American Nurse

JULY 26, 2023

The drugs include Ozempic’s sister medication, Wegovy, a weight loss drug with identical ingredients, which the FDA approved in 2021, and Mounjaro, approved as a diabetes treatment in 2022. 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.

Medicare 98

Medicare 98

American Nurse

MARCH 13, 2024

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

Medicare 111

Medicare Medicaid Senior Living Long Term Care 111

Health Leaders | Nursing

FEBRUARY 6, 2023

We’re estimated to grow by 46% between 2021 and 2031.” 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 An aging U.S.

Nurse Practitioner 140

Nurse Practitioner Mental Health Medicare APRN 140

American Nurse

JULY 18, 2024

According to the Center for Medicare Advocacy and Lu and Lu, ownership and sponsorship type have been shown to significantly impact the quality of care in nursing homes, with for-profits generally having lower staffing levels and poorer patient outcomes. It saves money for Medicare and Medicaid, and it’s exactly what the people want.

Business 98

Business Medicare Medicaid 98

Health Leaders | Nursing

SEPTEMBER 5, 2023

of full-time NPs seeing Medicare patients and 82% seeing Medicaid patients. Senate in April and would allow NPs, physician assistants, and other APRNs to provide particular services under Medicare and Medicaid. Medicare is about 46% and Medicaid is about 14%. Medicare is about 46% and Medicaid is about 14%.

Medicare 116

Medicare Medicaid Telemedicine Nurse Practitioner 116

American Nurse

JUNE 5, 2023

DME = durable medical equipment, OT = occupational therapy, PT = physical therapy Between November 1, 2020, to May 31, 2021, 1,788 patients were discharged from the unit (1,552 discharged home and 236 discharged to a facility). A noticeable decrease in discharge times occurred from November 1, 2020, to May 31, 2021. December 1, 2021.

Medicare 98

Medicare Patient Satisfaction Patient Experience Medicaid 98

Consult QD

JULY 18, 2023

Origins and COVID-19 impact The program arose from Cleveland Clinic’s desire to leverage technology to make emergency care more accessible and from the healthcare system’s initial experience with a Centers for Medicare and Medicaid Services payment model called Emergency Triage, Treat, and Transport (ET3).

Medicare 91

Medicare Medicaid Business Emergency Care 91

Relias

OCTOBER 6, 2021

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). Sadly, in our 2021 DSP Survey Report, we found that these sentiments continued to resonate with DSPs. In our 2021 survey, 65.8%

Medicaid 105

Medicaid Leadership Health Insurance Medicare 105

Minority Nurse

JANUARY 27, 2023

She notes that four states moved to full practice authority through the pandemic: Delaware and Massachusetts in 2021 and New York and Kansas in 2022. In the past few years, the pace has “really picked up as we have seen more and more states move to full practice authority,” according to Kapu.

Nurse Practitioner 103

Nurse Practitioner APRN Medicaid Medicare 103

Consult QD

MAY 16, 2023

A new policy from the Centers for Medicare & Medicaid Services (CMS) vastly expands coverage for continuous glucose monitoring (CGM), putting better type 2 diabetes management within reach for millions more patients. 2021; 325 (22):2262-2272) Previously, CGM was covered only for those who required mealtime insulin. Martens et al.

Medicaid 88

Medicaid Medicare Education 88

Minority Nurse

NOVEMBER 18, 2022

She notes that four states moved to full practice authority through the pandemic: Delaware and Massachusetts in 2021 and New York and Kansas in 2022. In the past few years, the pace has “really picked up as we have seen more and more states move to full practice authority,” according to Kapu.

Nurse Practitioner 98

Nurse Practitioner APRN Medicaid Medicare 98

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

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

American Nurse

JUNE 3, 2024

3W3aHFM Centers for Medicare & Medicaid Services. cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalHCAHPS. Indianapolis, IN: Sigma Theta Tau International; 2021. 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

Daily Nurse

AUGUST 7, 2023

“For example, an analysis by McKinsey & Co found that telehealth accounted for less than 1% of Medicare services before the onset of the pandemic, but by July of 2021, telehealth services accounted for about 13-17% of claims submitted to Medicare.

APRN 98

APRN Licensing Medicare HIPAA 98

Council of Public Health Nursing Organizations

MARCH 8, 2024

To increase access to healthcare in rural areas and to respond to the hospital closures, in 2021 congress passed the Consolidated Appropriations Act ( Public Law 116-260 ). Centers for Medicare & Medicaid Services. CMS (2022) created rural emergency hospitals (REH) as a separate provider designation effective January 1, 2023.

Medicaid 52

Medicaid Medicare Emergency Care Promotion 52

Nurse.com

OCTOBER 26, 2022

PMHNP programs have nearly doubled over the past eight years (with 208 programs in 2021, up from 114 programs in 2015). “We In 2019, PMHNPs provided nearly one-third of mental health prescriber visits of Medicare patients, found a recent study. The mental health system is increasingly relying on PMHNPs.

Mental Health 117

Mental Health Private Practice Long Term Care Nurse Practitioner 117

Healthcare Law Insights blog

MAY 17, 2023

One study of cosmetic surgery data found that body procedures like tummy tucks, buttock augmentation, and liposuction increased by 63 percent from 2020 to 2021. [1] billion on aesthetic procedures in 2021 with surgical revenues increasing by 63 percent. [4] 12, 2021, available at [link]. 12, 2021, available at [link].

Medicare 52

Medicare Medicaid 52

Relias

JANUARY 11, 2023

For example, less than 20% of Medicare spending is currently value-based. But momentum will continue, since the Centers for Medicare and Medicaid Services (CMS) announced in 2021 that it plans to transition fully to value-based reimbursement by 2030. Here’s what you need to know about value-based payments.

Medicare 52

Medicare Medicaid Patient Satisfaction Business 52

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. Cap on Negative Wage Index.

Medicare 52

Medicare Medicaid 52

Healthcare Law Insights blog

APRIL 25, 2022

Prior to the pandemic a Centers for Medicare and Medicaid pilot study yielded positive results with respect to hospital readmission rates and follow-up emergency department visits. A survey in September 2021 showed that patients who received ACHAH care were highly satisfied (88%) and were likely to recommend it to friends and family (85%).

Medicaid 52

Medicaid Medicare Patient Satisfaction Business 52

American Nurse

DECEMBER 7, 2023

A universal healthcare plan similar to Medicare could provide basic, free healthcare to all U.S. Medicare has been successful in controlling hospital and physician reimbursement rates and, according to a film produced by Unfinished Business, the U.S. August 18, 2021. citizens with an option for supplementary insurance.

Medicare 52

Medicare Health Insurance Pharmaceutical Business 52

Nurse.com

APRIL 14, 2022

In August 2021, Delaware Governor John Carney signed legislation that grants the state’s nurse practitioners full practice authority (FPA) , making Delaware the 24th state to adopt FPA legislation — and not a moment too soon. “This is a major milestone in health care for Kansas and for our nation,” said Kapu in a news release.

Nurse Practitioner 98

Nurse Practitioner APRN Medicare Patient Satisfaction 98

Relias

DECEMBER 8, 2022

Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). Utilizing data from the most recent three calendar years, the PEPPER offers providers specific Medicare data statistics for discharges or services that may be vulnerable to improper payments.

Medicare 52

Medicare Medicaid Self-Care Education 52

Scrubs

JUNE 16, 2023

In fall 2021, staffers at Johnson Memorial Health were hoping they could finally catch their breath. One study found that cyberattacks on the nation’s health care facilities more than doubled from 2016 to 2021 — from 43 attacks to 91. But on Oct. 1 at 3 a.m., a Friday, the hospital CEO’s phone rang with an urgent call. “My

Military 74

Military Medicaid Resume Medicare 74

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 Education 52

American Medical Compliance

DECEMBER 26, 2023

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.

Health Insurance 52

Health Insurance Medicaid Medicare 52

Healthcare Law Insights blog

MARCH 25, 2022

The Emergency Temporary Standard (ETS) for Occupational Exposure to COVID-19 for healthcare and healthcare support service workers (OSHA Healthcare ETS) was originally published on June 21, 2021. Potential changes in the OSHA Healthcare ETS. OSHA is not considering mandating vaccines for employees.

Medicaid 52

Medicaid Medicare Business 52

American Nurse

FEBRUARY 29, 2024

Takeaways: The 1990 Federal Patient Self Determination Act requires that Medicare- and Medicaid-funded healthcare organizations follow state laws related to advance directives. The act requires that Medicare- and Medicaid-funded healthcare organizations, such as hospitals and nursing homes, follow state laws related to advance directives.

Self-Care 59

Self-Care Medicaid Medicare Nurse Practitioner 59

Capitol Beat

NOVEMBER 4, 2022

The ICAN Act would remove unnecessary and outdated barriers to providing care for APRNs across the country so they can better care for their patients who are enrolled in Medicare and Medicaid programs. ANA will continue working with federal policy makers to expand access to APRN care and advance the nursing profession.

APRN 52

APRN Medicaid Medicare Mental Health 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

Capitol Beat

AUGUST 24, 2022

As we know, there are many issues nurses care about, but for this year’s Hill Day, we focused on three key topics: Improving Seniors’ Timely Access to Care Act of 2021 (S.3018/H.R. The goal of this legislation is to remove burdensome administrative barriers for all four APRN roles to deliver care to their patients.

APRN 52

APRN Medicare Communication Education 52

Relias

SEPTEMBER 23, 2022

According to the Alzheimer’s Association 2022 Alzheimer’s Disease Fact and Figures report, this population is projected to grow from 58 million in 2021 to 88 million by 2050. Medicare hospice respite care is a short-term inpatient stay available to beneficiaries and designed to alleviate caregiver fatigue.

Medicare 52

Medicare Communication Education 52

American Nurse

OCTOBER 2, 2023

2021: NPIAP conference In the fall of 2021, NPIAP convened a conference to discuss skin failure related to end of life, focusing on consensus around terminology and drawing attention to how little scientific research exists regarding the condition. December 17, 2021. mg/dL (P =.07), 07), impaired blood flow (P =.05),

Long Term Care 105

Long Term Care Malpractice Nurse Practitioner Medicaid 105

American Medical Compliance

NOVEMBER 3, 2022

The end of 2021 to early 2022, approximately 21 months into the COVID-19 pandemic, saw the addition of a second electronic survey that was exclusive to physicians. The AMA released a statement indicating that in 2021, the prevalence of burnout among U.S. This study would take place over three-year intervals. doctors was 62.8%.

Telemedicine 52

Telemedicine Mental Health Medicare Promotion 52

The Nurse Break

AUGUST 24, 2022

The last 2 years have been hard for so many of our front line clinicians, many expressed their frustrations, anger and distress for a number of the decisions or potential lack of decisions made around a number of policies, pay, working conditions and medicare review outcomes.

Leadership 98

Leadership Business Medicare Promotion 98

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. Editor’s note: This post was originally published in January 2021 and updated.

Education 52

Education Medicare Promotion Medicaid 52