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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.

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Why COVID-19 patients who could most benefit from Paxlovid still aren’t getting it

American Nurse

A recent JAMA Network study found that sick people 85 and older were less likely than younger Medicare patients to get covid therapies like Paxlovid. In fact, the drug is still free for those who are uninsured or enrolled in Medicare, Medicaid, or other federal health programs, including those for veterans. government 23.7

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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).

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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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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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One nurse’s perspective: How to resolve the high cost of healthcare in the United States

American Nurse

American citizens pay for their health insurance through premiums and co-pays, but they remain at risk for substantial out-of-pocket medical bills after receiving treatment for just one illness or injury that could leave them filing for bankruptcy. citizens with an option for supplementary insurance. August 18, 2021.

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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).