American Medical Compliance

FEBRUARY 19, 2025

Moreover, by creating individualized care plans, case managers play a key role in improving patient outcomes. The CMS Interim Final Rule The Centers for Medicare & Medicaid Services (CMS) issued an interim final rule with comment period (IFC) to implement section 6052 of the Deficit Reduction Act of 2005 (DRA).

Medicaid

Registered Nursing

JULY 18, 2025

Lowest-ranking states : Mississippi, Texas, Oklahoma, Arkansas, and West Virginia These rankings consider both overall health outcomes and how equitably care is delivered. This progress is credited to the Affordable Care Act's Medicaid expansion and enhanced marketplace subsidies. led the nation with just 3.4%

Medicaid

The Relentless School Nurse

MARCH 21, 2025

Over 50% of school nurse funding comes from federal programs such as Medicaid reimbursements and IDEA (Individuals with Disabilities Education Act). Disruptions in funding for school health programs would leave many schools without school nursing services. Without federal oversight, these resources could be fragmented or reduced.

Education

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 21, 2025

By understanding the difference between useful and useless communication, healthcare providers can foster stronger connections with patients and families, ultimately leading to better care experiences and improved health outcomes. This is often at odds with the cultural orientation of patients we serve.

Communication

The Relentless School Nurse

APRIL 2, 2025

Experts emphasize that maintaining robust immunization efforts is essential not only for individual health but also for protecting entire communities from the devastating consequences of vaccine-preventable diseases. public health agencies and jeopardize the health and well-being of all Americans.

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

Daily Nurse

DECEMBER 20, 2024

. “There is no one-size-fits-all strategy to solve the workforce issue, but philanthropic commitments like our Nursing Initiative are vital, as they recognize the direct connection between a healthy workforce and improving health outcomes that will reduce health disparities throughout New York State.”

Health Outcomes

Minority Nurse

MAY 19, 2023

The findings reveal one of many factors that may contribute to poor maternal health outcomes in the U.S. for the most vulnerable childbearing populations, including Black mothers and those insured by Medicaid. Studies show that Medicaid pays hospitals less than half of what commercial insurers pay for a birth.

Medicaid

Daily Nurse

MARCH 9, 2023

CRNAs have practiced without this regulation for nearly three years under healthcare flexibilities issued during the public health emergency. “Often, CRNAs serve as the sole anesthesia provider in rural hospitals, affording these facilities the capability to provide many necessary procedures.”

Medicaid

Capitol Beat

FEBRUARY 26, 2024

The American Nurses Association (ANA) is constantly working to transform health care payment and delivery to foster a system that supports and advances the nursing profession, which is vital to patient-centered care and health outcomes. An NPI is required to bill Medicare, Medicaid, and many private insurers.

Medicaid

Consult QD

FEBRUARY 17, 2023

Breaking down myths about homelessness One crucial step to improving health outcomes is to break down common misconceptions and stigmas about people who are experiencing homelessness. The researchers are seeking to better understand how best to support patients with cancer who are also struggling with a lack of housing.

Medicaid

Relias

FEBRUARY 28, 2025

Key sources of IHS funding The IHS is primarily funded by federal appropriations, along with grants, Medicaid and Medicare reimbursements, and third-party billing. These funds help sustain essential healthcare services, maintain facilities, and enhance public health initiatives in tribal communities.

Medicaid

American Nurse

SEPTEMBER 9, 2024

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). NPIs are unique identifiers used by providers to bill Medicare and Medicaid for services they provide. Why should I obtain an NPI?

Medicare

Minority Nurse

NOVEMBER 13, 2023

Ferrara is passionate about health information technology and integrating evidence-based practice into daily nursing practice. His doctoral work examined the impact of group medical visits for patients with Type 2 diabetes and whether this intervention led to better health outcomes.

Nurse Practitioner

American Nurse

JUNE 13, 2024

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). NPIs are unique identifiers used by providers to bill Medicare and Medicaid for services they provide. Why should I obtain an NPI?

Medicare

Minority Nurse

SEPTEMBER 30, 2024

According to Ross, the 21st Century Cures Act , enacted by Congress in 2016, impacts many aspects of American healthcare, including mandating that patients access electronic health information (EHI). “This compliance enhances trust and supports better health outcomes by ensuring that critical health information is readily available.”

Care coordination

Board Vitals - Nursing

AUGUST 30, 2016

Knowing the leading public health concerns in your state will provide context for you as a provider and information important to your daily practice. The CDC acknowledges this and has created Prevention Status Reports “to increase the use of evidence-based public health practices and improve health outcomes in each state”.

Medicaid

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

Relias

JANUARY 8, 2024

The relationship between patient satisfaction scores, reimbursement, and health outcomes The Centers for Medicare and Medicaid Services’ (CMS) Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scoring helps hospitals and governing bodies evaluate patient satisfaction through quantitative measurements.

Patient Satisfaction

Capitol Beat

SEPTEMBER 23, 2022

While not a new issue, we are seeing renewed focus on identifying and overcoming barriers that are leading to health inequities—especially with the COVID-19 pandemic magnifying underlying and persisting inequities. Nurses in direct care are acutely aware of these barriers, given their roles in caring for patients in various care settings.

Medicare

Scrubs

MAY 18, 2024

Most healthcare facilities have protocols in place to assist uninsured patients in applying for emergency Medicaid or charity care programs, which can significantly reduce or even cover the cost of treatment. Nurses can be crucial navigators by providing information on hospital financial assistance programs and flexible payment plans.

Telemedicine

American Nurse

MARCH 6, 2024

Improve care, promote the profession Nurses play a key role in patient education, medication management, and prevention of negative health outcomes. doi:10.1136/bmj.m865 Centers for Medicare and Medicaid Services. An over­view of prevalence, determinants and health outcomes of poly­pharmacy. 2020;368:m865.doi:10.1136/bmj.m865

Telemedicine

Relias

SEPTEMBER 22, 2023

Organizations adopt care coordination to improve health outcomes and reduce the financial cost of treatments by streamlining care delivery and reducing or eliminating redundancies in care. What is care coordination? Care coordination is the alignment of the various specialists responsible for a client’s care.

Care coordination

Relias

APRIL 18, 2025

Its a crucial component of patient satisfaction and can significantly influence health outcomes. Don Berwick, former Administrator of the Centers for Medicare and Medicaid Services This quote encapsulates the essence of patient-centered care. Listening to patients is the cornerstone of patient-centered care.

Patient Experience

Relias

JANUARY 30, 2024

Healthcare organizations receive scores from the HCAHPS survey , which according to the Centers for Medicare and Medicaid Services, is “the first national, standardized, publicly reported survey of patients’ perspectives of hospital care.” Does patient satisfaction equal better health outcomes?

Patient Satisfaction

Capitol Beat

MARCH 15, 2022

Nursing and Allied Health Workforce Shortages – The Committee notes that in a March 2021 survey conducted by the HHS Office of the Inspector General, hospitals reported that nursing shortages during the COVID–19 pandemic significantly strained health care delivery and were a significant obstacle to addressing the public health emergency.

Medicare

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

Amercan Journal of Nursing

OCTOBER 19, 2023

On Sep 6, 2023, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule for their widely anticipated minimum staffing requirements for long-term care facilities. In the past, this has come through mechanisms such as wage pass throughs and Medicaid Incentive Payment Programs.

Long Term Care

Relias

JANUARY 23, 2023

My colleagues and I work to help improve maternal health outcomes by providing the best education and competency evaluation solutions for the healthcare workforce. on referrals for behavioral health care. The post New Peripartum Depression Study Shows Gap Between Screening and Outcomes appeared first on Relias.

Mental Health

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. CMS defines “value” as improvement in health outcomes for the cost of achieving that improvement. March 8, 2023.

Medicare

American Nurse

JUNE 13, 2024

Value-based health care (VBHC) is a term used to describe the framework for restructuring healthcare systems with the overarching goal of value for patients, with value defined as health outcomes per unit of cost. Use of NPIs allows advanced practice nurses to bill Medicare and Medicaid for services provided to patients.

Health Outcomes

American Nurse

SEPTEMBER 5, 2024

The Kansas Perinatal Quality Collaborative (KPQC) consists of healthcare leaders and professionals as well as leaders in Kansas public health. The University of Kansas held educational webinars on Maternal Health in Rural Kansas during June 2024 reaching providers throughout the state.

Mental Health

Relias

FEBRUARY 26, 2024

According to the Agency for Healthcare Research and Quality (AHRQ), care coordination is “the deliberate organization of patient care activities between two or more participants (including the patient) involved in a patient’s care to facilitate the appropriate delivery of health care services.”

Care coordination

Relias

MARCH 29, 2024

Many of these causes are worsened by social determinants of health such as poverty, lack of access to quality health care, racism, and discrimination. Title V funding can play a vital role for states and territories in addressing maternal mortality and improving maternal health outcomes.

Medicaid

Relias

OCTOBER 18, 2022

Hyre explained that efforts to encourage mothers to deliver in a health facility, presumably a safer environment than delivering at home, have not led to improved health outcomes due to the quality and conditions of facilities available. Medicaid covers 43% of all deliveries but only provides 60 days of postpartum coverage.

Self-Care

American Nurse

OCTOBER 2, 2023

Frailty frequently is defined as an aging-related syndrome of physiological decline, characterized by marked vulnerabilities to adverse health outcomes. As we age, our bodies become more subject to frailty, illness, weakness, and morbidity.

Long Term Care