patient care
Payer-provider partnerships are key to creating stable hospital-at-home programs
Tanya Zucconi, left, COO of ZGM, and Tina Burbine, vice president of care innovation at Healthlink Advisors, speak at the HIMSS22 conference in Orlando. Photo: Jeff Lagasse/Health Financing News ORLANDO — Health care organizations, from payers to providers, have repeated a common refrain in recent years: providing the right care in the right place at …
Mental health parity insurer accountability is long overdue
What are the news: The AMA urges Congress to hold insurance companies accountable for their repeated failure to comply with the Mental Health Parity and Substance Abuse Equity Act of 2008. The law requires that coverage for treatment of substance use disorders (SUDs) and mental illnesses by group health insurance and self-funded plans be at …
Jopari announces the launch of its new attachment model for all payers
The HHS/OMB Unified Fall Agenda includes an updated timeline for adopting healthcare attachment transactions. Tweet that In the latest regulatory news, the Office of Management and Budget (OMB) and the Department of Health and Human Services (HHS) released the Fall Unified Agenda document in mid-December 2021 which outlines future regulatory action for that agency (Unified …
Global Paid Healthcare Services Market (2021-2026) –
Dublin, Nov 23, 2021 (GLOBE NEWSWIRE) – The report “Paid Healthcare Services Market: Global Industry Trends, Share, Size, Growth, Opportunities, and Forecast 2021-2026” has been added to ResearchAndMarkets.com offer. The global paid healthcare services market has shown strong growth during the period 2015-2020. Looking ahead, the publisher expects the market to grow at a CAGR …
Care and support after discharge from hospital
The hospital discharge plan A patient’s care shouldn’t stop the minute they leave the hospital. Whether your hospital stay is planned or the result of an accident or emergency, you may need extra support to help you get back into your daily life. All hospitals should have a process in place to facilitate the transition …
How Suppliers Can Navigate Today’s Payor Landscape – 3 Insights
The operational and financial complexity of health care delivery can create tensions between payers and providers. This tension can be exacerbated due to regulations and the implementation of underperforming technologies. During Becker’s 6th Annual Health IT + Revenue Cycle Conference, Ensemble Health Partners sponsored a virtual panel discussion focused on some of the top payment …
Collaboration between payer and provider is beneficial for the patient
The intention of advanced EOB is positive because it is a critical step for patients to manage the cost of their care. Unfortunately, the workflow is faulty. (Photo: Shutterstock) The No Surprises Law, a measure to end surprise medical bills for emergency and scheduled care, was passed to better inform patients about the cost of …
Retrace is launching a network of providers and payers for now
SAN FRANCISCO, Oct 05, 2021 (GLOBE NEWSWIRE) – Retrace, the leader in oral health innovation and the authority on dental quality measurements, today announced the launch of its network in real time for oral health providers, payers and patients to deliver value-based payments and care. A first for the $ 156.4 billion In the US …
Why Medicare Advantage Plans Must Turn Post-Discharge Care Into Drug-Driven Care Transitions
The 2022 performance year star ratings require Medicare Advantage plans to play a greater role in preventing readmissions. Care transitions have become a major goal in improving the quality of health care and the patient experience and reducing hospital readmissions. Ineffective transfer of a patient from a health care setting (eg, patient dissatisfaction, medication non-adherence, …
TrialCard Selects Infinitus Systems to Automate Payers Contact Center Activity
MORRISVILLE, NC and SAN FRANCISCO, September 23, 2021 / PRNewswire / – TrialCard Incorporated, a full-service life sciences marketing partner, today announced that it has selected Infinitus Systems to implement its digital assistant platform to automate the activity of the contact center with payers. Both sides executed a rapid implementation, going from pilot to production …
The CMS will not take any enforcement action for the payer-to-payer data exchange in the May interoperability rule.
Photo: Alex Wong / Getty Images The Centers for Medicare and Medicaid Services announced that it will not take enforcement action against certain payers for the payor-to-payter data exchange provision of the Final Rule of Patient Interoperability and Access from May 2020 through. ‘that the future regulations are finalized. The agency’s decision to exercise its …
Fast forward with Mandira Singh, SVP & GM, Acute and Payer Markets, PointClickCare
In this Fast Forward interview, Home Health Care News sits down with Mandira Singh, SVP PointClickCare of Marketing and Operations for Acute and Paid Businesses, to learn about the key technologies and practices that drive marriage profiles of consumers, patients and individuals. in home care. During the conversation, Singh also discusses how the pandemic has …
CMS publishes assessment of all Vermont payers model: early results are promising
Results include reduced Medicare costs and hospital readmissions, suggesting cost savings and improvements in care coordination Colchester, VT – The federal Centers for Medicare & Medicaid Services (CMS) released an assessment and summary of findings from the first two years of performance (2018 and 2019) of the Vermont All-Payer (APM) model, finding promising results that …
Bamboo Health – A Combination of Proven Collaborative Care Leaders – Unveiled to Enable Pay-Provider Collaboration for Whole Person Care | State
LOUISVILLE, Ky. and BOSTON, August 31, 2021 / PRNewswire / – Today, Appriss Health announced its new company name—Bamboo Health-following the acquisition from PatientPing earlier this year. Bamboo Health is focused on creating the nation’s most comprehensive and diverse collaborative care network, connecting every provider and payer to revolutionize all healthcare encounters. Bamboo is a …
Bamboo Health – Combination of proven leaders in collaborative care
LOUISVILLE, Ky. and BOSTON, August 31, 2021 / PRNewswire / – Today, Appriss Health announced its new company name—Bamboo Health-following the acquisition from PatientPing earlier this year. Bamboo Health is focused on creating the nation’s most comprehensive and diverse collaborative care network, connecting every provider and payer to revolutionize all healthcare encounters. Bamboo is a …
‘Trial impossible’: Families find few options to pursue long-term care for COVID deaths
First part of two stories. Read the second part here. Suzanna Smith’s mother was supposed to spend a few weeks in a drug rehab center in Fitchburg to recover from surgery, but she never made it home. “She had back surgery and died of COVID. It’s still so surreal to me, â€said Smith. Her mother, …
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Care coordination platform contributes to integrated payer-provider efficiency
Allscripts’ CarePort spin-off is gaining traction with post-acute care providers. Coordinating post-acute care, a repetitive but routine series of tasks, often consumes vast staff resources, seeking vacancies in skilled nursing facilities, home health agencies and long-term care facilities . These tasks are often plagued by an endless stream of emails, faxes and phone calls. A …
Earlier Hospital Discharge With Prospectively Designated Discharge Time in the Electronic Health Record
Abstract BACKGROUND AND OBJECTIVES: Hospital discharge requires multidisciplinary coordination. Insufficient coordination impacts patient flow, resource use, and postdischarge outcomes. Our objectives were to (1) implement a prospective, multidisciplinary discharge timing designation in the electronic health record (EHR) and (2) evaluate its association with discharge timing. METHODS: This quality-improvement study evaluated the implementation of confirmed discharge …
Multi-Payer Advanced Primary Care Practice Demonstration on Quality of Care
Study Design: For our quantitative analyses, we employed a pre-post study design with a comparison group using enrollment data, Medicare fee-for-service claims data, and Medicaid managed care and fee-for-service claims data, covering the period 2 to 4 years before Medicare joined the state patient-centered medical home initiatives through December 2014. We used difference-in-differences (DID) regression …
USQHIN Launches Payers Advisory Working Group
WASHINGTON, DC, Aug 05, 2021 (GLOBE NEWSWIRE) – The United States QHIN (USQHIN), an innovative national health information network focused on streamlining the exchange of data between states nationwide , today announced the launch of its Payors Advisory Working Group (PATTE). The PAW is a subgroup of the USQHIN National ADT Hub Network (NAHN). The …
Payer Split-Bill Requirement: Separate Claims to Avoid Edit
Author – Search by Author –Adele L. Towers, MD, MPH, FACP Ahmed Abuabdou, M.D., MBAAlba Kuqi, MD, RHIA, CDIP, CCS, CSMC, CICA, CRCR, CCDS , CCMAlixis SmithAllen R. Frady, RN, BSN, CCS, CCDS and Rob Kopec, MDAllen R. Frady, RN, BSN, CCS, CCDS, AHIMA Approved ICD-10-CM/PCS TrainerAndrea Clark, RHIA, CCS, CPC-HAndres Jimenez, MDAndrew H. Dombro, …
Fast forward with Chris Klomp, EVP, Acute & Payer, PointClickCare
In this Fast Forward interview, Home Health Care News sits down with PointClickCare EVP of Acute & Payer Chris Klomp to learn more about the key factors driving the transformation of home health and home care in 2021 and 2022. He also shares his take on where the home health care industry will be in …
Omega Healthcare Focuses More on Payor Services with New Vice President Chris Rigsby
BOCA RATON, Florida, May 4, 2021 / PRNewswire / – Omega Healthcare, a leading provider of outsourced revenue cycle management and other healthcare support services, today announced the hiring of Chris Rigsby as Senior Vice President-Payer Solutions in charge of extending services to health plans. Omega currently provides risk adjustment, HCC coding and other services …
Vizient Reviews Same Day Release, Use of AI in Cardiac Care, and Best Practices for Hip Fracture Care in Latest ‘Medical Device Technology Watch’
IRVING, TX – (BUSINESS WIRE) – Vizient, Inc. published the latest issue of Medical Device Tech Watch, highlighting new information for same-day discharge of heart patients as well as the potential to leverage intelligence artificial to help identify patients at risk for Sudden Cardiac Arrest. Additionally, among other articles, the report examines a range of …
Health First streamlines landfill with AI-powered analytics
Health First is a central Florida nonprofit health care system of more than 900 beds in four hospitals, with the county’s only Level II trauma center. THE PROBLEM Streamlining and automating the patient discharge process is a major goal to gain efficiency among hospitals. Health First is no different, having struggled to manage patient flow …
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Ontario’s long-term care is slow to change. So what must happen?
Since COVID-19 first arrived in Ontario and began to spread in long-term care homes, it has brought to light an area of ​​the health care system that has been broken for decades. In 2003, The Star spent a year investigating flaws in the long-term care system and, for years, has kept tabs on issues of …
CarePort Launches Post Discharge Tool to Help Hospitals Meet Interoperability
CarePort Health, which develops software for care transitions, announced a new tool, CarePort Connect for Interoperability, which it says is designed to help hospitals comply with the new Centers for Medicare final interoperability rules and Medicaid Services. WHY IS IT IMPORTANT CMS’s amended conditions of participation require hospitals participating in Medicare and Medicaid to send …
CMS Announces New Hospital and Home Care Discharge Planning Requirements
The Centers for Medicare & Medicaid Services (CMS) released a final rule Thursday that changes discharge planning requirements for home care providers. Overall, the changes are part of CMS’s efforts to make patients a more active part of their care transitions out of the hospital and into other settings. “This respects President Trump’s executive order …
Hospital discharge algorithm saves $ 860 per patient episode and reduces readmissions, new data from Remedy Labs shows
Proprietary tool identifies best framework for patient recovery after discharge, highlights power of episodes in healthcare transformation The study verified the effectiveness of a Clinical Decision Support (CDS) algorithm in determining the next optimal site of care for patients discharging hospital while avoiding unintended effects such as increased readmissions , use of emergency services and …
Early discharge after lung surgery benefits patients without increasing the risk of readmission
When hospitals implement programs to optimize patient recovery after surgery, healthcare costs go down and patients experience better outcomes. One of the main benefits of the programs – known as Enhanced Recovery Pathways – includes shorter hospital stays. But thoracic surgeons are often reluctant to release patients in an accelerated time frame for fear that …
Care Coordination Tools with Cerner EHR Help Children’s National Streamline Discharge
Children with complex conditions need more time, medical care and rehabilitation services to recover after discharge from hospital. However, unique challenges persist in finding appropriate post-acute care beds and care. The 2014 Pediatric Post-Acute Care Hospital Transitions: An Evaluation of Current Practice study, the first known to detail the frequent use of admission and discharge …
11 best practices for scheduling leave from CMS
CMS has revised the guidelines for the condition of participation in discharge planning in the State Operations Manual. The revisions show the consolidation of 24 previous output planning tags into thirteen tags, which were incorporated into the automated survey processing environment in the summer of 2012. In addition to the updated interpretation guidelines, CMS has …