Avalon Healthcare Solutions’ Post

This amalgamation is part of the Ministry of Health’s multi-year initiative to modernize BC’s health profession regulatory framework. This initiative is informed by the Cayton Report and the 2020 Recommendations of the Steering Committee on Modernization of Health Professional Regulation. More information about the government’s initiative to modernize the provincial health profession regulatory framework is available on the Ministry of Health’s Professional Regulation webpage:https://lnkd.in/gbsgXc6E #regulation #public safety #amalgamation

2024 will be a critical election year for all hospitals as they face an evolving health care landscape; the candidates we elect will make important decisions concerning health care in Nebraska. Learn more here: wecarewevote.aha.org #WeCareWeVote

Dual practice presents a challenge for UHC and its associated outcomes, including access to health services, equity, efficiency, and quality of care. Ever wondered how countries can manage its implications? Check out our latest Clearing House brief to learn about the policy options for responding to this common health system challenge. https://lnkd.in/e66Bgnwe

Dive into the 2024 health care landscape with BPC. Hear from pollsters on public opinion and policy experts who will explore what's impacting health care policymaking. Don't miss this opportunity to stay informed about the election year dynamics, congressional priorities, and the administration's agenda for health issues.

We're sitting down with Aimee Grace, MD, Dr. Jeffrey Reynoso, PhD, and Nicola Pinson at the 2024 Hawaii State of Reform Health Policy Conference as they provide updates on federal health policy and more. #Hawaii #healthcare #healthpolicy

The Supreme Court recently issued a ruling that limits federal power. The decision constrains the government's ability to regulate aspects of health care, potentially leading to reduced federal oversight and increased state control. It will be interesting to see this in place and potential impact of various health policies and programs, with broader implications for access to health services and regulatory practices. For further details, you can read the full article [here](https://lnkd.in/gqbW6jvC).

Hey Y'all, Here's a post from the OIG with a link to a couple of fraud FAQs. Please share/repost if you feel others will benefit from this information. #OIG #Compliance #HealthCare #HealthCareFraud #CHCS

As a compliance officer, I often review agreements that implicate the nuances of assessing fraud and abuse risks under the Federal anti-kickback statute. While Congress has outlined several factors for developing safe harbors, these guidelines are incredibly valuable for evaluating risk even outside of safe harbor contexts. In my experience, key areas such as the potential for skewed clinical decision-making, increased costs to Federal health care programs, and risks of overutilization are crucial to examine. These aspects can significantly impact patient safety and fairness in healthcare delivery. I’m curious: how are you currently assessing your transactional arrangements and relationships to ensure they are compliant and risk-free? Schedule time with me to discuss: https://lnkd.in/euapuVCg MCRA, an IQVIA business #healthcarecompliance #OIG #healthcarefraud

"What are some factors to consider when assessing the level of fraud and abuse risk posed by an arrangement that implicates the Federal anti-kickback statute? Does the arrangement or practice have the potential to interfere with, or skew, clinical decision making? Does the arrangement or practice have the potential to increase costs to Federal health care programs or beneficiaries? Does the arrangement or practice have the potential to increase the risk of overutilization or inappropriate utilization? Does the arrangement or practice raise patient safety or quality of care concerns? Does the arrangement or practice raise concerns related to steering patients or providers to a particular item or service?" How is all of this information being gathered and tracked in relation to the contract? Are conflicts indicated and monitored? We can help.

🌟 Hooper, Lundy & Bookman, P.C.'s latest dose of health policy is here. Check out the full newsletter to stay in the loop on the latest from Congress & the Administration. Some excerpts below! 🌟 ➡️ Congress Passes Short Term Spending Bill On September 25, Congress passed a short-term continuing resolution to fund the government through December 20. Congress is now in recess until after the elections, returning on November 11. When Congress returns, they will have just a few weeks to again fund the government and address a number of issues expiring at the end of the year as well as items being pushed in a lame duck environment. The overall end-of-year package has not yet been outlined, but many health care issues, including provider payment will be on the table. ➡️ Proposed 2026 Payment Notice Released On October 4, the Centers for Medicare & Medicaid Services (CMS) released its Notice of Benefit and Payment Parameters (NBPP) for 2026 proposed rule. CMS is proposing policies, in part, related to protecting the integrity of Marketplaces through addressing broker/agent behavior, refining HHS risk adjustment models and HHS Risk Adjustment Data Validation (RADV) sampling, and clarifying timeliness standards for resolving enrollment data corrections. The proposed 2026 Payment Notice comment period ends on November 12, 2024. ➡️ Accelerated and Advance Payments Announced in Response to Hurricane HHS announced it would make available accelerated and advance payments to Part A providers and Part B suppliers affected by Hurricane Helene beginning October 2. Similar payments were made during COVID-19 and the Change Healthcare attack. Payments may be granted in amounts equal to a percentage of the preceding 90 days of claims and will be repaid through automatic recoupment from Medicare claims for 90 days following the issuance of payment. More information can be found here. ➡️ FY 2025 IPPS/LTCH IFC Released CMS published an interim final action with comment which reflects a change to CMS’ low wage index policy in response to a July 2024 D.C. Circuit Court decision (Bridgeport Hospital, et al., v. Becerra) which held that the Secretary lacked authority to adopt that policy and related budget neutrality adjustment. In the rule, CMS is eliminating the low wage index policy and associated budget neutrality adjustments from the calculation of the FY 2025 IPPS/LTCH rates, establishing a transitional 5% cap on reductions for those hospitals that benefited from the policy (and not applying budget neutrality to the cap), and is recalculating rates to reflect the update wage index policies. Comments are due by November 29, 2024.