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Behind the Poor Pay and High Turnover Rates of Direct Support Professionals

Relias

Direct support professionals (DSPs) typically receive low wages and have limited access to health insurance and other benefits. Individual states determine provider rates and must include these rates in their state’s Medicaid Plan, which is ultimately reviewed by the Centers for Medicaid and Medicare Services (CMS).

Medicaid 105
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Are private hospitals really in trouble? And is more public funding the answer?

Nursing Review

Cheng , Monash University A battle between private hospitals and private health insurers is playing out in public. At its heart is how much health insurers pay hospitals for their services, and whether that’s enough for private hospitals to remain viable. billion (in premium rebates) in 2021–22. billion in 2023–24.

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Navigating the No Surprises Act Training for Healthcare Providers

American Medical Compliance

On December 27, 2020, the United States Congress adopted the No Surprises Act (NSA) as part of the Consolidated Appropriations Act of 2021, which has various provisions to assist in protecting customers against unexpected costs beginning January 1, 2022. The following course highlights the NSA and how it impacts healthcare.

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Nurse referrals to pharmacy

American Nurse

The EHR combined all pharmacy use by all patients in the complex care management department and calculated pharmacy costs on a per patient per month basis, which is the health insurance industry standard for capturing population health data. Silver Spring, MD: American Nurses Association ; 2021. 2021; 16(5):e0252151.

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Importance of Image and Respect for Home Health Recruitment and Retention

Relias

The increased pressure of the COVID-19 pandemic has presented never-before-seen growth opportunities for home health agencies and their workforce, as Bill Dombi, President of the National Association of Home Care and Hospice (NAHC), noted in a December 2021 webinar titled The State of Home Health. Health insurance plans.

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Addressing social determinants of health

American Nurse

RNs recount progress, challenges in meeting patients’ overall needs In recent years, nurses and key policymakers have recognized that improving health requires attention to many aspects of people’s lives outside of healthcare settings. The COVID-19 pandemic laid bare the effects of social determinants of health (SDOH).

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Medicare Care Compare: Publicly reported performance measures

American Nurse

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. Timeliness: Treatment is available without long delays.