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North Carolina will implement a groundbreaking program in select regions to pilot evidence-based interventions addressing issues like housing instability, transportation insecurity, food security, interpersonal violence and toxic stress. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
The roadmap transforming the healthcare delivery system takes shape with five key examples affecting home care company?s future. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
CMS is testing how different service delivery innovations in telehealth can be used to both augment and complement an MA plan?s current network of providers. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
A recent study suggests health coaches could provide significant cost savings to patients and health systems, reduce patient hospitalizations and emergency department visits, improve patient health, and improve the quality of care for high-risk patient populations. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Of the 12 million Americans who qualify for both Medicare and Medicaid, 26% of hospitalizations were potentially avoidable. Total healthcare expenditures for this group exceed $300 billion a year, due in part to misaligned financial incentives between the two programs. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
A study by Premier of nearly 24 million ED visits across 750 hospitals found that approximately 4.3 million visits associated with patients who have at least one of the six chronic conditions were potentially preventable. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Participating ambulance suppliers and providers will have greater flexibility regarding where and how a beneficiary receives care following an emergency. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Capacity Coaching is a new strategy for patients living with chronic conditions. Here are key roles, tools, and core competencies. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Introduced in House (10/26/2017): H.R.4143 - Dialysis Patient Access to Integrated-care, Empowerment, Nephrologists, Treatment, and Services Demonstration Act of 2017 or the Dialysis PATIENTS Demonstration Act of 2017 This article is free to 1-Year Classic and 2-Year Premium subscribers. -
The Advisory Opinion raises a number of significant questions for home care providers. Perhaps most importantly, the Advisory Opinion seems to completely ignore questions about state licensure and scope of practice. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Patient engagement is a quality measure for all providers. Developing a chronic care management model is a key strategic model. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Beginning in 2020, CMS will waive the uniformity requirements for Separate Individual Benefits for the Chronically Ill (SSBCI) but maintains that programs offered may not be used to induce membership. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Our nation has spent decades building and refining the healthcare system we know today. However, a shift is taking place ? highlighting a great need for, and opportunity to provide, home-based primary care (HBPC). This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Eighty percent of ACOs reported using home visits for some of their patients, with larger ACOs more commonly using home visits. Under alternative payment models ? including accountable care organization (ACO) contracts ? providers may have greater motivation to improve care delivery for patients with complex clinical needs because they are responsible for the patients? total cost of care. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Prior authorizations take time away from patients and interject a third party into the doctor-patient relationship. There are many frustrations with prior authorizations, but the time spent getting payer permission is a common thread among all doctors. The average practice spends more than 15 hours per week total on them. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Telehealth is predicted to be the next big investment for seniors aging in place. The number of seniors requiring additional caregiving and support due to chronic disease will increase from about 14 percent of the senior population in 2010 to 21 percent by 2050, putting the pressure on healthcare providers to improve caregiving platforms. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Aggressive moves by payers teaming up with big players such as CVS are advancing their healthcare programs into the home. How does this impact healthcare organizations? Are these new partnering opportunities or, a new competitor on the horizon? This article is free to 1-Year Classic and 2-Year Premium subscribers. -
The Centers for Medicare & Medicaid Innovation (CMMI) recently announced five new payment models transforming?kidney care so that patients?with chronic kidney disease have access to high quality, coordinated care. The payment models are in response to an executive order signed by President Trump on advancing kidney health. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
About two-thirds of hospital readmission costs were higher than their initial admission costs for common diagnoses in 2016, according to a Healthcare Cost and Utilization Project Statistical Brief released by the Agency for Healthcare Research and Quality. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
This is the second article in series to discuss how to promote the growth of in-home community-based organizations and accelerate relationships with payers. The first article published in The Remington Report's July/August issue, pages 4-8, focused on the home health aide workforce: How Real Time Actionable Data Leverages New Value For Home Health Aides and Stakeholders. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
Adam Boehler left his position as the deputy administrator and director of CMS and Medicaid Innovation (CMMI). His position at CMMI was important to home and community-based providers. His work created models to pay primary care physicians based on value, tie prices of drugs administered in a doctor's office to the amount other countries pay, and a drive to move?more people to get dialysis in their homes. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
The Office of Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS), the primary enforcer of fraud and abuse prohibitions, has issued its annual recommendations that, if implemented, will likely affect HHS programs positively in terms of cost savings, program effectiveness and efficiency, and public health and safety. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
The first two years of the Comprehensive Care for Joint Replacement (CJR) saved Medicare more than?$1,00 per episode. CJR, a five-year Medicare program rolled out in 2016, pays participating?hospitals for hip and knee replacements by episode of care: from admission to 90 days post discharge. This article is free to 1-Year Classic and 2-Year Premium subscribers. -
The rate of readmissions increases in the first two days after a SNF discharge. If SNFs lower their readmission rates, providers can earn the two percent. CMS reports almost three-quarters of the providers in the country will receive a cut under VBP. This article is free to 1-Year Classic and 2-Year Premium subscribers.
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