Relias

OCTOBER 6, 2021

The State of Medicaid Programs and the Need for Grassroots Advocacy. Commercial insurance and private pay revenue sources rarely cover services for people with IDD, leaving Medicaid as essentially the sole payer for these services. Sadly, in our 2021 DSP Survey Report, we found that these sentiments continued to resonate with DSPs.

Medicaid 105

Medicaid Leadership Health Insurance Medicare 105

American Medical Compliance

DECEMBER 26, 2023

On December 27, 2020, the United States Congress adopted the No Surprises Act (NSA) as part of the Consolidated Appropriations Act of 2021, which has various provisions to assist in protecting customers against unexpected costs beginning January 1, 2022. The following course highlights the NSA and how it impacts healthcare.

Health Insurance 52

Health Insurance Medicaid Medicare 52

American Nurse

FEBRUARY 29, 2024

Takeaways: The 1990 Federal Patient Self Determination Act requires that Medicare- and Medicaid-funded healthcare organizations follow state laws related to advance directives. The act requires that Medicare- and Medicaid-funded healthcare organizations, such as hospitals and nursing homes, follow state laws related to advance directives.

Self-Care 57

Self-Care Medicaid Medicare Nurse Practitioner 57

Health Leaders | Nursing

SEPTEMBER 5, 2023

of full-time NPs seeing Medicare patients and 82% seeing Medicaid patients. Senate in April and would allow NPs, physician assistants, and other APRNs to provide particular services under Medicare and Medicaid. Medicare is about 46% and Medicaid is about 14%. Nearly 90% of NPs are certified in an area of primary care and 70.3%

Medicare 116

Medicare Medicaid Telemedicine Nurse Practitioner 116

American Nurse

JULY 5, 2023

The Centers for Medicare and Medicaid Services (CMS) provides federal oversight of care quality in all U.S. hospitals that receive Medi­care and Medicaid funding. Hospitals that accept patients with Medicare or Medicaid insurance (approximately 61.4 Doi: 10.51256/ANJ072339 Reference Centers for Medicare and Medicaid Services.

Medicaid 52

Medicaid Medicare Promotion Leadership 52

Relias

FEBRUARY 2, 2023

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.

Medicare 52

Medicare Medicaid Business 52

Consult QD

MAY 16, 2023

A new policy from the Centers for Medicare & Medicaid Services (CMS) vastly expands coverage for continuous glucose monitoring (CGM), putting better type 2 diabetes management within reach for millions more patients. In Ohio, Medicaid recently started covering CGM for all people with diabetes, regardless of what medications they take.

Medicaid 88

Medicaid Medicare Education 88

American Nurse

FEBRUARY 16, 2024

In 2012, the Centers for Medicare and Medicaid Services implemented the Hospital Readmissions Reduction Program (HRRP). Prescription Opiates [link] Centers for Medicare and Medicaid Services (n.d) [link] Li, C. Education can be formal or informal, depending on the complexity of the patient’s needs. Karmarkar, A.,

Medicaid 52

Medicaid Medicare Long Term Care Self-Care 52

Healthcare Law Insights blog

APRIL 25, 2022

Prior to the pandemic a Centers for Medicare and Medicaid pilot study yielded positive results with respect to hospital readmission rates and follow-up emergency department visits. A survey in September 2021 showed that patients who received ACHAH care were highly satisfied (88%) and were likely to recommend it to friends and family (85%).

Medicaid 52

Medicaid Medicare Patient Satisfaction Business 52

Scrubs

MARCH 29, 2023

Over 106,000 people died of drug-related overdoses in 2021 alone, according to the National Institute of Health. Narcan is currently free to anyone on Medicaid or private insurance. The move is aimed to increase the availability of the drug at a time when opioid-related deaths remain high across the U.S.

Medicaid 98

Medicaid Education 98

Capitol Beat

NOVEMBER 4, 2022

The ICAN Act would remove unnecessary and outdated barriers to providing care for APRNs across the country so they can better care for their patients who are enrolled in Medicare and Medicaid programs. Nurse Advocates stand with Rep. Lucille Roybal-Allard to announce the ICAN Act in September.

APRN 52

APRN Medicaid Medicare Mental Health 52

American Nurse

MAY 8, 2023

Takeaways: To help patients and their families make informed decisions about choosing health care, the Centers for Medicare and Medicaid Services (CMS) publicly reports quality performance measures. ahrq.gov/cahps/surveys-guidance/index.html Centers for Medicare & Medicaid Services. December 1, 2021. March 8, 2023.

Medicare 52

Medicare Medicaid Patient Experience Home Healthcare 52

Capitol Beat

DECEMBER 22, 2022

This is $16 million more than these programs received in 2021. If enacted, this bill will remove practice barriers for advanced practice registered nurses (APRNs), improving access to care for Medicare and Medicaid patients. Title VIII Nursing Workforce Development Programs received $280.472 million dollars. 862 million.

Medicaid 52

Medicaid Medicare APRN Chief Nursing Officer 52

American Nurse

JANUARY 3, 2024

The Centers for Medicare and Medicaid Services (CMS) worked with purchasers, physicians, healthcare organizations, and consumers to identify evidence-based process measures (core measures) to reduce morbidity, mortality, variability, and cost while improving quality outcomes. from Q4 2021 to Q4 2022. See Bundle compliance.)

Chief Nursing Officer 52

Chief Nursing Officer Medicare Medicaid Best Practices 52

Healthcare Law Insights blog

MAY 17, 2023

One study of cosmetic surgery data found that body procedures like tummy tucks, buttock augmentation, and liposuction increased by 63 percent from 2020 to 2021. [1] billion on aesthetic procedures in 2021 with surgical revenues increasing by 63 percent. [4] 12, 2021, available at [link]. 1] Facelifts were up 54 percent. [2]

Medicare 52

Medicare Medicaid 52

Healthcare Law Insights blog

MARCH 25, 2022

The Emergency Temporary Standard (ETS) for Occupational Exposure to COVID-19 for healthcare and healthcare support service workers (OSHA Healthcare ETS) was originally published on June 21, 2021. Potential changes in the OSHA Healthcare ETS. OSHA is not considering mandating vaccines for employees.

Medicaid 52

Medicaid Medicare Business 52

Minority Nurse

JANUARY 27, 2023

She notes that four states moved to full practice authority through the pandemic: Delaware and Massachusetts in 2021 and New York and Kansas in 2022. In the past few years, the pace has “really picked up as we have seen more and more states move to full practice authority,” according to Kapu.

Nurse Practitioner 103

Nurse Practitioner APRN Medicaid Medicare 103

American Nurse

JUNE 5, 2023

DME = durable medical equipment, OT = occupational therapy, PT = physical therapy Between November 1, 2020, to May 31, 2021, 1,788 patients were discharged from the unit (1,552 discharged home and 236 discharged to a facility). A noticeable decrease in discharge times occurred from November 1, 2020, to May 31, 2021. December 1, 2021.

Medicare 98

Medicare Patient Satisfaction Patient Experience Medicaid 98

Relias

JANUARY 11, 2023

But momentum will continue, since the Centers for Medicare and Medicaid Services (CMS) announced in 2021 that it plans to transition fully to value-based reimbursement by 2030. By 2005, the Centers for Medicare and Medicaid Services (CMS) began piloting value-based care programs that linked payment to quality measures.

Medicare 52

Medicare Medicaid Patient Satisfaction Business 52

Minority Nurse

NOVEMBER 18, 2022

She notes that four states moved to full practice authority through the pandemic: Delaware and Massachusetts in 2021 and New York and Kansas in 2022. In the past few years, the pace has “really picked up as we have seen more and more states move to full practice authority,” according to Kapu. Maintaining Momentum.

Nurse Practitioner 98

Nurse Practitioner APRN Medicaid Medicare 98

Minority Nurse

MARCH 19, 2024

The United States Government Accountability Office reported a 15-fold increase over the prepandemic level in telehealth use among Medicaid beneficiaries. million from March 2020 to February 2021. Numbers skyrocketed from 2.1 million in the year before the pandemic to 32.5 Teresa Rincon, PhD, RN, FCCM, is a pioneer in virtual nursing.

Chief Nursing Officer 59

Chief Nursing Officer Bedside nursing Telemedicine Clinical Nurse Specialist 59

Relias

MARCH 29, 2024

was nearly 33 deaths per 100,000 live births in 2021, higher than in any other developed country. Expanding Medicaid coverage and access to comprehensive and continuous health care for individuals before, during, and after pregnancy, especially for low-income and uninsured patients who face higher risks of poor maternal outcomes.

Medicaid 52

Medicaid Care coordination Mental Health Education 52

Relias

AUGUST 15, 2022

Centers for Medicare and Medicaid Services (CMS) proposes a decrease in Medicare reimbursement for home health agencies by 4.2% CMS uses 2021 data to recalibrate case-mix weights, including functional levels, comorbidity adjustment subgroups, and LUPA thresholds. Cap on Negative Wage Index. Mandatory Telehealth Reporting.

Medicare 52

Medicare Medicaid 52

Consult QD

APRIL 6, 2023

To conduct their study, the team surveyed 500 transplant clinicians (physicians, surgeons, and allied health and nursing professionals) between June and August 2021. Here are their findings in summary: Those in distressed communities were more likely to be Black and Hispanic, listed as Status 1A and have Medicaid insurance.

Medicaid 112

Medicaid Promotion Education 112

American Nurse

FEBRUARY 21, 2024

Introduction SOUTH CAROLINA is predominately a rural state that consistently demonstrates poor health rankings, due to the lack of Medicaid expansion, healthcare deserts, and a decreasing physician supply. 2021, December). South Carolina Maternal Morbidity and Mortality Review Committee: Legislative Brief 2021. 2 March of Dimes.

APRN 52

APRN Nurse Practitioner Clinical Nurse Specialist Medicare 52

Consult QD

JULY 18, 2023

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).

Medicare 91

Medicare Medicaid Business Emergency Care 91

American Nurse

MARCH 6, 2024

Silver Spring, MD: American Nurses Association ; 2021. doi:10.1136/bmj.m865 Centers for Medicare and Medicaid Services. 2021; 16(5):e0252151. August 24, 2021. Br J Clin Pharmacol. 2020; 86(1):29-38. doi:10.1111/bcp.14164 14164 American Nurses Association. Nursing: Scope and Standards of Practice. Backhouse A, Ogunlayi F.

Telemedicine 98

Telemedicine Health Insurance Health Literacy Promotion 98

Relias

OCTOBER 25, 2021

Taking advantage of the changed rules will allow home health agencies to more efficiently use the first visit, which has positive implications for clinical outcomes and the agency’s bottom line, observed Karen Vance, BSOT, discussing the CoP update in a recent Relias webinar.

Medicare 97

Medicare Holistic Care Medicaid Communication 97

Relias

DECEMBER 8, 2022

Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). Most states’ retrieval rates of the 2021 home health agencies PEPPER stood at 40% to 59%. We all love free tools that help our organizations perform better.

Medicare 52

Medicare Medicaid Self-Care Education 52

Relias

SEPTEMBER 1, 2022

With the successes reaped during the pilot of the Home Health Value-Based Purchasing (HHVBP) program, the Centers for Medicare and Medicaid Services (CMS) aims to accelerate the results nationwide. The program started in 2016 as a pilot to determine the impact of financial incentives on home health agencies in nine states. million decrease.

Medicare 52

Medicare Self-Care Medicaid Education 52

American Nurse

FEBRUARY 16, 2024

2021, August). Therefore, the nurse’s plan of care must be flexible to accommodate the changing presentation of the condition and how it is affected by aging, the environment (including nutrition), and whether there is the presence of other conditions. As role models, nurses should be aware of the language they use to refer to patients.

Mental Health 52

Mental Health Self-Care Clinical Nurse Specialist Medicaid 52

American Nurse

JUNE 7, 2023

On May 11, 2021, The Future of Nursing 2020–2030, Charting a Path to Achieve Health Equity extended the vision of the previous report and offered new pathways for the nursing profession. aacnnursing.org/Portals/42/AcademicNursing/pdf/Essentials-2021.pdf Washington, DC: National Academies Press; 2021. See Future of nursing goals.)

Medicare 116

Medicare Health Insurance Promotion Nurse Practitioner 116

American Nurse

DECEMBER 8, 2023

The Geriatrics ECHO data consist of information from September 2019 to May 2022; the Nursing Home STRONG ECHO, from November 2020 to September 2022 (which includes Agency for Healthcare Research and Quality [AHRQ] COVID-19 Action Network ECHO sessions held from November 2020 to August 2021). 2021 profile of older Americans.

Long Term Care 86

Long Term Care Leadership Nurse Practitioner Medicaid 86

Hospital Recruiting | Nursing

MAY 12, 2022

The Centers of Medicare and Medicaid Services (CMS) conducted an inspection of VUMC and issued a Statement of Deficiencies surrounding Murphey’s death, which sparked a criminal investigation into Vaught. In 2021, after the criminal investigation was initiated, the TN Board of Nursing later revoked her nursing license in July of 2021.

Malpractice 52

Malpractice Military Medicaid Medicare 52

American Nurse

OCTOBER 2, 2023

2021: NPIAP conference In the fall of 2021, NPIAP convened a conference to discuss skin failure related to end of life, focusing on consensus around terminology and drawing attention to how little scientific research exists regarding the condition. December 17, 2021. mg/dL (P =.07), 07), impaired blood flow (P =.05),

Long Term Care 105

Long Term Care Malpractice Nurse Practitioner Medicaid 105

Relias

AUGUST 29, 2022

A 2021 study by a University of Colorado researcher projected a potential 4-13% annual rise in pregnancy-related deaths among non-Hispanic white patients compared to a 12-33% annual rise in pregnancy-related deaths among non-Hispanic Black patients and 6-18% annual rise among Hispanic patients. In the longer term, education is critical.

Medicaid 84

Medicaid Education 84

Celayix

FEBRUARY 7, 2023

billion in health care fraud settlements and judgments in 2021. There is also the patient family, and the patient insurance provider, or the government in the case of Medicare or Medicaid. Fraud is unfortunately, very common in home healthcare. In fact, the federal government saw a return of nearly $1.9 There is of course, the patient.

Home Healthcare 52

Home Healthcare Medicaid Business Medicare 52