Beth McElroy, MPA, CEM的动态

In case you missed it, here are some powerful speeches by Senators, advocates, public health experts, and our Online Harms Prevention Work Group parents explaining why the Kids Online Safety and Privacy Act is so important. https://lnkd.in/eSb4Qhbk

Our society respects individual rights, but there are certain public health policies we adopt communitywide or nationwide because they are more effective and efficient ways to strengthen health and security. Fluoridation is one good example of this approach. https://buff.ly/45XuetL Learn more at https://buff.ly/3P8mRd2

Thanks for this succinct and insightful article. So many of the current problems with our healthcare system are due to the “destruction” of primary care.

Trusted expertise. Life-changing, evidence-based solutions. Decades of real-world experience. ORAU’s public health and emergency preparedness experts offer all of that and more in helping provide solutions to some of the most important public health issues of the day. Click the link below to learn more ?? ?? ?? https://bit.ly/48OGzR0 #FurtherTogether

Wondering who ultimately oversees all things Medicare Secondary Payer (MSP)? It's the HHS Office of Inspector General. The United States Department of Health & Human Services (HHS) - Office of Inspector General. Below, you can watch recent testimony provided by the Honorable Christie Grimm to the U.S. House Committee on Energy and Commerce, Subcommittee on Oversight and Investigations on 'Examining How Improper Payments Cost Taxpayers Billions and Weaken Medicare and Medicaid.' https://lnkd.in/gN5rSvZt This office works with Centers for Medicare & Medicaid Services (CMS) to implement solutions to minimize improper payments and punish those who perpetrate fraud against the federal government and American taxpayers. Cattie & Gonzalez, PLLC #AHigherStandardinMSPCompliance #MSP #MedicareSecondaryPayer #Medicare #ConditionalPayments #CRC #CommercialRepaymentCenter Performant Corp #BCRC #BenefitsCoordinationandRecoveryCenter #MAO #MedicareAdvantagePlans #MedicarePartC #PRP #PrescriptionDrugPlans #MedicarePartD

Healthcare waste and abuse refer to practices that result in unnecessary costs to healthcare programs, including Medicare and Medicaid. Waste involves overutilization of services or other practices that, directly or indirectly, result in unnecessary costs. Abuse involves actions that may, directly or indirectly, result in unnecessary costs, improper payment, or payment for services that fail to meet professionally recognized standards of care, or that are medically unnecessary. The numbers of these cases are increasing and the amounts that have been reported in these fraud investigations particularly in this area are so high I am not clear how the HHS-OIG is going forward. The agency is responsible to conduct due diligence before allocating funds and the resources are essentially approved by their own organizations so to actually make sense of how this oversight has been handled appears to be an internal matter that needs to be addressed because this would have been a requirement and therefore a priority from the beginning. The mission of HHS-OIG is to provide objective oversight to promote the economy, efficiency, effectiveness, and integrity of HHS programs, as well as the health and welfare of the people they serve. Their work ensures that Federal dollars are used for their intended purposes. #unitedseniorassociation #usa #hss #oig #cms #eldercare #seniorhealth #hssoig #fda #RPM #healthcare

Today is the first day of #NPHW and the theme is Civic Engagement! The American Public Health Association defines this as "the actions that we and our communities take to identify and address problems." One way to do this is by learning about policy engagement. Check out our trainings! https://lnkd.in/gUgJ9vNE

Celebrating the 29th?annual National Public Health Week starting today, April 1! This year's theme is Protecting, Connecting, and Thriving: We Are All Public Health. Today's topic is Civic Engagement. As per the American Public Health Association, a recent analysis of civic engagement and state health outcomes from 1996 to 2020 showed that in states where people are more?civically engaged and vote more, public health outcomes are better.

It's SepticSmart Week! During this annual event, we recognize the importance of proactively maintaining septic systems to protect public health and the environment. Check out these quick tips on on the importance of properly using and maintaining your septic system. https://lnkd.in/eud8piy7

About 9 years ago I saw Health Risk Assessments (HRA) come flooding into our markets. We started getting random faxed in documentation of encounter notes from unaffiliated ARNP's were visiting our patients at home to complete an AWV/HRA. When we tracked it down, we realized it was insurance companies deploying these resources - with no coordination, communication or consideration of the PCP. We had over 1500 in home HRA's that were sent to our offices that we heavily disagreed with the ICD-10/HCC codes that were reported. We refused to let the health plan process them. Fast forward, 9 years later, I learned how the dx codes were populated on the forms and then given to the ARNP to check off/confirm that the patient had these conditions. Again, my jaw dropped when I learned this information. In that moment, everything made sense as to why we had so many inconsistent codes being reported. You should also know that many health plans charge their provider groups for these unwanted/un-needed services at the time the shared savings is split. REVIEW YOUR CONTRACTS! Some companies are charging $600 A VISIT for this service. I love home care, I think its an amazing service to offer to patients, if its fully coordinated and patient outcomes are truly being positively impacted. I am not for checking the box to make a buck. There are some upstanding companies that offer these services and they act as an extension to the PCP. Everything is well coordinated to ensure everyone knows what's going on. Those people are your tribe! Here's a blurb from the OIG: We found that Medicare Advantage companies received more than $9 billion in risk adjustment payments in 1 year for serious medical conditions that only appeared on health risk assessments 4 or chart reviews and not on any service records. Twenty Medicare Advantage companies accounted for $5 billion of that $9 billion. The most common diagnoses driving these payments included vascular disease, serious mental illness, chronic obstructive pulmonary disorder, and congestive heart failure. In our review of service records, we did not find any records of treatment indicating these serious conditions. This raised three troubling possibilities: (1) the diagnoses codes and, therefore, payments to plans are inaccurate; (2) plan enrollees have serious unmet health care needs; or (3) Medicare Advantage companies are not reporting all service records as required. Thank you so much for sharing this Michelle M. Wieczorek RN RHIT CPHQ CCDS-O