Relias

SEPTEMBER 22, 2023

Provide patient education, improve engagement, and ensure appropriate hand-offs during transitions of care. They take an active stance in managing the utilization of client healthcare services and in improving client outcomes. When done effectively, care coordination can reduce the burden placed on healthcare providers.

Healthcare 52

Healthcare Communication Medicaid Treatment Planning 52

Relias

JUNE 28, 2023

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), integrated care is defined as “the systematic coordination of general and behavioral healthcare.” To provide the best services possible, healthcare organizations of all kinds must understand how to implement integrated care management.

Healthcare 52

Healthcare Mental Health Psychiatric Psychosocial 52

Relias

JANUARY 11, 2023

But momentum will continue, since the Centers for Medicare and Medicaid Services (CMS) announced in 2021 that it plans to transition fully to value-based reimbursement by 2030. Healthcare organizations in the U.S. For example, less than 20% of Medicare spending is currently value-based. Why the change to value-based care?

Medicare 52

Medicare Healthcare Medicaid Hospitals 52

Relias

FEBRUARY 26, 2024

According to the Agency for Healthcare Research and Quality (AHRQ), care coordination is “the deliberate organization of patient care activities between two or more participants (including the patient) involved in a patient’s care to facilitate the appropriate delivery of health care services.”

Telehealth 52

Telehealth Healthcare Communication Hospitals 52

Relias

DECEMBER 8, 2022

But there is a particular educational tool that tends to fall under the radar of many healthcare organizations. Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). We all love free tools that help our organizations perform better.

Medicare 52

Medicare Hospice Rehabilitation Hospitals 52

Relias

DECEMBER 21, 2021

For Medicare claims, you already track care quality and report it to the Centers for Medicare and Medicaid Services (CMS). You can bet your referral sources for home healthcare will be paying attention to these risk scores, too. Recognition of their positive achievements will keep them engaged with their work and with your agency.

Medicare 52

Medicare Hospitals Medicaid Healthcare 52

Relias

MARCH 15, 2022

Training can make all the difference with revenue cycle management outsourcing, healthcare leaders have found. “In Brooks, vice president of revenue cycle at Minneapolis-based Hennepin Healthcare. Choosing the right vendor partnership is critical to the success of any engagement.

Hospitals 52

Hospitals Healthcare Medicaid Consultation 52

Relias

APRIL 18, 2022

The human side focuses on positive patient outcomes, naturally, but benefits also include clinician engagement and retention. For home health agencies, wounds are one of 12 clinical groupings the Centers for Medicare and Medicaid Services (CMS) identifies under the Patient-Driven Groupings Model. Build Your Reputation as a Specialist.

Medicare 52

Medicare Clinic Hospitals Medicaid 52

Relias

AUGUST 9, 2023

‘Tis the season for evaluating training programs and checking everything twice to make sure you’re on the Center for Medicare and Medicaid Services’ and The Joint Commission’s nice lists. Fostering employee engagement can increase retention and help keep your organization in compliance.

Engagement 52

Engagement Healthcare Medicare Communication 52

Social Work Blog

DECEMBER 19, 2022

When the COVID-19 PHE ends, which is expected in 2023, state agencies will begin the “unwinding” of continuous Medicaid and Children’s Health Insurance Program (CHIP) by going through the redetermination process for all enrollees. Unwinding refers to the return to normal operations for Medicaid and CHIP agencies after the COVID-19 PHE ends.

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Medicaid Advocacy Communication Social Worker 95