American Nurse

JUNE 16, 2025

2023) found that individuals with lower cognitive functioning cannot meaningfully participate in telehealth visits. 2023) found that the prevalence of immunizations was lower in adults with disabilities from 2016 – 2021 and Doherty et al. The most frequently observed category of insurance was public Medicare/Medicaid (n = 27, 84.38%).

Nurse Practitioner

American Nurse

JUNE 11, 2025

Florida has the highest number of reported sickle cell disease (SCD) cases in the nation (Fu, Andemariam, & Herman, 2023). years for Medicare and Medicaid beneficiaries compared to 76 years for those without the condition (Joao et al., Florida Agency for Healthcare Administration (2023). Sickle cell trait. Vorderstrasse, A.,

Medicaid

Penn Nursing

DECEMBER 15, 2023

Penn Nursing This issue - Fall 2023 Spring 2025 Fall 2024 Spring 2024 Fall 2023 Spring 2023 Fall 2022 Spring 2022 Fall 2021 Spring 2021 Search Features Don’t Go! Written by Shannen Gaffney Fall 2023 Why do we need a Black Nurses Association? and patient care. The question always surprises Sheldon D.

Leadership

Daily Nurse

MAY 5, 2025

In a bit of good news, following increases in shortages in fiscal years 2022 and 2023, nursing was reported as a shortage by fewer facilities in fiscal year 2024. Whether its the VA cuts or Medicaid cuts, people deserve the best and safest healthcare, she said.

Military

Health Leaders | Nursing

JUNE 26, 2025

The long-term health care industry is facing a double whammy from President Donald Trump's crackdown on immigrants and the GOP's proposals to reduce Medicaid spending. Care for 6 in 10 residents is paid for by Medicaid , the state-federal health program for poor or disabled Americans. "We

Long Term Care

University of St. Augustine for Health Sciences

APRIL 22, 2025

Healthcare Coverage In 2023, 92 percent of Americans had some form of healthcare coveragewhether employer-provided coverage, Medicare or Medicaid or private health insurance. Federal Regulation of Medication Dispensing, StatPearls, June 20, 2023, [link]. Department of Health & Human Services, April 20, 2023, [link].

HIPAA

Nursing Review

JULY 14, 2025

More than 900 medicines were listed on the scheme in 2023–24, costing the government $17.7 In the US, pharmaceuticals are subsidised through private health insurance or government programs such as Medicaid. It helps reduce the cost of essential medications, ensuring access to treatments for a wide range of medical conditions.

Pharmaceutical

Elder Care Matters

JUNE 16, 2022

New Medicaid Look Back Rules If this sounds familiar, you’re right—recent years have seen many extensions of rules regarding Medicaid. But for New Yorkers, this most recent change to Medicaid Community Based Care is a result of a New York State’s 2022-2023 budget and not the pandemic.

Medicaid

Nurse Practitioners in Business

JULY 5, 2023

Heads up, though… If you are listening to this before July 20th, 2023 , you’ll have time to get on a webinar with NPBO and Susan Montana , who, among other things, is a Certified Medical Practice auditor. On July 20, 2023, Susan Montana will discuss what to expect in an audit. Would you rather listen?

Business

Elder Care Matters

NOVEMBER 2, 2022

Medicare Part B Premiums to Decrease in 2023 For the first time in over a decade, the Centers for Medicare and Medicaid Services announced that Medicare beneficiaries will enjoy a lower premium in 2023. That’s welcome news for seniors living on a fixed income and struggling with dramatic price increases on, well, everything.

Medicare

American Medical Compliance

JUNE 19, 2023

Several states have recently approved the extension of postpartum Medicaid coverage beyond the usual two-month period. By providing extended Medicaid coverage, states are taking a proactive approach to safeguarding the well-being of mothers during this vulnerable period. Reference US News and World Report (1 June 2023).

Medicaid

Capitol Beat

JANUARY 4, 2024

Not surprisingly, the main focus of advocacy is the federal Department of Health and Human Services (HHS) and its subagency, the Centers for Medicare and Medicaid Services (CMS). Also in 2023, CMS released a long-awaited proposal to establish minimum staffing requirements in nursing facilities.

APRN

Health Leaders | Nursing

JULY 10, 2024

The Supreme Court's decision will impact patients receiving care through Medicare, Medicaid, and CHIP. According to the brief, approximately 65 million Americans receive healthcare coverage through Medicare, while Medicaid and CHIP cover 90 million low-income children and adults and seniors with disabilities.

Medicaid

Health Leaders | Nursing

SEPTEMBER 11, 2023

Editor’s note: This article appeared in the July-September 2023 edition of HealthLeaders magazine. 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.

Nurse Practitioner

American Nurse

NOVEMBER 5, 2023

Minimum staffing standards proposed for LTC facilities On September 1, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that, if finalized, would establish minimum staffing standards for long-term care (LTC) facilities. The post ANA Enterprise News, November 2023 appeared first on American Nurse.

Long Term Care

American Nurse

MAY 5, 2023

NPIs provide a means for 
advanced practice RNs to 
bill most insurance providers, including Medicare and Medicaid. The post ANA Enterprise News, May 2023 appeared first on American Nurse. This content is for Digital Access and Print Plus subscribers only. Visit the site and log in/register to read.

Medicaid

Health Leaders | Nursing

FEBRUARY 24, 2023

That provision, along with another to include non-medically directed CRNA services as a mandatory benefit under the Medicaid program, is being cheered by the American Association of Nurse Anesthesiology (AANA).

Medicaid

Capitol Beat

FEBRUARY 28, 2023

The COVID-19 Public Health Emergency (PHE) that was declared in March 2020 is set to end on May 11, 2023, as the President has announced there will be no more extensions to the PHE. The end of the PHE will also have an effect on the Medicaid program. That means that this will end on December 31 of this year. Anesthesia Services.

APRN

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. How will the 2023 final rule affect your business? While this seems like a treat, William A.

Medicare

Daily Nurse

JULY 31, 2023

The American Nurses Association (ANA) underscores the urgency for Congressional leaders, the Centers for Medicare & Medicaid Services (CMS), and other key stakeholders to advance efforts in implementing safe staffing standards , including minimum nurse-to-patient ratios.

Medicaid

Capitol Beat

APRIL 4, 2022

Recently, the Biden Administration released its Fiscal Year (FY) 2023 budget proposal. Title VIII Nursing Workforce Development Programs received $294.972 million for FY 2023. billion in discretionary funding for Centers for Medicare and Medicaid Services, a 8% increase from FY 22 $9.9 decrease from FY 22 $4.3

Medicaid

Healthcare Law Insights blog

APRIL 28, 2023

The Department of Health and Human Services (HHS) has announced its plan to end the Federal Public Health Emergency (PHE) for COVID-19 on May 11, 2023. Some of these changes have become permanent or extended beyond the end of the PHE due to Congressional action, while some waivers will expire on May 11, 2023. Reimbursement A.

HIPAA

Healthcare Law Insights blog

JULY 7, 2023

A handful of FCA circuit court decisions issued in 2023 are noteworthy as well. The Sixth Circuit further agreed the amended complained faced another problem: neither the hospital nor the eye care center’s owner submitted claims for Medicare or Medicaid reimbursement for items or services “resulting from” the AKS violation.

Pharmaceutical

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

Health Leaders | Nursing

JULY 17, 2024

An amicus brief , published in September 2023, warned that "overruling Chevron would have enormous impact on the administration of federal programs, including Medicare, Medicaid, and CHIP, that are critical to public health."

Medicaid

American Medical Compliance

JUNE 21, 2024

The Department of Health and Human Services (HHS) estimated that improper payments in the Medicare and Medicaid programs exceeded $100 billion from 2016 to 2023. Moreover, as frontline defenders of the healthcare system, healthcare providers play a crucial role in preventing these issues.

Medicaid

Healthcare Law Insights blog

NOVEMBER 22, 2022

The Affordable Care Act mandated that the Centers for Medicare and Medicaid Services (“CMS”) establish risk categories for Medicare enrollment, which are used by CMS to determine what level of scrutiny to give provider enrollment applications, which includes initial enrollment, change of ownership (“CHOW”) applications, and revalidations.

Medicare

Health Leaders | Nursing

MARCH 5, 2023

Care models had not wavered much since hospitals became medicalized in the early 20 th century, and particularly since the Centers for Medicare & Medicaid Services (CMS) were created in 1965, says Jason Gilbert, PhD MBA RN NEA-BC , executive vice president and chief nurse executive, Indiana University Health.

Retirement

Council of Public Health Nursing Organizations

MARCH 8, 2024

CMS (2022) created rural emergency hospitals (REH) as a separate provider designation effective January 1, 2023. Hospitals within a rural area with not more than 50 beds or that closed after December 27, 2020, can seek designation as a REH as long as they meet the conditions of participation to participate in Medicare and Medicaid programs.

Medicaid

American Nurse

SEPTEMBER 9, 2024

Change this 100-year-old policy (2023) thefreelibrary.com – Nursing is the room rate (2012) HISTORY “Want to Fix the Nursing Shortage?” Medicare, Medicaid, and many private insurers require the use of the National Provider Identifier (NPI) which is administered by the Centers for Medicare and Medicaid Services (CMS).

Medicare

Relias

AUGUST 15, 2022

Centers for Medicare and Medicaid Services (CMS) proposes a decrease in Medicare reimbursement for home health agencies by 4.2% The behavioral adjustment proposed for 2023 would permanently reduce the 30-day payment rate by 7.69%. decrease in pay for 2023 is the net effect. The proposed 4.2% Mandatory Telehealth Reporting.

Medicare

Healthcare Law Insights blog

DECEMBER 11, 2023

A hospital that receives what it suspects to be an improper transfer must report their suspicions to the Centers for Medicare and Medicaid Services or the relevant state survey agency within 72 hours of when the hospital suspects they have received an improperly transferred individual. Ass’n, AMA Principles of Med. Ethics: II: 9.4.2

Medicaid

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 2023; 18(7). March 2023. 2023 Comprehensive Accreditation Manual.

Medicaid

American Medical Compliance

FEBRUARY 13, 2023

Interoperability of Telehealth The Centers for Medicare and Medicaid Services (CMS) is coming up with a process for improving the exchange of electronic healthcare information and interoperability. Reference Health IT News (2023, January 23). What’s ahead for health IT policy and legislation in 2023. course today.

Medicaid

Health Leaders | Nursing

APRIL 10, 2023

As we move toward value-based care, we have to take care of lots of people, especially as Medicaid is expanded throughout our country. For example, in dermatology, APPs might do general dermatology and the physicians might do the surgical subspecialty part of that.

Pharmaceutical

American Nurse

JUNE 13, 2024

Change this 100-year-old policy (2023) thefreelibrary.com – Nursing is the room rate (2012) HISTORY “Want to Fix the Nursing Shortage?” Medicare, Medicaid, and many private insurers require the use of the National Provider Identifier (NPI) which is administered by the Centers for Medicare and Medicaid Services (CMS).

Medicare

American Medical Compliance

FEBRUARY 15, 2023

The Centers for Medicare and Medicaid Services (CMS) require FWA training. CMS FWA Training 2023 The CMS requires both Part D plan sponsors and MA organizations to annually communicate certain compliance and FWA requirements to FDRs or first-tier, downstream, and related entities. Prescription Drug Plans (PDP) provides such coverage.

Medicare