New age-friendly hospital guidelines from Centers for Medicare & Medicaid Services aim to promote high-quality care for older adults including prioritizing mobility. Beginning 2025, new quality measures take effect which build on the success of the Age-Friendly Health Systems movement – the 4Ms Framework of What Matters, Medication, Mentation, Mobility. Join the Johns Hopkins Activity and Mobility Promotion team for an informational webinar covering how healthcare organizations can meet CMS requirements which will establish a foundation to develop a culture of mobility. https://bit.ly/3XbGXW2
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HCCI unveiled its first annual Snapshot of the Unmet Need for Home-based Medical Care in the U.S. Built from a comprehensive analysis of data from the Centers for Medicare & Medicaid Services’ 2023 Traditional Medicare Claims, the Snapshot provides a national view of the supply and demand of home-based medical care, spotlighting the critical need to expand access to this needed type of care. The home-based medical care (HBMC) situation is critical: 83% of frail patients, living across 36 states, need HBMC but are not receiving appropriate care. Learn more: https://lnkd.in/gcs7NDXz #housecalls #healthcare #homecare #homebasedprimarycare
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HCCI unveiled its first annual Snapshot of the Unmet Need for Home-based Medical Care in the U.S. Built from a comprehensive analysis of data from the Centers for Medicare & Medicaid Services’ 2023 Traditional Medicare Claims, the Snapshot provides a national view of the supply and demand of home-based medical care, spotlighting the critical need to expand access to this needed type of care. The home-based medical care (HBMC) situation is critical: 83% of frail patients, living across 36 states, need HBMC but are not receiving appropriate care. Learn more: https://lnkd.in/gcs7NDXz #housecalls #healthcare #homecare #homebasedprimarycare
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HCCI unveiled its first annual Snapshot of the Unmet Need for Home-based Medical Care in the U.S. Built from a comprehensive analysis of data from the Centers for Medicare & Medicaid Services’ 2023 Traditional Medicare Claims, the Snapshot provides a national view of the supply and demand of home-based medical care, spotlighting the critical need to expand access to this needed type of care. The home-based medical care (HBMC) situation is critical: 83% of frail patients, living across 36 states, need HBMC but are not receiving appropriate care. Learn more: https://lnkd.in/gcs7NDXz #housecalls #healthcare #homecare #homebasedprimarycare
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HCCI unveiled its first annual Snapshot of the Unmet Need for Home-based Medical Care in the U.S. Built from a comprehensive analysis of data from the Centers for Medicare & Medicaid Services’ 2023 Traditional Medicare Claims, the Snapshot provides a national view of the supply and demand of home-based medical care, spotlighting the critical need to expand access to this needed type of care. The home-based medical care (HBMC) situation is critical: 83% of frail patients, living across 36 states, need HBMC but are not receiving appropriate care. Learn more: https://lnkd.in/gcs7NDXz #housecalls #healthcare #homecare #homebasedprimarycare
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#ICYMI Earlier this month, we published a paper written in partnership with CarelonRx and CPESN Networks that examines outcomes for Medicaid health plan members engaged in a unique collaboration between the health plan, pharmacy benefit manager, and community pharmacies. The results found that engagement in these collaborations was associated with a favorable change in medical services utilization, higher rate of improvement in quality of care HEDIS gap closures, and reduction in medical costs for members with chronic conditions. Read our full report ➡️ https://bit.ly/4g7oH97
Outcomes in Medicaid Members Engaged in Health Plan, PBM, and Community Pharmacy Collaboration
elevancehealth.com
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On July 10, the Centers for Medicare and Medicaid Services (CMS) released the CY 2025 Medicare Physician Fee Schedule. This rule includes proposals related to Medicare Part B payment rates, the Quality Payment Program and the Medicare Shared Savings Program. There are proposals related to important policy topics such as primary care, telehealth, behavioral health, oral health and caregiver training. Comments are due on September 9. Read below for five key takeaways.
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The path to high performant specialty care starts with the referral—ensuring the patient sees the right doctor, at the right time, the first time, and every time. What I’ve been most impressed with in my early days on the Conduce Health team is the ability to accurately and consistently make this possible and personalized at the patient level. Interested in learning more? Let’s connect!
📊 Did You Know? * 60% of all office visits and medical costs are attributable to specialty care. * 40% of Medicare patients see ≥ 5 specialists annually, contributing to complex and fragmented care. * Optimizing specialty care networks and performance is a top-3 priority for value-based primary care organizations. * The Center for Medicare and Medicaid Innovation (CMMI) has developed >10 specialty-focused models. #HealthcareStats #ValueBasedCare #SpecialtyCare #PatientOutcomes #ConduceHealth #Conduce
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If you're interested in how we can do primary care smarter in Medicare, this is a webinar you NEED to be on.
Join PCC TOMORROW for a conversation with CMS Innovation Center Director Dr. Liz Fowler exploring Centers for Medicare & Medicaid Services' and the CMS Innovation Center’s multi-pronged strategy for bolstering primary care to improve access and health outcomes.
Join the PCC for a discussion with CMMI Director Elizabeth Fowler about strategies for strengthening primary care in Medicare, including those recently laid out in a Health Affairs piece authored by Administration officials.
us02web.zoom.us
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💡 Big news from Centers for Medicare & Medicaid Services this week! CMS announced a new hospital #quality measure which is based in part on the 4Ms Framework for age-friendly care which was developed through The John A. Hartford Foundation funded initiatives. In 2025, hospitals that participate in Medicare’s Hospital Inpatient Quality Reporting (IQR) Program will be required to report on these protocols: 1️⃣ Elicit patient health care goals (What Matters) 2️⃣ Responsibly manage medications (Medication) 3️⃣ Implement frailty screening and intervention (Mentation & Mobility) 4️⃣ Assess social vulnerability (e.g. social isolation, caregiver stress, abuse) 5️⃣ Designate age-friendly leadership “HHS continues to make health care more accessible and equitable. Every American should be able to get the care they need, regardless of whether they are struggling to afford their rent, the color of their skin, or what else is going on in the world.” -Secretary Xavier Becerra, U.S. Department of Health and Human Services (HHS) ⚕ Resource: https://lnkd.in/gBBtb92E ⚕ Regulation: https://lnkd.in/ggXjSs7s
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On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) released the proposed Medicare payment rates for hospital outpatient and Ambulatory Surgical Center (ASC) services. The comment period will close on September 9, 2024. Review the CMS Fact Sheet for major provisions of the proposed rule on payment rates and addressing health disparities. Expanding access to behavioral health care, improving transparency in the health system while promoting safe, effective, and patient-centered care. CMS is further proposing revisions to the emergency services CoP related to emergency readiness for hospitals and CAH’s that provide emergency services. CMS is proposing revisions to the Discharge Planning CoP for all hospitals and CAH’s related to transfer protocols. To read the entire article, visit our website: https://lnkd.in/gBbMxKj3
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