American Medical Compliance

JUNE 21, 2024

The Department of Health and Human Services (HHS) estimated that improper payments in the Medicare and Medicaid programs exceeded $100 billion from 2016 to 2023. Fraud, waste, and abuse (FWA) in healthcare present significant challenges, causing substantial financial losses, eroding public trust, and compromising the quality of patient care.

Medicaid 105

Medicaid Continuing Education Medicare Communication 105

Health Leaders | Nursing

JULY 29, 2024

For payers, Woods said, change would likely begin at the federal level with the Centers for Medicare and Medicaid Services (CMS). Nursing is the single largest workforce in any hospital, according to Jackson, and so nurses must be included in leadership and decision-making processes. This would provide a model for other payers. "If

Nurse Practitioner 98

Nurse Practitioner Chief Nursing Officer Leadership Medicaid 98

University of St. Augustine for Health Sciences

APRIL 22, 2025

Healthcare Coverage In 2023, 92 percent of Americans had some form of healthcare coveragewhether employer-provided coverage, Medicare or Medicaid or private health insurance. In the USAHS Doctor of Nursing Program (DNP) program, you can further your knowledge in health policy, leadership and advocacy.

HIPAA 45

HIPAA Health Insurance Pharmaceutical Nurse Practitioner 45

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. Support from these smaller groups is essential.

APRN 74

APRN Mental Health Psychiatry Nurse Practitioner 74

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 receive Medi­care and Medicaid funding. Hospitals that accept patients with Medicare or Medicaid insurance (approximately 61.4 Rather, it falls under the leadership standard (LD.04.01.01), March 2023.

Medicaid 52

Medicaid Medicare Promotion Leadership 52

American Nurse

MARCH 5, 2024

Recently, I had the privilege of meeting with Governor Kelly and several healthcare organizations in Kansas to discuss strategies for passing legislation on Medicaid expansion for the state. We delved into the impact of neighboring states expanding Medicaid, drawing Kansas residents for healthcare services, leading to revenue loss.

Medicaid 40

Medicaid Leadership Business 40

Health Leaders | Nursing

APRIL 10, 2023

As we move toward value-based care, we have to take care of lots of people, especially as Medicaid is expanded throughout our country. For example, in dermatology, APPs might do general dermatology and the physicians might do the surgical subspecialty part of that.

Pharmaceutical 111

Pharmaceutical Nurse Practitioner Private Practice Medicaid 111

American Nurse

SEPTEMBER 20, 2024

Dear readers, I am extremely excited to be embarking on this very important role and wish to express my gratitude to the leadership of the Maryland Nurses Association (MNA) for selecting me as the Editor-in-Chief of this journal. It is an honor to collaborate with the exceptional members of the Editorial Board and the publisher team.

Medicaid 52

Medicaid Medicare Promotion Leadership 52

Capitol Beat

DECEMBER 6, 2022

Recently, the Centers for Medicare & Medicaid Services (CMS) issued a Request for Information (RFI) entitled Make Your Voice Heard: Promoting Efficiency and Equity Within CMS Programs. These recommendations also support ANA’s legislative advocacy as we encourage lawmakers to support H.R. This blog was guest-authored by Samantha Karp.

APRN 52

APRN Medicaid Medicare Licensing 52

American Nurse

DECEMBER 8, 2023

In The Future of Nursing 2020–2030: Charting a Path to Achieve Health Equity , the National Academy of Medicine promotes an interprofessional approach to education and training for nurses to help develop their leadership skills as well as their understanding of health equity, social determinants of health, and population health.

Long Term Care 87

Long Term Care Leadership Nurse Practitioner Medicaid 87

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

Minority Nurse

MARCH 29, 2023

After working as a home health aide at VNS Health, she became an RN with the organization and moved quickly through the ranks, leading to her current leadership role, where she oversees a large and diverse team. Moving into a leadership/managerial role was daunting, but I’m glad I did it. What is your title, and where do you work?

Long Term Care 52

Long Term Care Medicaid Medicare APRN 52

Relias

DECEMBER 21, 2021

For Medicare claims, you already track care quality and report it to the Centers for Medicare and Medicaid Services (CMS). And that requires continuous attention from your leadership team and opportunities for your staff to advance its education. And don’t forget to praise individual staff members for a job well done.

Medicare 52

Medicare Medicaid Staff Training Home Healthcare 52

Capitol Beat

JULY 24, 2024

The final rule was issued by CMS in April.

Medicare 40

Medicare APRN Long Term Care Medicaid 40

Health Leaders | Nursing

MARCH 12, 2025

The I CAN Act The Improving Care and Access to Nurses (I CAN) Act is another bipartisan bill that would remove the federal barriers in Medicare and Medicaid programs that stop APRNs from practicing to the full extent of their clinical education and training, according to another press release.

Preceptors 66

Preceptors APRN Medicaid Medicare 66

American Nurse

APRIL 30, 2024

In this role, she leads projects and advises within the agency aimed at improving care for Medicaid beneficiaries in Texas. Rocha and her team translate that clinical language into policy, determining needs for Medicaid recipients and bringing in specialty clinicians when necessary.

Medicaid 116

Medicaid APRN Health Literacy Nurse Practitioner 116

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. With proactive steps, you can use your leadership power to heal the gaps in wound care education.

Education 98

Education Communication Long Term Care Medicaid 98

Capitol Beat

APRIL 16, 2024

Centers for Medicare and Medicaid Services (CMS) from finalizing its proposed long-term care safe staffing regulation. ANA sent a letter to House Leadership expressing its concerns about the bill’s adverse impact on the nursing workforce and the importance of ensuring safe staffing in long-term care facilities.

Long Term Care 75

Long Term Care Medicaid Mental Health Medicare 75

Healthcare Law Insights blog

JULY 17, 2023

Last week, the Centers for Medicare & Medicaid Services issued a Proposed Rule that, if finalized, would extend the application of the “36-Month Rule” from home health agencies (“HHAs”) to also include hospice agencies as well. The 36-Month Rule, found at 42 C.F.R.

Medicare 52

Medicare Medicaid Business Licensing 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

SEPTEMBER 25, 2024

Starting each Spring, the Centers for Medicare & Medicaid Services (CMS) begins its annual rulemaking process to determine payment for Medicare services by provider type. ANA comments remind CMS every year that solutions to in home access and staffing problems in the ESRD program must be created with nephrology nurses’ leadership.

Medicare 83

Medicare APRN Medicaid Mental Health 83

American Nurse

JUNE 13, 2024

This will mitigate burnout, improve retention, and create a culture where nursing knowledge and leadership is encouraged and valued. Use of NPIs allows advanced practice nurses to bill Medicare and Medicaid for services provided to patients. Our professional values influence our perception of the value of nursing. “The

Health Outcomes 52

Health Outcomes Medicaid Medicare Nurse Educator 52

The Relentless School Nurse

NOVEMBER 30, 2024

As trusted healthcare professionals, Mills and Powell assert nurses’ moral obligation to speak out against leadership that threatens the core values of healthcare and public service. We, like millions of healthcare providers across the country are sounding the alarm on RFK Jr.

Leadership 85

Leadership Medicaid Medicare 85

American Nurse

JULY 3, 2024

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. Home health care.

Self-Care 40

Self-Care Health Literacy Medicare Home Healthcare 40

Capitol Beat

FEBRUARY 28, 2025

We detailed these priorities and positions in a letter to Congress , sent to both Senate and House leadership. Additionally, we are currently working with allies in the health care community to defend Medicaid to ensure that our most vulnerable patient populations have access to health care providers, such as trusted nurses.

APRN 45

APRN Medicare Medicaid Preceptors 45

American Nurse

JUNE 7, 2023

This emphasis will require nurses to take on important operational and leadership roles in programs established to improve the health of the nation. To decrease health disparities and the costs of treatment and care, focus has turned toward prevention and population health and away from episodic acute care.

Medicare 116

Medicare Health Insurance Promotion Nurse Practitioner 116

Health Leaders | Nursing

FEBRUARY 27, 2024

The Acute Hospital Care at Home program, supported by the Centers for Medicare & Medicaid Services (CMS), took off during the pandemic and is now in place in more than 300 health systems across the country. More and more care will be in the home.

Telemedicine 78

Telemedicine Medicare Medicaid Care coordination 78

American Nurse

JANUARY 3, 2024

The Centers for Medicare and Medicaid Services (CMS) worked with purchasers, physicians, healthcare organizations, and consumers to identify evidence-based process measures (core measures) to reduce morbidity, mortality, variability, and cost while improving quality outcomes. Several recent developments aim to address these issues.

Chief Nursing Officer 52

Chief Nursing Officer Medicare Medicaid Best Practices 52

Relias

JANUARY 16, 2023

The Centers for Medicare and Medicaid Services (CMS) will expand its enforcement actions against poorly-performing facilities. A study by the American Organization of Nursing Leadership (AONL) found that the top challenges nurse leaders face are employees’ emotional health and well-being and staff retention. Penalties rise to $1M.

Medicare 52

Medicare Medicaid Telemedicine Nursing Burnout 52

The Relentless School Nurse

SEPTEMBER 10, 2023

In her first 3 terms (before redistricting), she has been a voice for our profession and has risen to the leadership of the Democratic Caucus. Lauren Underwood at an upcoming event either in person or via Zoom on Thursday, September 28th. We need to help her get re-elected.

Medicaid 119

Medicaid Medicare Retirement Leadership 119

Minority Nurse

MAY 14, 2024

Her passion for public policy was heightened while serving as a health policy advisor in the Office of the Secretary at the Health and Human Services in Washington, DC initially under the leadership of Secretary Kathleen Sebelius followed by the leadership of Secretary Sylvia Burwell. Are you still there?

Medicaid 105

Medicaid Medicare Telemedicine APRN 105

The Relentless School Nurse

NOVEMBER 20, 2024

Dr. Oz: Snake Oil Salesman in Chief Dr. Mehmet Oz, the TV quack extraordinaire, has been tapped to lead the Centers for Medicare and Medicaid Services. This nomination shows a complete disregard for the importance of education and the need for experienced leadership in this crucial field.

Medicaid 126

Medicaid Health Insurance Medicare Promotion 126