Appalachian Mountain Health’s Post

This week, Trualta is attending the Medicare, Medicaid, Duals & Commercial Markets Forum in Baltimore. The forum focuses on the most pressing policy priorities, emerging issues and regulatory updates for Medicare, Medicaid, Duals, and the commercial market. We always enjoy and appreciate discussions about advancing health equity and promoting innovation in care delivery. Are you attending the forum too? What are your greatest takeaways? #AHIP #Trualta

⚕️For episode 187, Heather and Matthew welcome back a favorite recurring guest, Thornton Kirby, President of the South Carolina Hospital Association. Thornton shares exciting updates on recent SCHA initiatives, including a grant to support mental and behavioral health in the state. 🔊 We also have an insightful conversation about hospital consolidation, Medicaid expansion, investments in private equity, and more top of mind healthcare trends. Tune in now at www.thepulsehealthcast.com! #healthcarelaw #healthcarepodcast #hospitals #medicaid

Are you participating in the #healthIT summer reading program? It includes the following: ✅ Office of the National Coordinator for Health Information Technology (ONC) HTI-2 Proposed Rule ✅ Centers for Medicare & Medicaid Services CY25 Medicare Physician Fee Schedule (MPFS) Proposed Rule ✅ Centers for Medicare & Medicaid Services CY25 Hospital Outpatient Prospective Payment System (OPPS) and ASC Payment System Proposed Rule. Happy reading! 📚☀ #interoperability #healthIT #HTI2 #HIE #publichealth

The Centers for Medicare & Medicaid Services (CMS) has hosted several recent webinars highlighting how it's National Quality Strategy is being implemented. Two of the sessions I attended, "Prioritizing Patient Safety Through Quality Measurement" and "AI in Quality Measurement" emphasized current cross-agency federal collaboration (AHRQ-CDC-CMS-FDA-ONC) and a focus on the shared strategy goals highlighted below. This initiative, launched in 2022, sets and raises "the bar for a resilient, high-value health care system that promotes quality outcomes, safety, equity, and accessibility for all individuals, especially for people in historically underserved and under-resourced communities." 👏 👏👏👏👏 https://lnkd.in/ecrEtSwu https://lnkd.in/eSRyisWT #healthcarequality #patientsafety #healthcareoutcomes #highvaluecare #patientaccess #patientcenteredcare #healthadvocacy

For our last Big Discussion of 2024 Connect day 2, Health Evolution Chairman David Brailer sat down with Meena Seshamani, deputy administrator and director of the Center for Medicare, Centers for Medicare & Medicaid Services, to illuminate where industry and CMS can collaborate to drive progress and transformation while ensuring patients and caregivers remain at the center of all we do. Check out what’s on the agenda for 2024 Connect day 3!: https://lnkd.in/ercZFapw #HEConnect24

Centers for Medicare & Medicaid Services has proposed regulatory requirements for supplemental benefits in 2025 that will demand a new approach from Medicare Advantage plans. With key changes on the horizon, Travis Woyner, Senior Vice President of Product at Dina, is watching 3 trends: 1️⃣ Consumer preference for easy access to benefits 2️⃣ Contracts shifting from transactional to value-based 3️⃣ Transparency around access and utilization In our latest “Meet the Team” profile, Travis talks about why the time is right for health plans to prepare for change, and why the Dina team is excited for the road ahead.  Read the post here👇 https://lnkd.in/e3Vxh6e8   #carecoordination #cms #homecenteredcare #technology #healthplans #medicareadvantage #supplementalbenefits 

Regular primary care contributes to better health because it's regular, whole-person focused and relationship-based. CMS has been steadily building capacity for relationship-based care with monthly payments for ongoing care management for people with chronic conditions and patients transitioning from hospital to home. For the 2025 #Medicare Physician Fee Schedule, Centers for Medicare & Medicaid Services is proposing to bundle these monthly payments and simplify billing and documention. Learn more about the intent and vision to support primary care relationships with payments that enable care coordination, virtual patient check-ins, and more. There are also some exciting proposals for #ACOs. Comment and let the agency know what more they can do to make this vision for better care a reality. #primarycare #chroniccare Centers for Medicare & Medicaid Services https://lnkd.in/exakekhG

The Center for Medicare and Medicaid Services (CMS) rolled out a new supplemental code, G2211, designed to give PCPs a financial boost for their ongoing care and patient relationships. According to CMS, this code captures the complexity of visits stemming from the practitioner-patient bond. As discussed on the BoPC Podcast, Season 2, the importance of longitudinal relationships cannot be overstated. Healthcare leaders must adapt to changes like these to ensure practice sustainability. Read more from Christina Neider, MHA, HRMC on this update below. #CMS #G2211 #primarycare #healthcareupdates #patientcare

Long-term care facilities arguably deal with the most extensive documentation requirements compared to other types of care, primarily due to the regulations of Medicare and Medicaid. However, instilling effective documentation practices requires time, and given that staff in these facilities are already stretched thin, performing the actual tasks is often a greater priority than documenting them. InteliChart’s Family Portal eases a portion of this burden by consolidating all messages with families into a centralized dashboard. With all necessary family communications instantly documented and readily accessible, staff no longer need to spend hours searching through emails, phone messages, and texts when preparing for annual surveys. Learn more about how we ’re helping long-term care facilities here : https://hubs.ly/Q02tZjpF0 #PatientEngagement #InteliChartFamilyPortal #SeniorCare #SeniorLiving #LongtermCare #ResidentCare

Another study finds that primary care is the "MVP" of #Medicare #ACOs. Yet it's not clear that all health systems and ACO leaders are acting on overwhelming evidence that more primary care = more shared savings. And CMS could do more to nudge ACOs to invest more in primary care, which is a win-win-win-win for CMS, ACOs, ACO participants, and patients--who receive more primary care. That's why PCC is urging CMS to offer ACOs the option for PBPM hybrid payments for primary care in the Medicare Shared Savings Program. Hybrid primary care payment would give primary care teams flexibility and resources to be more proactive for patients, supporting them in-between visits to solve problems, answer questions. Centers for Medicare & Medicaid Services Joseph Coyne https://lnkd.in/e-FUt4e6