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These challenges are particularly acute in Georgia, where Medicaid covers nearly 50% of all births and the state ranks 31st out of 40 in maternal mortality. Pregnant women with maternal hypertension or diabetes who are covered by Medicaid can opt into the program and receive appropriate RPM devices.
"The ability to use and build from established standards in real-time and as part of screening practices that help identify specific needs related to insecurity is an important step in enabling more coordinated care and timely assistance or interventions needed to improve healthoutcomes," according to Argentieri, Meklir and Henry.
Authorize the Centers for Medicare and Medicaid Service to continue reimbursement for telehealth for 90 days beyond the end of the public health emergency. Make permanent the disaster waiver authority, enabling Health and Human Service to expand telehealth in Medicare during all future emergencies and disasters.
Meanwhile, the American Telemedicine Association is pleading with the Centers for Medicare and Medicaid Services for expanded flexibilities and further guidance on payment and coverage. Licenses that allowed physicians to practice across state lines and provided reimbursement parity due to the pandemic have now expired.
Department of Health and Human Services (HHS) Enforces regulations like the Health Insurance Portability and Accountability Act (HIPAA) to ensure patient data privacy and security. For example, patients may hold back critical health information in fear that it will be shared or leaked, which can negatively affect healthoutcomes.
of the total market share due to increased adoption to manage chronic conditions and monitor healthoutcomes. OpenLoop White-Label Telehealth Solutions OpenLoop was founded with the mission to expand access to care and improve community healthoutcomes. Additionally, telehealth services hold 45.7%
OpenLoop White-Label Telehealth Solutions: OpenLoop was founded with the mission to expand access to care and improve community healthoutcomes. The company currently supports some major players in the space including big name pharmacies, retailers and hospitals and health systems.
Advances in telehealth have allowed both populations to receive more convenient, high-quality care, thus leading to better healthoutcomes. It's imperative that policymakers, CMS, state Medicaid programs and commercial insurers use the ever-increasing set of data to estimate the effect of telehealth on access, costs and quality.
What You Should Know: – Phreesia’s acquires Insignia Health, a mission-oriented company dedicated to improving healthoutcomes through patient activation. – Insignia has an exclusive worldwide license for the Patient Activation Measure® (PAM®).
What You Should Know: – Ochsner Digital Medicine , a leader in remote patient management, has partnered with Humana Healthy Horizons, Louisiana’s Medicaid plan, to offer digital health programs for members diagnosed with hypertension and type 2 diabetes.
The Kentucky Cabinet for Health and Family Services (CHFS), Department for Medicaid Services administers the state’s Medicaid program, ensuring access to essential health care services for eligible low-income individuals and families in Kentucky.
For over a century, OHA has been dedicated to assisting member hospitals in addressing community health needs. The Ohio Department of Medicaid is responsible for administering the state’s Medicaid, a comprehensive healthcare program that provides medical coverage to low-income individuals and families in Ohio.
The Department of Community Health (DCH) serves as the lead agency for Medicaid and PeachCare for Kids® , and also oversees the State Health Benefit Plan , Healthcare Facility Regulation Division and State Office of Rural Health. Operating a pain management clinic without a license is a felony.
The Division of Health Benefits administers the state’s Medicaid program, which provides essential healthcare coverage to eligible individuals and families. Providers must be licensed in North Carolina, except under certain conditions, and must ensure that services align with their scope of practice.
The South Carolina Department of Health and Human Services (SCDHHS) administers the state’s Medicaid program and works to enhance the health and well-being of South Carolinians through a range of healthcare services and initiatives. which further ensures that they meet state-mandated health and safety standards.
The Louisiana Department of Health (LDH) Medicaid Program administers the state’s Medicaid services, providing essential health coverage to qualifying residents, including low-income individuals, families, and seniors.
The Medicaid and Health program of Idaho provides health coverage to eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities in the state, offering a range of medical and health-related services.
MaineCare , operating under the Maine Department of Health and Human Services (DHHS), is the state’s Medicaid program, providing essential health coverage to eligible low-income residents, thereby enhancing access to quality healthcare services in Maine.
The Wisconsin Hospital Association (WHA) is an influential organization representing hospitals and health systems in Wisconsin, committed to advocating for effective healthcare policies and fostering quality healthcare delivery across the state. It also includes interactive, store-and-forward, and remote patient monitoring methods.
The Florida Hospital Association (FHA) supports hospitals in their mission to deliver quality care by working with state lawmakers to find solutions that increase access and quality of care, while reducing costs to the state’s health care system. While many states have rules that prohibit the storage of Medicaid data outside the U.S.,
The Medical Assistance Division (MAD) within the New Mexico Human Services Department (HSD) administers the state’s Medicaid program, providing essential healthcare services and financial assistance to eligible low-income residents and families in New Mexico.
The State of New Jersey Department of Human Services, Division of Medical Assistance and Health Services oversees the state’s Medicaid enrollments and programming. The New Jersey Division of Consumer Affairs comprises an array of boards for all licenses , ranging from medical and behavioral/mental health to pharmacy and veterinary.
Under the state’s Department of Health and Human Resources , Michigan Medicaid works with healthcare providers enrolled with Medicaid programs, provides information about billing, and conducts reporting for Medicaid programs.
The New Hampshire Medicaid (Medical Assistance) program within DHHS provides medical assistance to eligible low-income residents, offering a range of healthcare services to support their health and well-being. Conveniently, license renewals are also completed online through the OPLC website.
The Med-QUEST Division administers Hawaii’s Medicaid program, providing essential healthcare services to low-income individuals and families across the state. Compliance officers need to have a deep understanding of OHCA’s role in the licensing of healthcare facilities, agencies, and organizations.
The Pennsylvania State Board of Medicine is responsible for regulating medical provider licensing requirements. This licensing body ensures healthcare professionals meet the necessary qualifications and standards to practice safely and effectively. The Pennsylvania Department of Human Services (DHS) is the state’s Medicaid agency.
The Arizona Health Care Cost Containment System (AHCCCS) is Arizona’s Medicaid agency, providing health care programs to serve Arizona residents through managed care, cost containment, and services aimed at improving the health of those it covers.
The TSBEPC ensures practitioners adhere to licensing requirements and maintain high standards of competence and ethical practice. The Texas Hospital Association (THA) is a networking and leadership organization that advocates for legislation that supports budgeting for Texas hospitals and health care systems.
The Centers for Medicare and Medicaid Services (CMS) approved The Joint Commission’s proposed elimination and revision of standards, and confirmed that the eliminated and revised standards would not diminish or reduce CMS’ own regulatory requirements. The review also took into account the opinions of experts within the field.
For several years now, there has been an acknowledgment of the importance of health-related social needs (what we used to call social determinants of health) – things like food and housing, that are just as important to healthoutcomes as access to healthcare.
The Mississippi Division of Medicaid administers health coverage programs to eligible residents, providing vital healthcare services to underserved and vulnerable populations in the state. Health insurance plans must cover telemedicine services to the same extent that services would be covered if they were provided in-person.
The Tennessee Hospital Association (THA) is a membership organization that represents and supports hospitals and health systems across Tennessee, advocating for their interests and working to enhance healthcare quality and accessibility for all Tennesseans. TennCare is Tennessee’s managed Medicaid agency.
The Nebraska Hospital Association (NHA) represents and advocates for Nebraska’s hospitals and health systems, working to improve healthcare delivery and patient care across the state. Federally Qualified Health Centers (FQHCs) allow live video, audio-only, and also excludes store-and-forward.
Imagine discovering your surgeon’s license expired six months ago, or learning that your hospital is losing millions in revenue because of inaccurate details that cause denied claims. Missing a single expired license or skipping one background check can lead to denied claims, legal liability, and damaged reputations.
The Indiana Family and Social Services Administration (FSSA) is a state’s Medicaid agency that provides essential support and services, such as healthcare, mental health, and social services, to improve the welfare and quality of life for families and individuals in Indiana.
The Colorado Hospital Association (CHA) serves as a vital support system for hospitals and health systems, fostering collaboration, advocacy, and innovation to enhance the delivery of healthcare services across the state. Learn more about credentialing in Colorado.
The Bureau for Medical Services (BMS) within DHHR oversees the state’s Medicaid program, providing healthcare coverage and ensuring access to medical services for low-income individuals and families in West Virginia. Medicaid telehealth requires real-time, two-way communication with audio and video equipment.
Additionally, the state’s approach to Medicaid expansion involves unique waivers, impacting eligibility criteria and cost-sharing provisions. The North Dakota Board of Medicine licenses physicians, physician assistants, genetic counselors, and naturopathic doctors.
Additionally, FQHCs have become integral in meeting the healthcare needs of millions of patients, with these centers representing just 1% of healthcare costs yet deliver significant healthoutcomes, especially in underserved populations.
On April 29, 2022 , the Centers for Medicare and Medicaid Services (“CMS”), issued the final rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Final Rule”). Additional Opportunities for Integration through State Medicaid Agency Contracts (§ 422.107).
Alabama Medicaid is a state-run program providing essential health coverage to eligible low-income individuals and families in Alabama, including children, pregnant women, elderly adults, and people with disabilities.
For example, the Brigham Home Hospital program leveraged Biofourmis’ AI-based technology to improve outcomes while lowering costs by 38%, the company reported. It can be used to create a digital pathway to collaborative care on-demand and meet patients where they are to help drive better healthoutcomes.
The Missouri Department of Social Services (DSS) is the state agency responsible for providing essential support and services to vulnerable individuals and families, including child welfare, assistance programs, and oversees the MO HealthNet Division , which is the state’s Medicaid program.
These enhancements have the potential to not only reduce provider costs, but also prevent errors, advance treatments, and improve healthoutcomes. AI’s superpower lies in its ability to intelligently mine insights from the exponential amount of health data that is generated every second.
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