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

American Nurse

The drug might have prevented up to 27,000 deaths in 2022 if it had been allocated based on which patients were at highest risk from covid. 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
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Crusading for Mothers

American Nurse

Additionally, rates of chronic conditions such as obesity, diabetes, and hypertension continue to rise among women of childbearing age (Health in Rural Missouri Biennial Report, 2022-2023). The second federal policy is Medicaid Postpartum Coverage Extension (passed in Missouri 7/2023).

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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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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. ahrq.gov/cahps/surveys-guidance/index.html Centers for Medicare & Medicaid Services. Health Aff. March 8, 2023.

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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. doi:10.1136/bmj.m865 Centers for Medicare and Medicaid Services. 2020;368:m865.doi:10.1136/bmj.m865

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Home health nursing

American Nurse

Patient-centered care focused on self-sufficiency The Centers for Medicare and Medicaid Services (CMS) uses the term “home health” to describe a federal health insurance program that provides intermittent short-term care to help patients recover from illness and become as self-sufficient as possible at home. March 2023.

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Reducing Maternal Mortality: Will the ‘Birthing-Friendly’ Hospital Designation Help?

Relias

­The Centers for Medicare and Medicaid Services (CMS) issued a final rule in August 2022 to improve maternal health outcomes and advance health equity — two of the Biden-Harris Administration’s key priorities. Maternal mortality remains a critical problem in the U.S., Sadly, U.S. rates are continuing to rise.