HIT Consultant

SEPTEMBER 25, 2024

What You Should Know: – Zing Health , a trailblazing Medicare Advantage insurer, has announced a successful $140M funding round. less than 2% of Medicare beneficiaries are enrolled in Chronic Special Needs Plans (CSNPs), highlighting a significant gap in care. ”

Medicare 52

Medicare Medicare Health Outcomes Doctors 52

HIT Consultant

NOVEMBER 18, 2021

What You Should Know: – Easyhealth raises $135M to redesign Medicare with its end-to-end Medicare experience to help 50 million Medicare members find the best plan and support them through their healthcare journey. Redesigning The Medicare Experience. Improved Medicare Plan Performance.

Medicare 98

Medicare Medicare Health Outcomes 98

HIT Consultant

JUNE 2, 2022

What You Should Know: – CareMax , a tech-enabled provider of value-based care to seniors announced an agreement to acquire the Medicare value-based care business of Steward Health Care System for a combination of cash and stock. – CareMax will pay $25 million in cash and issue 23.5

Medicare 95

Medicare Medicare Health Outcomes 95

HIT Consultant

JULY 30, 2024

– Zing Health will identify eligible members with the greatest risk of poor heart failure outcomes and connect them with Story Health’s industry-leading program. These plans are tailored for seniors with chronic conditions and aim to reduce healthcare disparities by addressing social determinants of health.

Medicare 52

Medicare Medicare Health Outcomes Nurses 52

HIT Consultant

FEBRUARY 22, 2024

What You Should Know: Waltz Health, a digital health company developing smarter, technology-enabled ways to price, distribute and prescribe medications, today announced its entry into the Medicare market.

Medicare 52

Medicare Medicare Prescription Drug Pricing Health Outcomes 52

Medisys Compliance

JULY 13, 2023

Medicare recognizes the importance of diabetes self-management training and offers coverage for eligible beneficiaries. However, there are specific guidelines and conditions that need to be met for Medicare billing. Diabetes Education Billing Guidelines for Medicare Who May Furnish the Training?

Medicare 52

Medicare Medicare Medical Billing Outsourcing Health Outcomes 52

HIT Consultant

JANUARY 24, 2022

health plan. We are proud to expand our partnership with Cigna to improve the overall quality of life, including pain reduction and a return to previous functionality for the Medicare Advantage population,” said Dustin Eggers, EVP and chief commercial officer of RecoveryOne. “We

Medicare 98

Medicare Medicare Health Outcomes 98

Fierce Healthcare

NOVEMBER 6, 2023

Medicare Advantage (MA) beneficiaries have better quality of care and health outcomes than traditional fee-for-service counterparts, researchers from Harvard Medical School found.

Hospitals 131

Hospitals Medicare Medicare Health Outcomes 131

HIT Consultant

APRIL 16, 2024

What You Should Know: – inVio Health Network and CVS Accountable Care Organization, a division of CVS Health , have announced a collaboration to participate in the new Medicare Accountable Care Organization (ACO) REACH program.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Healthcare Law Blog

JANUARY 10, 2022

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”). Refining Definitions for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2

Medicare 98

Medicare Medicare COVID-19 Medicaid 98

Healthcare It News

OCTOBER 13, 2023

Social determinants of health – the food, shelter and security attributes of patients that exist outside of care settings – contribute disproportionate risks for disease, hospital readmissions and a lack of access to quality healthcare among vulnerable populations, including people on Medicare. Like what you hear?

Health Outcomes 242

Health Outcomes HIPAA Medicare Medicare 242

Healthcare It News

SEPTEMBER 16, 2024

By making use of technologies such as artificial intelligence, providers can empower senior patients with the extra guidance and support that informs them and gets them to the point of care, according to Karl Ulfers, cofounder and CEO at DUOS, a senior-focused digital care navigation platform designed for Medicare beneficiaries.

Medicare 231

Medicare Medicare Public Health Health Analytics 231

Medisys Compliance

MAY 5, 2022

On 22 nd April 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update Medicare enrollment and eligibility rules that would expand coverage for people with Medicare and advance health equity. Sections 120 and 402 of the CAA made two key changes to Medicare enrollment rules.

Medicare 52

Medicare Medicare Medical Billing Outsourcing Medical Billing 52

HIT Consultant

OCTOBER 21, 2024

Enhancing Health Outcomes for Older Adults through Uber Health and NationsBenefits Partnership The Uber Health and NationsBenefits partnership streamlines access to essential services, facilitating a seamless experience from booking to payment.

Health Outcomes 98

Health Outcomes Medicare Medicare 98

Fierce Healthcare

APRIL 16, 2024

CVS Accountable Care and inVio Health Network, a collection of more than 600 providers in South Carolina, are partnering to improve care outcomes for 60,000 Medicare beneficiaries. |

Medicare 67

Medicare Medicare Health Outcomes 67

HIT Consultant

SEPTEMBER 1, 2021

What You Should Know: – Ochsner Health and innovationOchsner (iO) have partnered with Bold , an evidence-based, digital exercise platform for older adults aimed at reducing falls and improving health outcomes. For non-fatal falls alone, $29 billion was paid out by Medicare in 2018 for treatment and care.

Medicare 52

Medicare Medicare Health Outcomes 52

HIT Consultant

OCTOBER 11, 2024

Neena Patel, MHA, CSM, VP of Client Success at Chordline As population health initiatives for Medicare and Medicaid members pick up steam, one of the biggest obstacles to care transformation remains a lack of trust among healthcare’s key stakeholders. Meanwhile, as the number of seniors aging into Medicare increases, the U.S.

Medicare 98

Medicare Medicare Health Outcomes Medicaid 98

Health Law Advisor

JANUARY 13, 2022

The proposed decision, which is subject to public comments that are due to CMS by February 10, 2022, does not endorse nationwide Medicare coverage for these drugs. The FDA’s determination does not mandate Medicare coverage for Aduhelm. The Medicare Part B program would not cover the drugs in any other setting.

Medicare 52

Medicare Medicare FDA Medicaid 52

Health Populi

AUGUST 21, 2019

There are over 60 million enrollees in Medicare in 2019, and fully one-third are in Medicare Advantage plans. Medicare is adding 10,000 new beneficiaries every day in the U.S. Medicare Advantage enrollment is fast-growing, shown in the first chart where over 22 million people were in MA plans in January 2019.

Medicare 82

Medicare Medicare Health Outcomes HIPAA 82

Healthcare It News

AUGUST 25, 2022

The company found that machine learning was able to accurately predict healthcare providers with at-risk patients due to loss of insurance coverage, including Medicare coverage gaps. Rochester, Michigan-based OptimizeRx Corp., which provides care-focused engagement throughout patient journeys and connects more than 60% of U.S.

Health Outcomes 272

Health Outcomes Doctors Medicare Medicare 272

MRO Compliance

AUGUST 8, 2024

However, it gained significant traction in the early 2000s and continues to evolve with ongoing efforts to refine payment models, improve care coordination, enhance patient outcomes, and manage cost efficiency. The Role of ACOs ACOs participating in the Medicare Shared Savings Program (MSSP) saved Medicare more than $1.8

Patient Satisfaction 147

Patient Satisfaction Medicare Medicare Medicaid 147

Healthcare IT Today

SEPTEMBER 26, 2024

This shift places health plans at the core of the healthcare experience, requiring them to adapt to the evolving member expectations. They illustrate that a person’s ability to use digital tools can significantly impact their health outcomes.

Health Outcomes 73

Health Outcomes Medicare Medicare Medicaid 73

HIT Consultant

SEPTEMBER 24, 2024

Wider Circle is working with their Medicaid plan to enhance member engagement and improve health outcomes by fostering strong, supportive community ties. Through community-centered engagement, this partnership enhances member involvement and drives better health outcomes across the state.

Medicaid 52

Medicaid Medicaid Health Outcomes Medicare 52

Healthcare It News

AUGUST 29, 2024

"She has been a key contributor to the advancement of digital health in the nursing profession and played a pivotal role in the future of the Australian healthcare system as a member of the Strengthening Medicare Taskforce," ADHA CEO Amanda Cattermole said about Booth in a statement.

Nurses 189

Nurses Health Outcomes Medicare Medicare 189

MRO Compliance

JUNE 27, 2024

In the dynamic landscape of healthcare, where quality care and cost-effectiveness are paramount, initiatives like the Medicare Shared Savings Program (MSSP) play a pivotal role. MSSP ACOs are groups of doctors, hospitals, and other healthcare providers who voluntarily collaborate to deliver coordinated, high-quality care to Medicare patients.

Patient Satisfaction 147

Patient Satisfaction Medicare Medicare Compliance 147

HIT Consultant

NOVEMBER 20, 2024

Challenges in Employer-Provided Healthcare Employers face significant barriers in healthcare, including: – Cost: US employers spend over $800 billion annually, often paying hospitals nearly three times Medicare rates. – Quality: Clinical outcome data is often inaccessible to employers, leading to variable readmission rates (13.7%

Doctors 97

Doctors Nurses Medicare Medicare 97

Health Populi

DECEMBER 9, 2019

That program has the potential to change our Medicare members manage meds at home to ensure better adherence, supporting better health outcomes and personal feelings of efficacy and control. [As Last week, the Giant Eagle grocery chain was the first pharmacy retailer to offer a new medication management skill via Alexa.

Medicare 62

Medicare Medicare Health Outcomes Health Insurance 62

Healthcare IT News - Telehealth

MARCH 12, 2020

Adrian Smith, R-Nebraska, and Ann Kuster, D-New Hampshire – would allow Medicare to enter into voluntary, value-based arrangements with medical groups to provide acute care to patients in skilled nursing facilities using a combination of telehealth and on-site staff. The RUSH Act – introduced in companion bills from Sens.

Nursing Homes 191

Nursing Homes Nurses Medicare Medicare 191

Healthcare It News

DECEMBER 16, 2022

The Medicaid and CHIP Access to Prescription Digital Therapeutics Act seeks to expand care options that can help improve health outcomes and quality of life for those facing barriers to healthcare. The Digital Therapeutics Alliance this week encouraged legislators to support its efforts to broaden access to DTx. WHY IT MATTERS.

Medicaid 192

Medicaid Medicaid COVID-19 Health Outcomes 192

HIT Consultant

JUNE 26, 2024

million members through contracts with leading regional and national Medicaid Managed Care Organizations, Medicare Advantage plans, commercial insurers, and over one thousand employers. Notably, members continue to improve their health outcomes even three years later. Currently, Foodsmart serves over 2.2

Health Outcomes 105

Health Outcomes Medicaid Medicaid Medicare 105

Healthcare Law Blog

MAY 16, 2022

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”). With a few exceptions, the Final Rule is a wholesale codification of the proposed rule.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Healthcare IT News - Telehealth

JANUARY 25, 2021

According to a press statement from Thompson's office, it would: Eliminate most geographic and originating site restrictions on the use of telehealth in Medicare and establishing the patient’s home as an eligible distant site. This is a common-sense step to make sure our policies keep pace with our technology," he added.

COVID-19 211

COVID-19 Medicare Medicare Telemedicine 211

HIT Consultant

JULY 9, 2024

Addressing the Primary Care Gap for Vulnerable Populations A recent survey revealed a concerning trend: 33% of Medicare Advantage patients and 32% of traditional Medicare patients struggle to access primary care.

Patient Satisfaction 52

Patient Satisfaction Medicare Medicare Health Outcomes 52

Healthcare IT Today

JULY 1, 2024

Improving Health Outcomes and Driving Down Costs Established in 2019, Better Health provides support and medical supplies for people with chronic conditions, such as ostomy, chronic wounds, diabetes, chronic retention, and incontinence. For health plans, Better Health’s unparalleled engagement of 10.5

Health Outcomes 73

Health Outcomes Medicare Medicare Medicaid 73

NEJM

APRIL 7, 2023

People who are dually enrolled in Medicare and Medicaid face issues related to fragmented care and poor health outcomes associated with inadequate coordination of benefits and services.

Medicaid 53

Medicaid Medicaid Health Outcomes Medicare 53

Healthcare IT News - Telehealth

MARCH 25, 2024

The Centers for Medicare and Medicaid Services just released data on its Acute Hospital Care at Home initiative , which thus far has admitted 11,159 patients suffering from respiratory infections, heart failure and severe sepsis. Where is this data going to come from and what must hospital and health system IT executives do here?

Hospitals 175

Hospitals Health Outcomes Medicaid Medicaid 175

HIT Consultant

FEBRUARY 28, 2023

Address Cardiometabolic Conditions and Maternal Health The three-year deal will leverage Walmart’s position as a retailer and provider of health and wellness services, and CareSource’s role in the administration and delivery of Medicaid, Medicare and other health plan benefits and services.

Medicaid 98

Medicaid Medicaid Health Outcomes Medicare 98