sees over $17M FY ’23 profit Mass. system turns profit for 1st time in 4 years Mass.
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