Tag: Health Equity

2025 Medicare payment policies

Proposed Medicare Payment Policies for 2025

The United States Department of Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS) have proposed new 2025 Medicare payment policies for hospitals and ambulatory surgical centers (ASCs) that aim to increase access to care and advance health equity. These policies are outlined in the 2025 Hospital Outpatient Prospective Payment System […]
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Impact of CARE Act laws

Impact of CARE Act laws on Patient Outcomes

Policies designed to improve communication with patients and caregivers during hospitalization appear to be leading to better outcomes, researchers have found. Researchers with the University of Pennsylvania examined the impact of state laws that bring the caregiver into the process. The findings of the study were published May 1 in Jama Network Open. Since 2014, 42 states have […]
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CMS-Aims-To-Streamline-Prior-Authorization

CMS Aims To Streamline Prior Authorization To Reform MA

The American Hospital Association (AHA) and Better Medicare Alliance (BMA) both support the agency’s effort to improve Medicare Advantage (MA). In an attempt to reform MA, CMS released a proposed rule that aims to streamline prior authorization, promote health equity, and curb deceptive marketing. The Biden administration has shown a commitment to increasing oversight of […]
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Value-Based-Payment-Models-Can-Limit-Healthcare-Spending

Value-Based Payment Models Can Limit Healthcare Spending

Value-based payment models, including accountable care organizations, bundled payment models, and capitation models, can generate savings for providers and limit healthcare spending. As healthcare spending escalates in the US, stakeholders have started looking at value-based payment models to address rising costs, but many payments are still tied to fee-for-service models, according to a Health Affairs […]
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Home-and-Community-Based-Care-Quality-measure-set

Quality Measure Set to Improve Home & Community-Based Care

The home- and community-based services quality measure set also aims to advance health equity and reduce health disparities for older adults and people with disabilities. CMS has released a quality measure set for home- and community-based services (HCBS), aiming to promote consistent quality measurement and data collection in the Medicaid HCBS program and improve health […]
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