After decades of intent, discussion, debate, analysis, and resistance, CMS is moving ahead with healthcare data interoperability standards in several federal healthcare programs. Providers participating in the Medicare Advantage, Medicaid, […]

With the ER the most expensive point-of-entry into the healthcare system, hospitals are pursuing a better way to manage chronically ill and homeless patients. From Baltimore to Denver to Sacramento, […]

Safety net hospitals receiving Medicaid disproportionate share payments (DSH) got a last-minute – albeit temporary – reprieve from $4 billion in cuts scheduled to go into effect October 1. The […]

This summer, the Department of Human and Human Resources (HHS) Office for Civil Rights (OCR) released its third in a series of frequently asked questions (FAQs) related to sharing disclose […]

With the recent announcement of $42 million in funding of Health Centered Controlled Networks (HCCN), the U.S. Department of Health and Human Resources (HHS) has signaled its enthusiasm to deploy […]

On October 24, 2018, President Trump signed an expansive bipartisan bill into law aimed at curbing America’s growing opioid epidemic. Titled the Substance Use-Disorder Prevention that Promoted Opioid Recovery and […]

In a recent interview, Karen DeSalvo, MD, stated a truth that has been known for decades in health care: what happens in a primary physician’s office, hospital or clinic is […]

As part of the shift towards value-based care, many Accountable Care Organizations (ACOs) have found successful strategies for reducing per capita spending and improving patient outcomes by addressing the individual […]

On April 24, the federal government issued a letter to Medicaid directors announcing new opportunities to test integrated care models for dual-eligible individuals (Medicare and Medicaid). Twelve million Americans use […]

For many individuals, particularly those who face significant challenges, fragmented care is a critical barrier to achieving positive outcomes. Necessary services are often split between healthcare and social services and […]

There is mounting evidence that screening for the barriers created by the social determinants of health (SDoH) has many positive benefits when addressing the needs of vulnerable populations. Diagnostic accuracy […]

With the number of Medicaid enrollees continuing to grow, states are seeking ways to ensure quality care continues to be provided while trying to curb increasing costs. Medicaid expenditures are […]

One of the biggest challenges of providing health and human services to any population is finding ways to efficiently connect individuals with the services they require. Over the last half […]

In February 2019, the Centers for Medicaid and Medicare Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) issued related proposals for policy changes which […]

Telehealth, also known as telemedicine, is seen by many to be an integral part of the future of healthcare in general and care coordination in particular. This attitude is reflected […]

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