Beth Oliver

New CMS guidance clarifies Medicaid and CHIP payment policies for pediatric #palliativecare, aiming to improve access and reduce disparities for seriously ill children by expanding early screening, care coordination, and workforce support. https://bit.ly/3Ya3rHu

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In 27 states and Washington, D.C., NPs have Full Practice Authority, giving patients direct access to primary care providers. States with FPA consistently rank higher in health outcomes—because when NPs can practice fully, everyone benefits! #NPWeek2024 #FullPracticeAuthority

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New #ManattOnHealth Insight by Julian Polaris and Katie (Rubinger) Platz: A new GAO report investigates #PriorAuthorization practices for children enrolled in #Medicaid #ManagedCare organizations (MCOs). #CMS agrees that some clarification is needed and may consider additional rulemaking or guidance to address these issues. For more, read Manatt’s latest newsletter. 

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The Center for Health Information and Analysis (CHIA), in collaboration with Massachusetts Health Quality Partners (MHQP), is releasing the latest primary care dashboard to monitor the health of the primary care across the Commonwealth. A high-functioning primary care system can lead to better patient outcomes, lower costs, and more equitable care. Adequate access to primary care may also reduce unnecessary reliance on emergency department visits. This dashboard aims to inform targeted policy solutions and investments as well as monitor the impact of such reforms. This year, an interactive dashboard is also available, enabling users to stratify certain measures by geography, payer type, and sociodemographic dimensions. The dashboard measures the health of primary care across four domains: ‣      𝗙𝗶𝗻𝗮𝗻𝗰𝗲 – metrics focused on spending for primary care services ‣      𝗖𝗮𝗽𝗮𝗰𝗶𝘁𝘆 – metrics focused on the primary care workforce and pipeline ‣      𝗣𝗲𝗿𝗳𝗼𝗿𝗺𝗮𝗻𝗰𝗲 – metrics focused on access and care ‣      𝗘𝗾𝘂𝗶𝘁𝘆 – metrics focused on assessing inequities in the system This refresh of the Massachusetts primary care dashboard updates previously published metrics with the latest data available. New measures in this year’s dashboard include childhood immunization status,  medical school graduates entering primary care, and the percentage of residents who have a primary care provider as part of their plan design.   To explore key findings from this year’s metrics, as well as explore the interactive dashboard, see: https://lnkd.in/eSsVmY-c

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A high-functioning primary care system can result in reduced health care costs, improved patient outcomes, and more equitable care. Explore the new interactive dashboard from The Center for Health Information and Analysis to examine the health of primary care across Massachusetts: https://lnkd.in/eSsVmY-c #primarycare #healthpolicy

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American College of Healthcare Executives will be offering a complimentary webinar on Thursday, June 13th from 2:00pm - 3:00pm EST, providing an overview of the FACHE process. Whether you’ve determined now is the time for you to begin the process toward FACHE or you’re still deciding, the next stop on your journey is the overview webinar! This webinar is FREE for you to attend but it requires registration. Click on the link https://lnkd.in/dZvDArYY to register now! This valuable resource provides a complete overview of the process: • Learn about the eligibility requirements and how to know which ones you’ve met. • Understand the entire application process and what materials you need. • Decide if now is the right time for you to pursue the FACHE credential. • Set your expectations for the Board of Governors Exam, from knowing what’s covered to preparing to do your best. #ACHE #FACHE #continuingeducation #HLNY

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Integrating direct care workers and family caregivers into interdisciplinary care teams can significantly enhance care quality and outcomes. Explore this and other recommendations in our new Together in Care issue brief: https://lnkd.in/e7mkEgxk

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Download the whitepaper to see how our teleNeurohospitalist program: 🏥 Reduced patient transfers ⭐ Improved quality of care 📈 Increased patient volume and case mix index 👩‍⚕️ Enhanced staff satisfaction https://lnkd.in/gACVT_5R

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National Consumer Voice for Quality Long-Term Care shared resident's voices and concerns about staffing in #nursinghomes. Research consistently shows that higher staff-to-resident ratios lead to better outcomes for residents, including reduced rates of infections, fewer falls, and improved overall quality of life. By opposing the implementation of a federal staffing standard minimum rule, legislators are failing to prioritize the well-being of vulnerable #olderadults in #Kansas and across the nation.  https://lnkd.in/gA7nt87Y

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Recent Update from CMS!    New guidelines are enhancing hospital safety standards through the HAC Reduction Program, with a focus on reducing infections like CLABSI and CAUTI.    🔗 Guidelines: https://go.cms.gov/3WIaIO6 🔗 Key Dates: https://go.cms.gov/3Ak3SGZ 🔗 Vitalacy Case Study: https://bit.ly/3UEmRE0   Vitalacy’s automated hand hygiene monitoring solutions are uniquely positioned to help hospitals meet these new standards and elevate patient safety. Learn how we help Colquitt Regional Medical Center lower their infection rates. Ensuring compliance and improving patient outcomes is now more achievable with Vitalacy as your partner.   #PatientSafety #InfectionPrevention #HealthcareInnovation #CMS

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#WorldAsthmaDay #AsthmaAwarenessMonth If you're a member of Mass General Brigham Health Plan, our care managers can help you manage asthma by ensuring you get the care you need. Learn more about our member benefits and care management programs: https://lnkd.in/e4y2-Awz

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𝐓𝐡𝐞 𝐆𝐫𝐨𝐰𝐢𝐧𝐠 𝐅𝐢𝐧𝐚𝐧𝐜𝐢𝐚𝐥 𝐒𝐭𝐫𝐚𝐢𝐧 𝐨𝐧 𝐌𝐚𝐬𝐬𝐚𝐜𝐡𝐮𝐬𝐞𝐭𝐭𝐬 𝐂𝐨𝐦𝐦𝐮𝐧𝐢𝐭𝐲 𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥𝐬: 𝐀 𝐂𝐚𝐥𝐥 𝐟𝐨𝐫 𝐅𝐚𝐢𝐫𝐞𝐫 𝐑𝐞𝐢𝐦𝐛𝐮𝐫𝐬𝐞𝐦𝐞𝐧𝐭 𝐏𝐫𝐚𝐜𝐭𝐢𝐜𝐞𝐬 Massachusetts hospitals face a growing financial gap as community hospitals receive payments 7% below the state average despite providing the same services as larger institutions like Mass General Brigham, a Boston Globe article noted based on data from The Center for Health Information and Analysis. The struggle for these community hospitals can be twofold. In some cases, a greater percentage of their patients are covered by public payers such as Medicaid and Medicare, which typically pay less than private payers. Another challenge is private payers such as Blue Cross Blue Shield Association, often pay community hospitals less than academic medical centers. John Freedman, president of Freedman HealthCare, emphasizes, “Large hospitals charge higher prices not because they offer better services, but because they are the biggest or only health care provider in their markets. Doctors and hospitals in Massachusetts don’t get paid what they deserve, they get paid what they negotiate.” Discover more about these insights in the full Boston Globe article: https://lnkd.in/g898htjd. #CommunityHospitals #MassachusettsHealthcare #Medicaid #Medicare #FairReimbursement #HospitalFunding #HealthcarePolicy

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