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CMS 2023 Home Health Final Rule: What Agencies Need To Know

Relias

The 2023 Home Health Final Payment Rule , which the Centers for Medicare and Medicaid Services (CMS) released in October, increases Medicare payments for home health agencies by 0.7%, or $125 million, compared to 2022. While this seems like a treat, William A. The final rule includes a 4.1% net inflation rate update.

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New Weight Loss Drugs Carry High Price Tags and Lots of Questions for Seniors

American Nurse

Because Medicare doesn’t cover weight loss medications and they can cost more than $10,000 a year, seniors’ ability to get the new drugs is restricted. There is an exception: Medicare will cover Ozempic and Mounjaro if an older adult has diabetes, because the insurance program pays for diabetes therapies. “We

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Patients With Dementia Face 2x Risk of Dying After ICU Discharge

Daily Nurse

Mortality and Discharge Location of Intensive Care Patients With Alzheimer Disease and Related Dementia examines data from a large, geographically diverse sample of patients enrolled in Medicare Advantage (MA) plans. which covers the period from 2016 to 2019. ADRD and comorbid conditions were identified from claims.

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Home Health Agencies Face Financial Burden of Proposed CMS Payment Cut

Relias

Centers for Medicare and Medicaid Services (CMS) proposes a decrease in Medicare reimbursement for home health agencies by 4.2% The act mandates a six-year monitoring period for the Patient-Driven Groupings Model ( PDGM), the home health payment model implemented for Medicare in 2020. Adjusting PDGM Calculations Based on Data.

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Nursing and the evolution of population health

American Nurse

In July 1965, President Lyndon Johnson signed into law legislation to establish the Medicare and Medicaid programs about 20 years after President Harry Truman unsuccessfully tried to enact some form of national health insurance. A brief history of Medicare in America. cdc.gov/nchs/data/hus/2019/044-508.pdf March 15, 2019.

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Cleveland Clinic’s Virtual Emergency Medicine Program: Treating the Right Patients in the Right Place

Consult QD

Origins and COVID-19 impact The program arose from Cleveland Clinic’s desire to leverage technology to make emergency care more accessible and from the healthcare system’s initial experience with a Centers for Medicare and Medicaid Services payment model called Emergency Triage, Treat, and Transport (ET3).

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Pickleball Injuries Could Reach $500 Million in Medical Costs This Year

Scrubs

UBS, a global financial services company, decided to investigate the issue when UnitedHealth Group, whose stock is analyzed by the firm, reported that healthcare utilization rates have skyrocketed among Medicare beneficiaries. The injury rate among this age group will likely continue to grow as more seniors discover the sport.