Healthmine’s Post

How do you know, until you know? And how do you know, in more real-time, and then take action to support your members? Healthmine knows. We know, and we want to help you know too! #digitalengagement #pulsesurveys

May 12–18 is National Women’s Health Week! Women are commonly affected by Alzheimer’s disease and related dementias. Learn more about Alzheimer’s disease and related dementias caregiver support programs. https://lnkd.in/eMFkaER2 #womenshealthweek #Alzheimers #dementia #duallyeligible #Medicare #Medicaid

May 12–18 was National Women’s Health Week. Women are commonly affected by Alzheimer’s disease and related dementias (ADRD). Learn more about building and leveraging support systems in ADRD caregiver support programs.https://https://lnkd.in/gpS5WENH #womenshealthweek #Alzheimers #dementia #duallyeligible #Medicare #Medicaid

The Centers for Medicare & Medicaid Services (CMS) has proposed updates to the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) payment rates for Calendar Year 2025. Key highlights include: 🔹 OPPS Payment Rates: Proposed to increase by 2.6% for hospitals that meet applicable quality reporting requirements. This update is based on a projected hospital market basket percentage increase of 3%, reduced by 0.4 percentage points for productivity adjustment. 🔹 ASC Payment Rates: Similarly proposed to increase by 2.6% for ASCs that meet relevant quality reporting requirements. These updates are crucial for improving access to high-quality care, advancing health equity, and ensuring that coverage is meaningful for all communities. At Marisa Consulting, we are dedicated to supporting these initiatives by providing expert guidance and innovative solutions to healthcare organizations. Our team helps hospitals and ASCs meet quality reporting requirements, optimize reimbursement strategies, and navigate the complexities of CMS regulations. Together, we are committed to enhancing healthcare outcomes and advancing equity in our communities. #HealthcareInnovation #HealthEquity #CMSUpdates #MaternalHealth #BidenHarrisAdministration #MarisaConsulting #HealthcareExcellence #Medicaid #CHIP #HealthcareQuality https://lnkd.in/e7FYQMuH

Recognized as a top ten pick by Health Affairs, "Medicaid Expansion Leads To Reductions In Postpartum Hospitalizations", is a P4A-funded research project by Maria W. Steenland and Laura R. Wherry. The study highlights the positive impact of Medicaid expansion on decreasing postpartum hospitalization rates; another example of the vital role that policy and policy-focused research can play in improving health outcomes. Read the article here: https://lnkd.in/eqXe6S7s

In-home primary care services for chronically ill older adults offer Medicare Advantage plans a dual advantage: potential cost reduction through minimized healthcare utilization and increased patient satisfaction. This tailored approach provides comprehensive, personalized care at home, leading to better health outcomes, proactive preventive measures, and reduced caregiver burden, ultimately promoting aging in place and enhancing overall plan efficiency. https://lnkd.in/dc5eXg6A

"The Centers for Medicare and Medicaid Services will finalize the rule to establish a “Birthing-Friendly” hospital designation in fall 2023. While the motivation for the designation comes from the White House Blueprint for Addressing the Maternal Health Crisis, it gives hospitals the opportunity to experience a more favorable payor mix in their OB/GYN and laborist programs by improving the quality of care..." Read the full article, “Aligning OB/GYNs: Improving Care & Maximizing Reimbursement" here: https://lnkd.in/g2yQhyw2 Written by Haley Condon and Jen Johnson #qualityofcare #obgyn #compensationarrangements #healthcaretrends #healthcaresolutions #transactionadvisory #valuationservices #VMG #VMGHealth

New data reveals a 4% decline in hospitals providing labor and delivery services between 2019 & 2020. This problem is more acute in states that have not expanded #Medicaid, where multiple hospitals have closed due to lack of funding. Medicaid expansion allows states to tap into federal funds to cover a significant portion of the costs associated with providing care to the communities they serve. It's time for all states to expand Medicaid so mothers and babies can get the care they want and need. https://lnkd.in/eEyXqNAH

New data reveals a 4% decline in hospitals providing labor and delivery services between 2019 & 2020. This problem is more acute in states that have not expanded #Medicaid, where multiple hospitals have closed due to lack of funding. Medicaid expansion allows states to tap into federal funds to cover a significant portion of the costs associated with providing care to the communities they serve. It's time for all states to expand Medicaid so mothers and babies can get the care they want and need. https://lnkd.in/eEyXqNAH

In their new Forefront article, Ginny Rogers, Montgomery Smith, Jonathan Gonzalez-Smith, and Robert S. Saunders of the Duke-Margolis Institute for Health Policy explore opportunities to redesign care models given the unique needs of rural communities and policy and payment reforms to scale home-based primary care access. "Although a variety of services can be provided in the home setting, we focus on how home-based primary care (HBPC) can be expanded to improve care for older adults and other home-limited adults residing in rural areas. There is evidence that HBPC models, such as Independence at Home and the Department of Veterans Affairs’ Home-Based Primary Care program can reduce hospitalizations, increase patient satisfaction, and reduce the total cost of care for enrolled patients. However, successful implementation is challenging in rural areas given heightened workforce shortages and resource constraints. Furthermore, increasing access to HBPC can advance the Centers for Medicare and Medicaid Services’ (CMS’s) commitment to addressing health disparities for rural populations and congressional interest in increasing access to health care for rural and underserved areas." Read the full article here: https://bit.ly/3SPqZQG