The Relentless School Nurse

MARCH 8, 2025

The Centers for Medicare & Medicaid Services (CMS) rescinded key guidance on March 4, 2025, affecting Medicaid and Childrens Health Insurance Program (CHIP) coverage for services addressing health-related social needs (HRSNs).

Medicaid

The Relentless School Nurse

FEBRUARY 15, 2025

Advanced Research Projects Agency for Health (ARPA-H) : ARPA-H aims to accelerate health research and development. Centers for Medicare & Medicaid Services (CMS) : CMS administers Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP).

Medicaid

The Relentless School Nurse

MAY 24, 2025

More to come… Heres a deeper look at the specific ways this bill threatens childrens well-being: Massive Medicaid Cuts: A Direct Attack on Childrens Health Coverage Loss: The bill slashes nearly $700 billion from Medicaid, the primary source of health insurance for children in low-income families and those with special health needs.

Medicaid

American Medical Compliance

MARCH 13, 2025

Health Insurance Providers : Companies providing health coverage plans. Medicare and Medicaid Participants : Entities receiving payments through these federal programs. Any Organization Receiving HHS Funding : This encompasses a wide range of healthcare-related services and programs.

Medicare

University of St. Augustine for Health Sciences

APRIL 22, 2025

Subcategories of health policy include public health, global health, healthcare services, health insurance, mental health and pharmaceuticals. How Does Health Policy Impact Patients? Below, we explore a few major health policy issues impacting Americans today. In fact, approximately 9% of U.S.

HIPAA

The Relentless School Nurse

NOVEMBER 20, 2024

Dr. Oz: Snake Oil Salesman in Chief Dr. Mehmet Oz, the TV quack extraordinaire, has been tapped to lead the Centers for Medicare and Medicaid Services. Oz, notorious for peddling pseudoscience and miracle weight loss cures on his daytime show, now holds the reins of an agency responsible for the health of millions of Americans.

Health Insurance

American Nurse

JULY 9, 2025

CFCNs providing routine foot care must collect payment from the patient if health insurance doesn’t provide coverage. The Centers for Medicare & Medicaid Services website lists codes that indicate medical necessity. pdf Centers for Medicare & Medicaid Services. October 2028. Billing and coding: Foot care.

Medicare

Nursing Review

JULY 14, 2025

In the US, pharmaceuticals are subsidised through private health insurance or government programs such as Medicaid. How does the US system compare? This contrasts with the US system, which operates more under free-market principles. Neither directly negotiates with pharmaceutical companies.

Pharmaceutical

The Relentless School Nurse

JULY 4, 2025

Medicaid Cuts: Turning Our Backs on Vulnerable Children Despite assurances from its backers, independent analyses show the bill will lead to deep federal cuts to Medicaid—up to $800 billion over the next decade. Medicaid and CHIP together insure nearly half of all children in the U.S., The passage of H.R.

Medicaid

Nurses Advocates

JANUARY 8, 2024

In this article, I talk about how to make the bet of your health insurance. I will start with health insurance and explain how it works and how you can make it work best for you and your family members. Having health insurance helps you pay for services to manage your health care.

Health Insurance

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

American Medical Compliance

AUGUST 7, 2024

Here are the key areas of healthcare compliance. HIPAA (Health Insurance Portability and Accountability Act) This compliance is crucial for safeguarding patient health information. These regulations protect patient privacy, ensure quality care, and prevent fraud and abuse.

HIPAA

Relias

OCTOBER 6, 2021

Direct support professionals (DSPs) typically receive low wages and have limited access to health insurance and other benefits. The State of Medicaid Programs and the Need for Grassroots Advocacy. The cost of living has increased while DSP wages have not, and inflation is rising faster than it has in years.

Medicaid

American Medical Compliance

MARCH 15, 2024

Furthermore, it prohibits knowingly submitting false or false claims to Medicare, Medicaid, or other federally funded healthcare programs. HIPAA regulations govern the use, disclosure, and safeguarding of protected health information (PHI) by covered entities and their business associates.

HIPAA

Hospital Recruiting | Nursing

APRIL 1, 2020

The emergency decision by the Center for Medicare and Medicaid Services (CMS) on March 17, 2020 (and retroactively in effect beginning March 6, 2020) to pay for telehealth visits outside of rural areas has eased physician concern. CPT codes for billing purposes are available.

Telemedicine

American Medical Compliance

DECEMBER 26, 2023

In general, these standards apply to commodities and services given to individuals participating in group health plans or group or individual health insurance coverage, including Federal Employee Health Benefit programs.

Health Insurance

American Medical Compliance

JANUARY 9, 2024

When someone uses your personal information, such as your name, Social Security number, or Medicare number, to make false claims to Medicare and other health insurers without your consent, it is known as medical identity theft. This wastes taxpayer money and interferes with your medical care. trillion in 2015.

Medicare

American Nurse

SEPTEMBER 5, 2024

Medicare Overview Medicare is a federal health insurance program designed primarily for people aged 65 and older, though it also covers younger individuals with certain disabilities and conditions. It empowers them to support their patients better, ensuring those in their care can make informed decisions about their health insurance.

Medicare

American Medical Compliance

APRIL 17, 2024

The law has 3 primary goals: Make affordable health insurance available to more people. Expand the Medicaid program to cover all adults with income below 138% of the FPL. Not all states have expanded their Medicaid programs.

Medicaid

American Nurse

SEPTEMBER 6, 2024

federal health insurance program, primarily serves individuals over 65 and younger people with specific disabilities. This article aims to shed light on the importance of Medicare fluency among nurses and provide actionable insights to elevate patient care in New Jersey. THE CRITICAL ROLE OF MEDICARE KNOWLEDGE Medicare, the U.S.

Patient Advocacy

American Nurse

SEPTEMBER 20, 2024

In this role, I bring nearly 15 years of combined state and federal health policy experience to my role.

Health Insurance

American Nurse

MARCH 6, 2024

The EHR combined all pharmacy use by all patients in the complex care management department and calculated pharmacy costs on a per patient per month basis, which is the health insurance industry standard for capturing population health data. doi:10.1136/bmj.m865 Centers for Medicare and Medicaid Services. 2020;368:m865.doi:10.1136/bmj.m865

Telemedicine

Relias

DECEMBER 13, 2021

An unintended, but positive offshoot of the pandemic is that the crisis highlighted home health’s “very quick and successful adjustments” and “versatility” to serve COVID-19 patients and millions of others served under Medicare, Medicaid, Veterans Administration, and other services. Health insurance plans.

Professional Development

American Nurse

APRIL 2, 2024

Before and after healthcare Roberta Waite Marcus Henderson Tricia Howard Waite, a Virginia Nurses Association member, noted many factors that affect health. Employment, education, health insurance, sufficient healthy food, healthy neighborhoods and environments, economic stability, and community support also are included among SDOH.

Health Insurance

Scrubs

AUGUST 18, 2023

The Affordable Care Act (ACA), which was signed into law in 2010, requires health insurance plans to cover the cost of certain health services related to breastfeeding with no out-of-pocket expenses, including breastfeeding supplies like breast pumps and milk storage bags, and lactation counseling.

Health Insurance

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. March 8, 2023. January 25, 2023.

Medicare

American Nurse

FEBRUARY 22, 2024

Finally, the BBBA authorized approximately one billion dollars in grant funding for the Black Maternal Health Momnibus Act to stop racial and ethnic maternal health disparities while improving birth equity (Ranji et al., The second federal policy is Medicaid Postpartum Coverage Extension (passed in Missouri 7/2023).

Medicaid

Relias

NOVEMBER 9, 2023

Department of Health and Human Services Office of Minority Health (OMH) reported that 42.1% of citizens identifying as American Indian or Alaska Native relied on Medicaid or other public health insurance, and 14.9% on Medicaid or public health insurance and only 6.3% had no coverage at all.

Health Insurance

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.

Self-Care

American Nurse

JUNE 7, 2023

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. These programs increased access to sorely needed medical care.

Medicare

American Nurse

MARCH 13, 2024

In fact, the drug is still free for those who are uninsured or enrolled in Medicare, Medicaid, or other federal health programs, including those for veterans. That’s what rescued Hyatt, whose Department of Veterans Affairs health plan doesn’t normally cover outpatient drugs. “The

Medicare

Relias

JULY 20, 2023

­The Centers for Medicare and Medicaid Services (CMS) issued a final rule in August 2022 to improve maternal health outcomes and advance health equity — two of the Biden-Harris Administration’s key priorities. Maternal mortality remains a critical problem in the U.S., Sadly, U.S. rates are continuing to rise.

Medicaid