Remove Medicaid Remove Patient Satisfaction Remove Regulatory Compliance
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What Payers Need to Know to Stay Ahead in 2025

MRO Compliance

Scenarios like this illustrate the importance of interoperability and ensuring patient records transfer seamlessly across providers and plans. To address these gaps, the Centers for Medicare & Medicaid Services (CMS) now mandates the use of FHIR-based APIs for data sharing.

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What is GRC in Healthcare?

Verisys

It emphasizes conducting activities transparently, ethically, and in a manner that secures the trust of patients, staff, and stakeholders alike. This holistic approach to governance ensures that decisions are informed by a comprehensive understanding of the hospital’s overall performance and its implications for patient care.

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The Devil may be in the Details of the Part II No Surprises Act IFR

Health Care Law Brief

The “thumb on the scale” QPA presumption may have less of an impact on providers that are “must-haves” for a plan based on clinical importance, or high patient-satisfaction scores. But for other providers and facilities, the impact is likely to be greater. 2] See 86 Fed.

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2024 New York Budget Proposes Wide-Ranging Transaction Approval Requirement That Targets Private Investment in Physician Practices and MSOs, and Permits DOH to Extract Concessions

Health Care Law Brief

The bill states that “physician practices are subject to far less oversight than [other facilities]” but that they “remain unregulated by the state outside of the licensure of the individual practitioners who practice at these sites and Medicaid enrollment.”

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Vivalink Launches No-Cost Hospital-at-Home Starter Program for Nonprofits

HIT Consultant

Hospital-at-Home: A Growing Trend in Healthcare Hospital-at-Home programs allow patients to receive acute care services in the comfort of their own homes, often leading to better outcomes and higher patient satisfaction. Increased Patient Satisfaction: Greater comfort and convenience for patients receiving care in their homes.