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Crusading for Mothers

American Nurse

The second federal policy is Medicaid Postpartum Coverage Extension (passed in Missouri 7/2023). More than 40% of births are insured under Medicaid. Federal law mandates that states lengthen Medicaid eligibility to pregnant women with household incomes up to 138% of the federal poverty level through one year post birth.

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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. During a phase-in period from January 1, 2025, to June 30, 2025, agencies that fail to submit the data will not be penalized.

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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% CMS is proposing a requirement for agencies to submit OASIS data for all patients, regardless of payer, and not just for Medicare or Medicaid patients, beginning in 2025. Mandatory Telehealth Reporting.

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Partnering With Hospitals Can Boost SNF Referrals

Relias

According to a recent National Investment Center for Seniors Housing and Care (NIC) survey, one-fifth of nursing care respondents anticipate that occupancy levels will not return to the pre-pandemic rate until 2025 or beyond. This partnership can help secure referrals and stimulate cash flow, especially when taking on highly complex patients.

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Opinion: ReDonda Vaught Conviction Raises Serious Concerns for Healthcare Delivery

Hospital Recruiting | Nursing

A survey published on Forbes shows that 47% of healthcare providers plan to leave their positions by 2025. 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.

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Why Successful Integrated Care Management Matters

Relias

This means considering things like: Referring working patients to clinics that offer extended hours Referring Medicaid patients to well-known psychiatric units that work well with their insurance And more Building rapport and understanding the patient more fully can help PCPs direct patients to the appropriate resource and encourage follow-ups.

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Home Health Agencies Face Growing Competition as Value-Based Purchasing Expands Nationally

Relias

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.