American Nurse

JUNE 16, 2025

Immunizations are the best protection from preventable diseases and have saved lives for over 100 years (Centers for Disease Control, 2024). These would also be individuals who were not up to date with immunizations according to the Center for Disease Control (CDC) Adult Immunization Schedule (AIS) for 2024. Castro et al. O’Brien, S.,

Nurse Practitioner

The Relentless School Nurse

NOVEMBER 30, 2024

An Unacceptable Choice for Health and Human Services by Teri Mills MS, RN and Savannah Powell MSN, MPH, RN, SANE-A, OR-SANE Published in The Oregonian on 11/29/24. You have been gifted this Letter to the Editor and will have access until Dec 5, 2024.

Leadership

Penn Nursing

OCTOBER 14, 2021

Penn Nursing This issue - Fall 2021 Spring 2025 Fall 2024 Spring 2024 Fall 2023 Spring 2023 Fall 2022 Spring 2022 Fall 2021 Spring 2021 Search Features Inspiring Impact: How One Campaign Changed Everything The Path Forward Nurses Innovating in Practice Policy Roads, Bridges, and … Caregivers? The state of caregiving in the U.S.

Nurse Practitioner

Capitol Beat

APRIL 15, 2025

What is Medicaid? Medicaid provides health care coverage for millions of Americans, with nearly 72 million enrolled in 2024. Every state can choose to offer Medicaid coverage to other populations beyond the federal requirements. Why is Medicaid under threat now ? Why should nurses care about Medicaid cuts?

Medicaid

American Medical Compliance

MARCH 13, 2025

Medicare and Medicaid Participants : Entities receiving payments through these federal programs. Notice of Nondiscrimination (By November 2, 2024) All covered entities must provide a Notice of Nondiscrimination to participants, beneficiaries, enrollees, and applicants.

Medicare

University of St. Augustine for Health Sciences

APRIL 22, 2025

The average cost of a data breach in healthcare was $9.77M in 2024. Healthcare Coverage In 2023, 92 percent of Americans had some form of healthcare coveragewhether employer-provided coverage, Medicare or Medicaid or private health insurance. PowerDMS, Examples of Healthcare Policies, PowerDMS, June 24, 2024, [link] )).

HIPAA

The Relentless School Nurse

FEBRUARY 27, 2025

Kennedy’s confirmation hearings were marked by intense scrutiny over his views on vaccines, with senators questioning his understanding of essential health programs like Medicaid and Medicare. In 2024, 16 outbreaks were reported and 69% of cases were outbreak-associated. Of those, 92% of cases are outbreak-associated.

Medicaid

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

American Nurse

JULY 9, 2025

Medicare expects beneficiaries or caregivers to perform routine foot care (nail trimming and shaving, paring, cutting, and removal of calluses [keratoma and tyloma] and corns [heloma]), so it’s excluded from coverage. The Centers for Medicare & Medicaid Services website lists codes that indicate medical necessity.

Medicare

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

Capitol Beat

FEBRUARY 28, 2023

Because of specific Congressional action many of the telehealth flexibilities authorized under the PHE will continue through the end of 2024. Much of Medicare is in statute, and as a result the Administration has limited authority to expand telehealth absent Congressional action. The main waivers are: Physician Services.

APRN

American Nurse

SEPTEMBER 18, 2024

Outdated language in Medicare and Medicaid regulations were written in 1965 before APRNs were providers in the U.S. Improving Care and Access to Nurses (ICAN) (H.R. 2418): This bill does NOT change any APRN scope of practice but allows APRNs to be reimbursed for many services they already provide. Nurse Faculty Reduction Act (H.R.

APRN

American Nurse

SEPTEMBER 20, 2024

This legislation aims to remove Medicare and Medicaid barriers, allowing Advanced Practice Nurses to practice to the full extent of their training and education. To enhance equitable healthcare for all Marylanders and Americans, nurses in Maryland can support the Improving Care and Access to Nurses (ICAN) Act.

Medicaid

Healthcare Law Insights blog

APRIL 28, 2023

Due to the COVID-19 pandemic, emergency declarations, legislation, and regulatory waivers across government agencies, including the Centers for Medicare & Medicaid Services (CMS), allowed for flexibility in the delivery of care to patients, including the expanded use of telehealth. Medicare 1. Reimbursement A.

HIPAA

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." Click here to read the accompanying article.

Medicaid

American Nurse

FEBRUARY 14, 2023

million California workers could get a wage hike come January 2024. If you don’t get higher reimbursements from Medicare, Medicaid, and private insurers, then you’re gonna have to figure out how to absorb that cost increase,” Spetz said. “Or If lawmakers approve the bill and Gov. Or you just get rid of the worker.”

Medicaid

Council of Public Health Nursing Organizations

MARCH 8, 2024

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. Retrieved March 6, 2024. Retrieved March 6, 2024. Retrieved March 6, 2024. Government.

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). CMS is now implementing this legislation, which took effect on January 1, 2024.

APRN

Nurse.com

JUNE 3, 2022

The Centers for Medicare & Medicaid Services (CMS) reports that home care expenditures are expected to reach $201B by 2028, a 73% increase from 2020. Rather than leaving the profession altogether, nurses should consider the benefits of home health care positions compared to working in the hospital environment.

Home Healthcare

American Nurse

JUNE 3, 2024

2024; 19(6). 3W3aHFM Centers for Medicare & Medicaid Services. cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalHCAHPS. American Nurse Journal. Doi: 10.51256/ANJ062440 References Ailey SH, Johnson TJ, Cabrera A. J Autism Dev Disord. 2017;47(5):1510-29.

Communication

American Nurse

SEPTEMBER 13, 2024

2713): The ICAN Act removes outdated Medicare and Medicaid practice barriers placed on Advanced Practice Registered Nurses (APRN’s), promoting patient access to healthcare services delivered by their provider of choice. Improving Care and Access to Nurses (ICAN) Act (S.

Long Term Care

Health Leaders | Nursing

JULY 29, 2024

For payers, Woods said, change would likely begin at the federal level with the Centers for Medicare and Medicaid Services (CMS). Pillar: CNO Image: Tags: CMS compensation costs nurses nursing Secondary Pillars: CNO Article Type: Analysis Published Date: Tuesday, July 23, 2024 Hide sidebars: Render small main image:

Chief Nursing Officer

IntelyCare

SEPTEMBER 13, 2023

With the end of this fiscal year approaching, The Centers for Medicare and Medicaid Services (CMS) decided to set off its New Year’s fireworks a little early. These actions could include the termination of the provider agreement, denial of payments under Medicare and Medicaid, and other civil penalties.

Long Term Care

Capitol Beat

JULY 24, 2024

Improving Access to APRNs ANA recently sent a letter to the Senate Finance Committee that highlights ways that Congress can ensure Medicare patients’ access to nursing care through Medicare Part B Payment Reform.

Medicare

Consult QD

DECEMBER 7, 2023

After launching Cleveland Clinic Hospital Care At Home (HCAH) in April 2023 to serve patients requiring acute care at Cleveland Clinic Indian River Hospital in Vero Beach, Florida, Cleveland Clinic expanded the pilot to Cleveland Clinic Tradition Hospital in December with rollout to its remaining three Florida hospitals scheduled for 2024.

Medicaid

American Nurse

SEPTEMBER 5, 2024

NURSES IN MISSOURI must be able to assess a client’s ability to perform activities of daily living including preventative oral care (Registered Nursing.Org, 2024 ). 2024), dental utilization decreased faster than medical during shelter-in-place (2020) and rebounded more slowly later. According to Choi et al. Participant #2).

Medicare

American Nurse

MARCH 6, 2024

2024; 19(3). doi:10.1136/bmj.m865 Centers for Medicare and Medicaid Services. Nurse-led QI projects offer opportunities to improve patient care and promote the nursing profession. Jamie Briscoe is an adjunct professor at Community College of Allegheny County in Monroeville, Pennsylvania. American Nurse Journal. September 2020.

Telemedicine

American Nurse

APRIL 2, 2024

ANA considers these numbers a first step toward direct reimbursement for nursing services from Medicare and Medicaid. 2024; 19(4). January 31, 2024. He pointed to an ANA initiative that encourages nurses to apply for a national provider identifier (NPI) number—the gold standard for identifying and reimbursing healthcare.

Health Insurance

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%.

Medicare

American Nurse

JULY 18, 2024

According to the Center for Medicare Advocacy and Lu and Lu, ownership and sponsorship type have been shown to significantly impact the quality of care in nursing homes, with for-profits generally having lower staffing levels and poorer patient outcomes. It saves money for Medicare and Medicaid, and it’s exactly what the people want.

Business

Capitol Beat

APRIL 16, 2024

During the first quarter of 2024, the American Nurses Association’s Policy & Government Affairs Department collaborated with lawmakers on Capitol Hill on several legislative priorities. Centers for Medicare and Medicaid Services (CMS) from finalizing its proposed long-term care safe staffing regulation.

Long Term Care

American Nurse

JULY 3, 2024

Patient-centered care focused on self-sufficiency The Centers for Medicare and Medicaid Services (CMS) uses the term “home health” to describe a federal health insurance program that provides intermittent short-term care to help patients recover from illness and become as self-sufficient as possible at home. 2024; 19(6).

Self-Care

American Nurse

JUNE 13, 2024

Use of NPIs allows advanced practice nurses to bill Medicare and Medicaid for services provided to patients. Retrieved on February, 2024, from [link] Nickitas, D. One strategy to achieve this goal is the National Provider Number (NPI) as a unique nurse identifier. McClendon, S. Arizona Nurse , 14. Merriam-Webster. Teisberg, E.,

Health Outcomes

Healthcare Law Insights blog

JULY 14, 2022

In support of these goals, the Centers for Medicare and Medicaid Services (CMS), acting under the direction of the Department of Health and Human Services, issued a proposed rule in the federal register in April titled Fiscal Year 2023 Skilled Nursing Facility Prospective Payment System Proposed Rule (Proposed Rule).

Long Term Care

Registered Nursing

APRIL 24, 2025

Federal Exclusion Lists: Confirms the applicant is not excluded from Medicare/Medicaid participation ( OIG LEIE ). License and Certification Verification: Ensures the applicant holds valid, board-approved credentials. Abuse Registry Check: Searches databases for records of elder or patient abuse or neglect.

Licensing

American Nurse

JULY 2, 2024

In a significant move toward achieving safe nurse staffing levels, the Centers for Medicare & Medicaid Services (CMS) established minimum staffing standards for nurses in long-term care (LTC) facilities across the country. 2024; 19(7). ANA’s efforts helped make this new rule a reality. American Nurse Journal.

Long Term Care

American Nurse

FEBRUARY 29, 2024

2024 priorities include nursing workforce protections, access to nursing care, and payment parity. As Congress settles into 2024 and a presidential election year, ANA is pursuing nursing priorities by advocating across a broad range of issues important to nurses and the profession.

APRN