In ????????, the federal government spent ??▓ $??.?? ???????????????? ▓?? on domestic and global health programs and services, which is ????% of net federal outlays. This includes $??????.?? ?????????????? in discretionary funding and $??.?? ???????????????? in mandatory funding, which includes Medicare and Medicaid. No doubt ???????????????????? ???????????????? ???? ?? ?????????????? ???????????????? ???????????? . It’s up to individuals how they can get benefits from this giant industry. #ushealthcare #medicaid #medicare #medicalbilling #healthcarebilling

Earlier this week, Aledade, Inc. announced that it had saved the Medicare Shared Savings Program (MSSP) a record $801 million in 2023. This amount is more than what was saved by any other accountable care partner in the United States, and is accompanied by Aledade ACO's having "returned more than $262 million to taxpayers and earned nearly $538 million in shared savings payments, all while improving the quality of care." Read the full press release: https://lnkd.in/giDcRqGu #Healthcare #Health #Medical #PrimaryCare #Medicaid

The Centers for Medicare & Medicaid Services (CMS) recently released the proposed rule for the Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS). Significant updates are coming to Medicare payment policies and rates for Home Health Agencies (HHAs). Key Points: Payment Rate Adjustments: A proposed -4.067% adjustment to the home health payment rate, in line with the Patient-Driven Groupings Model (PDGM). Policy Revisions: Updates include recalibration of PDGM case-mix weights, new LUPA add-on factors, and adoption of the latest Census data for wage index updates. Enhanced Patient Care: These changes aim to improve timely admissions, patient outcomes, and reduce hospital readmissions. For a comprehensive analysis of how these changes will affect your agency, reach out to BC Healthcare Consulting. #HomeHealth #MedicareUpdates #HealthcarePolicy #CMS #BCHealthcareConsulting #PatientOutcomes #HHPPS https://lnkd.in/emT8At95

Integrating Medicaid and referral data is a transformative approach to addressing health-related social needs and improving outcomes for our most vulnerable populations. In a new blog post for @Gainwell Technologies, in collaboration with @Findhelp, I discuss how state Medicaid agencies can leverage this integration to close gaps in care. Here’s the link: https://hubs.ly/Q02RKxyv0

Integrating Medicaid and referral data has the potential to address health-related social needs and substantially improve health outcomes. ??? Our new blog post, written in collaboration with Findhelp, discusses how state Medicaid agencies can leverage integrated data to measure program effectiveness, close gaps in care, and streamline administrative processes. Click the link to learn more about this innovative approach: ?? https://hubs.ly/Q02RKwqC0 #Medicaid #SDOH #HealthEquity Authors ??: Mina Nemirow, Kim Butler, Chris Dunkin

Stay Ahead with BC Healthcare Consulting! On June 26, 2024, the Centers for Medicare & Medicaid Services (CMS) released the proposed rule for the Calendar Year 2025 Home Health Prospective Payment System (HH PPS). This update includes critical changes to Medicare payment policies and rates for Home Health Agencies (HHAs), aimed at enhancing patient outcomes and reducing hospital readmissions. Key highlights: Payment Adjustments: A proposed permanent prospective adjustment of -4.067% to the CY 2025 home health payment rate. Policy Updates: Recalibration of PDGM case-mix weights, updates to LUPA thresholds, and the introduction of an OT LUPA add-on factor. Wage Index Update: Adoption of 2020 Decennial Census data for more accurate payment systems. Quality Reporting: New standardized patient assessment data elements in the SDOH category for CY 2027 HH QRP. Navigate These Changes with Confidence! Contact BC Healthcare Consulting for a tailored analysis of how these updates will impact your agency. #Healthcare #HomeHealth #Medicare #CMS #HHPPS #PatientCare #HealthcareConsulting #BCHealthcareConsulting

The Centers for Medicare and Medicaid Services (CMS) issued the Proposed Rule regarding Medicare home health services payment rates for CY 2025. As usual, its filled with a ton of critical information for home health care providers. ? Rate cuts ?? Wage index ? OASIS ? HHVPB And more. We've done a deep dive for members. And with some recent judicial rulings there is a chance to make an impact on the rule itself. Contact us for a discussion. #cms #medicare #homecareservices #legislation #virginia #homecareagency #ratecuts #homecare

New #ManattOnHealth Insight by Lora Kim and Nina Punukollu: The Centers for Medicare & Medicaid Services (#CMS) just approved a historic #Medicaid expansion in Arizona, California, New Mexico and Oregon, marking the first time traditional #HealthCare practices will be covered under Medicaid and #CHIP. This landmark decision opens doors to culturally appropriate health care—aimed at tackling longstanding health disparities affecting American Indian and Alaska Native communities. Learn more:?https://lnkd.in/ehsvJpMk

Reflecting on Fierce Health Payer's top stories of 2023, the dominance of headlines highlighting fundamental shifts in Medicare Advantage and Medicaid regulations is clear. These shifts will have a huge impact on the direction of the payer landscape. The recent move supporting Medicaid housing initiatives promises significant changes and represents a forward-thinking step that amplifies the program's role in addressing vital social determinants of health. https://bit.ly/47qA72a via Fierce Healthcare? #HealthPlans #Medicare #Medicaid

?????????????????????????? ???????????????? ????. ???????????????? ???? ?????? ?????? ????????????????: Eligibility: Age 65+ or certain disabilities. Coverage: Part A: Inpatient care. Part B: Outpatient services. Part C: Private insurance option. Part D: Prescription drugs. Funding: Federally funded and standardized nationwide. ????????????????: Eligibility: Low-income individuals; criteria vary by state. Coverage: Comprehensive (hospital visits, long-term care, home health). Funding: Joint federal and state funding, varies by state. Key Differences: Medicare: Age/disability-based, federal funding, standardized. Medicaid: Income-based, joint funding, state-specific coverage. Understanding these programs helps in making informed healthcare decisions. #Medicare #Medicaid #HealthcareCoverage #HealthPolicy #MedicalCoding #Healthcare #InsuranceEducation #MedicalBilling