AMN Healthcare’s Post

Massachusetts Ties $415M to Health Equity 🏥 Massachusetts has introduced a groundbreaking $415M Medicaid waiver, linking hospital reimbursements directly to health equity measures. This approach is about the actual performance and outcomes of health equity measures. In our recent webinar, we’re joined by Christina L. Cordero, PhD, MPH, Sr. Program Director at Joint Commission, Drew Stevens, counsel at Parker, Hudson, Rainer & Dobbs LLP, and Carla Fogaren, National Consultant on Equity and Language Access in Healthcare, to walk through the importance of this waiver that parallels provisions in Section 1557 of the Affordable Care Act (ACA): By tying financial incentives to health equity measures, hospitals are accountable for their actions and incentivized to actively work towards reducing disparities in care. 🎬 Watch our webinar to learn more about how this can impact your organization and strategies to succeed under this new framework https://bit.ly/4d70az1 #AMNHealthcare #Empowerthefutureofcare #HealthEquity #MedicaidWaiver

🚀 Exciting News Alert! 🚀 Big strides are being made towards greater transparency in healthcare! 🏥💡 On April 23, 2024, the Centers for Medicare and Medicaid Services gave us a peek into their progress on implementing the advanced explanation of benefits transparency provision of the Consolidated Appropriations Act. 💼✨ Stay ahead of the curve and dive into the finer details with this latest Legal Update. Knowledge is power, and understanding these developments can empower us to navigate the evolving landscape of healthcare with confidence and clarity. 📈💪 Let's embrace transparency and continue to drive positive change in healthcare together! 🌟 #HealthcareTransparency #CMS #LegalUpdate #Empowerment

𝐇𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐩𝐨𝐥𝐢𝐜𝐲 𝐢𝐬 𝐢𝐧 𝐭𝐡𝐞 𝐧𝐞𝐰𝐬, 𝐛𝐮𝐭 𝐭𝐡𝐞 𝐜𝐨𝐧𝐯𝐞𝐫𝐬𝐚𝐭𝐢𝐨𝐧 𝐟𝐞𝐞𝐥𝐬 𝐬𝐭𝐮𝐜𝐤 𝐢𝐧 𝟐𝟎𝟏𝟎. The ACA and subsequent market trends have transformed healthcare in ways we’re still catching up to. Any thoughtful policy discussion should account for those lessons. Here, I’ll start. Since 2010, • Medicare Advantage enrollment tripled (11M → 33M). • Medicaid grew by 22M (57M → 79M). • ACA exchanges went from 0 to 21M. That means the financial responsibility for 65 million Americans’ healthcare — nearly 20% of the population — has shifted, often dramatically. These changes affect everything from costs to care delivery, and they happened fast. If we’re talking about reform today, we can’t ignore how much, and how quickly, the healthcare landscape is changing. How has your perspective on healthcare policy changed since the ACA? (Next time: consolidation and the commercial market) #HealthPolicy #HealthcareReform #Healthcare #PublicHealth #HealthEconomics

Exciting News! I’m thrilled to share that our latest blog post is now live! In this post, we delve into preparing for CMS v28, we explore the key modifications, impacts on healthcare providers, and what beneficiaries need to know. Whether you're a healthcare professional, policy maker, or someone navigating CMS, you'll find valuable insights and actionable tips to stay informed. 🔗 https://lnkd.in/dFf_WwpW Here’s a sneak peek of what you can expect: - Comprehensive overview of Medicare's v28 updates - Key changes affecting healthcare providers - Essential information for beneficiaries Happy reading and I hope you find it insightful!

Thanks to the Centers for Medicare & Medicaid Services's decision to include the Patient Activation Measure in MIPS and specialty measure sets, the #patientvoice is being incorporated more widely across healthcare settings. The PAM’s impact is tangible. Over 800 studies back its effectiveness in improving outcomes and lowering costs.   My colleague Kristen Ballantine recently wrote about how PAM can be used by providers to tailor care to fit individual needs, which is particularly helpful in specialty care settings where certain conditions may require advance support.   What’s next? Phreesia is advocating for even wider adoption across specialties with the goal of creating a future where it is the norm for all patients to receive the personalized care they deserve. https://lnkd.in/enfPS-r2

Big News for New York's Healthcare Landscape!  The Medicaid Section 1115 Demonstration just got a significant upgrade with a groundbreaking amendment announced on January 9, 2024.  This approval from the Centers for Medicare and Medicaid Services (CMS) reflects a significant stride in New York's pursuit of an inclusive healthcare system, backed by a substantial $7.5 billion investment over the next three years. The journey to health equity is underway, and New York's initiative is poised to leave a lasting impact on the national healthcare landscape. Key Components of the 1115 Waiver Amendment:  The waiver amendment focuses on integrating primary care providers and community-based organizations (CBOs) and Social Care Networks (SCNs) to address health-related social needs (HRSN). The creation of the Health Equity Regional Organization (HERO) to reduce health disparities and advance health equity. The amendment authorizes up to $2.2 billion for the Medicaid Hospital Global Budget Initiative, supporting financially distressed safety net hospitals in transitioning to a global budget alternative payment model. #NY1115Waiver #1115Waiver #CMS #Healthcare #Interoperability https://lnkd.in/gUheDetn

💡 NEW BLOG💡https://lnkd.in/g3sX3uYv In the latest updates from the U.S Centers for Medicare & Medicaid Services (CMS) for FY 2025 there are critical regulatory changes proposed that will affect hospice providers, patients, and our healthcare system. These updates include potential negative impacts on operational budgets due to payment adjustments, alongside other changes geared toward enhancing patient outcomes. We’ve curated key insights from this proposed rule to offer guidance on how our solutions can help organizations navigate and prepare for these impending shifts.  Read the Blog to learn more: https://lnkd.in/g3sX3uYv

"This year, in particular, Medicare is improving, too." ICYMI - PPSI recently hosted a Business Leader Briefing webinar featuring the Deputy Administrator and Director of the Centers for Medicare & Medicaid Services, Meena Seshamani. This is a valuable opportunity to hear directly from a leading expert on the Medicare process and what it means for business owners and their employees. Watch now 👉 https://lnkd.in/eDym8Cdu #Medicare #Healthcare #BusinessOwners

Accountable Care Organizations’ (ACOs) participation is vital to the Centers for Medicare & Medicaid Services’ implementation of the Medicare Shared Savings Program. 👉 Learn how LMI is garnering success for Accountable Care Organizations (ACOs): https://hubs.ly/Q02WtP4H0 // #NewSpeedOfPossible #Medicare #Healthcare //

🚨 Medicare Advantage Prior Authorization Reform Stuck in Congress 🚨 The Improving Seniors’ Timely Access to Care Act of 2024, a bipartisan bill aimed at increasing transparency and expediting prior authorization in Medicare Advantage, has broad support from lawmakers and healthcare leaders—but its future remains uncertain. With 228 sponsors in the House and 59 in the Senate, this popular measure has the numbers to pass. However, it faces tough competition in a crowded legislative agenda, with Congress focusing on expiring healthcare programs like telehealth extensions and physician pay adjustments. What’s at stake? Patients and Providers: Streamlined prior authorization could reduce delays and administrative burdens, ensuring timely care for seniors. Efficiency Gains: Mandating faster decisions (72 hours for urgent cases, 7 days for non-urgent). While the Centers for Medicare and Medicaid Services (CMS) has introduced similar rules for 2026, this legislation could codify these protections sooner, addressing ongoing frustrations in healthcare delivery. 🩺✨ #MedicareAdvantage #PriorAuthorization