Relias

FEBRUARY 2, 2023

The 2023 Home Health Final Payment Rule , which the Centers for Medicare and Medicaid Services (CMS) released in October, increases Medicare payments for home health agencies by 0.7%, or $125 million, compared to 2022. While this seems like a treat, William A. The final rule includes a 4.1% net inflation rate update.

Medicare 52

Medicare Medicaid Business 52

Scrubs

JUNE 29, 2023

UBS, a global financial services company, decided to investigate the issue when UnitedHealth Group, whose stock is analyzed by the firm, reported that healthcare utilization rates have skyrocketed among Medicare beneficiaries. The injury rate among this age group will likely continue to grow as more seniors discover the sport.

Medicare 75

Medicare Health Outcomes 75

American Nurse

JUNE 3, 2024

3W3aHFM Centers for Medicare & Medicaid Services. cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalHCAHPS. Authored: September 20, 2017; retrieved: June 23, 2019. J Autism Dev Disord. 2017;47(5):1510-29. doi:10.1007/s10803-017-3040-5 Center for Autism Related Disabilities.

Communication 111

Communication Medicare Self-Care Mental Health 111

Relias

AUGUST 15, 2022

Centers for Medicare and Medicaid Services (CMS) proposes a decrease in Medicare reimbursement for home health agencies by 4.2% The act mandates a six-year monitoring period for the Patient-Driven Groupings Model ( PDGM), the home health payment model implemented for Medicare in 2020. Adjusting PDGM Calculations Based on Data.

Medicare 52

Medicare Medicaid 52

Scrubs

MAY 5, 2023

She was appointed the RCN Northern Ireland director in 2019 when nurses were about to go on strike. Pat Cullen Cullen is the general secretary and chief officer of the Royal College Nursing, which has been organizing strikes in the U.K. to increase nurse wages. She has long been at the forefront of the healthcare labor movement for years.

Leadership 89

Leadership Patient Advocacy Medicare Education 89

Nurse.com

APRIL 14, 2022

An analysis conducted in June 2019 by the American Association of Medical Colleges (AAMC) confirmed this fact with metrics that projected a shortfall of up to 139,000 physicians by the year 2033. The physician shortage is real and growing, and NPs can help fill the gap.

Nurse Practitioner 98

Nurse Practitioner APRN Medicare Patient Satisfaction 98

Amercan Journal of Nursing

AUGUST 19, 2024

Some current examples of issues that nurse advocates are working on through federal legislative change are workplace violence, mandatory overtime, faculty shortages, workforce development, and modernizing Centers for Medicare and Medicaid Services payment systems for nursing care.

APRN 74

APRN Mental Health Psychiatry Nurse Practitioner 74

Relias

MARCH 1, 2023

One approach that hospital officials are using to manage the readmission risk and avoid Medicare penalties is establishing a preferred SNF network. She encouraged hospital providers to increase the amount to 80%-90%. Avoid rehospitalization The key to keeping 30-day readmission rates low is preventing avoidable hospitalizations.

Medicare 52

Medicare Medicaid Patient Satisfaction Long Term Care 52

Relias

APRIL 18, 2022

Medicare payment models in skilled nursing and home health provide incentives for clinicians to be well versed in specialty areas such as skin and wound care. Chronic wounds affect about 15% of Medicare beneficiaries each year. In home health, clinicians filed 6 million wound care claims in 2019.

Education 52

Education Medicare Promotion Medicaid 52

Relias

SEPTEMBER 1, 2022

With the successes reaped during the pilot of the Home Health Value-Based Purchasing (HHVBP) program, the Centers for Medicare and Medicaid Services (CMS) aims to accelerate the results nationwide. The program started in 2016 as a pilot to determine the impact of financial incentives on home health agencies in nine states. million decrease.

Medicare 52

Medicare Self-Care Medicaid Communication 52

American Medical Compliance

NOVEMBER 3, 2022

Prior to the COVID-19 pandemic, the National Academy of Medicine (NAM) identified physician burnout as a national emergency and published a report in 2019 on solutions. .” Before the Pandemic. NAM also highlights that burnout affected up to 54% of nurses, physicians, and medical students as well as up to 60% of residents.

Telemedicine 52

Telemedicine Mental Health Medicare Promotion 52

American Nurse

FEBRUARY 16, 2024

In 2012, the Centers for Medicare and Medicaid Services implemented the Hospital Readmissions Reduction Program (HRRP). Prescription Opiates [link] Centers for Medicare and Medicaid Services (n.d) [link] Li, C. Education can be formal or informal, depending on the complexity of the patient’s needs. Karmarkar, A.,

Medicaid 52

Medicaid Medicare Long Term Care Self-Care 52

Relias

JANUARY 8, 2024

Medicare payment systems link patient satisfaction scores with reimbursement rates, making quality patient care a primary determinant of an organization’s viability and motivating healthcare administrators to implement patient satisfaction strategies. In 2019, $1.9

Patient Satisfaction 52

Patient Satisfaction Medicare Patient Experience Professional Development 52

American Nurse

JULY 5, 2023

The Centers for Medicare and Medicaid Services (CMS) provides federal oversight of care quality in all U.S. Hospitals that accept patients with Medicare or Medicaid insurance (approximately 61.4 million have Medicare, Parts A and B, and 75.8 Doi: 10.51256/ANJ072339 Reference Centers for Medicare and Medicaid Services.

Medicaid 52

Medicaid Medicare Promotion Leadership 52

Empowered Nurses

DECEMBER 12, 2024

Under Assembly Bill 5 (AB 5), signed into law in 2019, the state tightened the rules on who can qualify as an independent contractor. Financial Consequences for Employers: o Employers who misclassify workers may face back taxes, including unpaid Social Security, Medicare, and unemployment insurance contributions.

Nurse Practitioner 52

Nurse Practitioner Health Insurance Self-Care Retirement 52

Consult QD

MAY 22, 2023

It is the number one cause of hospitalizations in the Medicare population and accounts for approximately 1 million hospitalizations annually. Although this is down from the peak volume in 2019, there remains a great opportunity to use LVADs in select patients.

Medicare 52

Medicare Promotion 52

American Nurse

MARCH 6, 2024

doi:10.1136/bmj.m865 Centers for Medicare and Medicaid Services. Nursing: Scope and Standards of Practice. Silver Spring, MD: American Nurses Association ; 2021. Backhouse A, Ogunlayi F. Quality improvement into practice. 2020;368:m865.doi:10.1136/bmj.m865 Certified EHR technology. September 6, 2023. 2021;46(1):151-92. 2019;16(5):e1002798.

Telemedicine 98

Telemedicine Health Insurance Health Literacy Promotion 98

Healthcare Law Insights blog

AUGUST 23, 2023

i] The distance between rural hospitals can be vastly further – in 2019, a National Institutes of Health study noted that hospitals in one rural state were generally at least 50 miles apart. [ii] A 2018 study found it took rural Americans, on average, 17 minutes to get to a hospital, but only 10 minutes in an urban center. [i] r); 42 C.F.R.

Medicare 52

Medicare Nurse Practitioner Business 52

Nursing Review

SEPTEMBER 18, 2023

Nurse practitioners have been practising in Australia since 2000, starting in emergency care, with more than 1,400 practising in total in Australia by 2019. However, unlike other countries, Australian nurse practitioners must work in collaboration with a doctor.

Nurse Practitioner 52

Nurse Practitioner Medicare Licensing Emergency Care 52

American Nurse

JANUARY 2, 2024

The why At the end of June 2019, the HAPI rate at Glens Falls Hospital (GFH), a 291-bed community hospital in northern New York, was 0.68 Medicare estimates that each pressure injury adds $43,180 to a hospital stay. After receiving internal review board approval, the team launched the study in November 2019. worldwide. •

Education 52

Education Leadership Licensing Medicare 52

Relias

AUGUST 9, 2023

Tis the season for evaluating training programs and checking everything twice to make sure you’re on the Center for Medicare and Medicaid Services’ and The Joint Commission’s nice lists. Editor’s Note: This post was originally published in three-part blog series in December 2019 and has been updated with new content.

Best Practices 52

Best Practices Education Medicaid Medicare 52

Consult QD

SEPTEMBER 8, 2023

2023;148[3]:210-219 ) based on data from more than 2 million Medicare beneficiaries between 2014 and 2019. The study cohort included 2,388,955 Medicare beneficiaries between 2014 and 2019 with available zip codes, consisting of 801,452 Black beneficiaries and 1,587,503 white beneficiaries. 1.12], P < 0.001).

Medicare 112

Medicare Education 112

American Nurse

JULY 26, 2023

Because Medicare doesn’t cover weight loss medications and they can cost more than $10,000 a year, seniors’ ability to get the new drugs is restricted. There is an exception: Medicare will cover Ozempic and Mounjaro if an older adult has diabetes, because the insurance program pays for diabetes therapies. “We

Medicare 98

Medicare 98

Health Leaders | Nursing

FEBRUARY 6, 2023

The number of NPs treating Medicare beneficiaries for psychiatric and mental health conditions grew 162% between 2011 and 2019, compared with a 6% decrease in the number of psychiatrists treating Medicare patients, according to a 2022 study. “We

Nurse Practitioner 140

Nurse Practitioner Mental Health Medicare APRN 140

Nurse.com

OCTOBER 26, 2022

In 2019, PMHNPs provided nearly one-third of mental health prescriber visits of Medicare patients, found a recent study. “We have seen increased demand for professionals in all levels of PMH nursing – from RN to APRN and across settings,” reports Oleck. The mental health system is increasingly relying on PMHNPs.

Mental Health 117

Mental Health Private Practice Long Term Care Outpatient Clinic 117

Daily Nurse

JULY 18, 2023

Mortality and Discharge Location of Intensive Care Patients With Alzheimer Disease and Related Dementia examines data from a large, geographically diverse sample of patients enrolled in Medicare Advantage (MA) plans. which covers the period from 2016 to 2019. ADRD and comorbid conditions were identified from claims.

Medicare 98

Medicare Medicaid 98

American Nurse

OCTOBER 4, 2023

In 2019, a cross-sectional study comparing the American College of Cardiology/American Heart Association (ACC/AHA) atherosclerotic cardiovascular disease (ASCVD) risk calculator tool and the United Kingdom Prospective Diabetes Study Risk engine tools aimed to understand which was most appropriate for adult patients with type 2 diabetes (T2DM).

Health Literacy 98

Health Literacy Self-Care Education Medicaid 98

Relias

MAY 1, 2022

Because the Centers for Medicare and Medicaid Services will not reimburse healthcare organizations for costs associated with hospital- or facility-acquired pressure injuries, appropriate assessment at the time of admission is vital. Editor’s Note: This post was originally published in July 2019 and has been updated.

Education 98

Education Communication Long Term Care Medicaid 98

Relias

SEPTEMBER 23, 2022

The percentage of Medicare hospice beneficiaries dying with a diagnosis of dementia or Parkinson’s disease, some of whom have dementia, has increased from 9% in 2002 to almost 21% in 2019, according to the National Hospice and Palliative Care Organization’s Facts and Figure Report 2021 Edition.

Medicare 52

Medicare Communication Education 52

Consult QD

SEPTEMBER 7, 2023

These findings prompted the FDA to update labeling for paclitaxel-coated devices in 2019 and to advise providers that “alternative treatment options should generally be used for most patients” while the agency further studied the question.

Medicare 73

Medicare Community Practice Education 73

American Nurse

JUNE 13, 2024

The Professional Values Model (PVM) was developed by Kaya and Boz (2019) to improve nursing practices based on values. Use of NPIs allows advanced practice nurses to bill Medicare and Medicaid for services provided to patients. Describe individual and professional values of nurses, and to help get to know themselves. “The

Health Outcomes 52

Health Outcomes Medicaid Medicare Nurse Educator 52

Empowered Nurses

APRIL 27, 2023

In the Radonda Vaught case, which I have reported on in other blogs, someone filed an anonymous complaint through the Centers for Medicare and Medicaid Services which brought her situation to light. It’s unfortunate that with corporate health care, it seems that facilities are putting profits over patients. for his services.

Medicaid 52

Medicaid Medicare Licensing 52

Empowered Nurses

APRIL 27, 2023

In the Radonda Vaught case, which I have reported on in other blogs, someone filed an anonymous complaint through the Centers for Medicare and Medicaid Services which brought her situation to light. It’s unfortunate that with corporate health care, it seems that facilities are putting profits over patients. for his services.

Medicaid 52

Medicaid Medicare Licensing 52

American Nurse

SEPTEMBER 12, 2024

Violations may lead to civil monetary penalties, loss of Medicare certification, and potential legal action against the individual nurse or healthcare facility. Blood Alcohol Draws ED nurses are charged with maintaining patient autonomy and reporting public health hazards (Tessier & Keegan, 2019).

Mental Health 52

Mental Health Medicare Emergency Care Communication 52

Nursing Review

MAY 8, 2023

Medicare has subsidised the program since 2019, after which more than 455,000 tests have been performed nationally. Under the program, people aged 45 and over and Aboriginal and/or Torres Strait Islander peoples aged 30 and over are eligible for a free check of their risk of a heart attack or stroke during a 20-minute GP consultation.

Medicare 52

Medicare 52

Nursing Review

MAY 20, 2024

Four-year completion rates [for students commencing in 2019] showed nursing fell from 64.3 From July 1, 2025, women affected by the debilitating disease will have longer specialist consultations of 45 minutes or more covered under Medicare. As of July next year, Medicare will cover $168.60 per cent to 54.1

Nurse Practitioner 52

Nurse Practitioner Medicare Retirement Free Healthcare 52

American Nurse

SEPTEMBER 11, 2024

At that time, nurses would talk with patients over the phone to discuss home care for illnesses, manage medication refills, and discuss lab results (Mataxen & Webb, 2019). Patients and caregivers have reported feeling a sense of support and reassurance after receiving telephone advice from a triage nurse (Mataxen & Webb, 2019).

Medicaid 52

Medicaid Medicare Retirement Nurse Shortage 52