Adam Rarick-Varner, Sr. Director of Healthcare Strategy, LexisNexis Risk Solutions
During the peak of the Covid-19 pandemic, over 10 million Americans enrolled in Medicaid – nearly a 14% increase from the beginning of 2020. A…
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Investor interest in telehealth surged during the Covid-19 pandemic. While the healthcare industry’s widespread adoption of telehealth was driven by necessity due to social distancing practices, such expansion would not have been possible without…
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What You Should Know: – Wider Circle and Apollo Medical Holdings, Inc. (ApolloMed) are partnering to provide Enhanced Care Management (ECM) to high-need Medicaid members in California as part of the California Advancing and…
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This week, the Centers for Medicare & Medicaid Services finalized updates to its physician fee schedule for 2024, as well as finalized the rule for next year’s Outpatient Prospective Payment System (OPPS).
The federal agency…
Through its Value-Based Care Enablement Solution, the Round Advances the Company’s Efforts to Improve Care Across California
Pair Team, a virtual and community-based primary care solution connecting Medicaid’s highest-risk patients to high-quality care, today announced…
What You Shoud Know:
– Medicaid prospective payment rate for Michigan’s federally qualified health centers (FQHCs) has not kept pace with the actual costs incurred to provide healthcare, resulting in a substantial reimbursement gap of…
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By Hannah Nelson
October 30, 2023 – The Department of Health and Human Services (HHS) has released a proposed rule for public comment that would establish disincentives for healthcare providers found by the HHS Office of…
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Among telehealth physicians, there’s a lot of chatter about an upcoming change in Centers for Medicare and Medicaid Services (CMS) policy that would require physicians and other healthcare providers to report their home addresses…
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By Anuja Vaidya
October 27, 2023 – Though all 50 states and Washington, D.C., provide reimbursement for some form of live video-based telehealth within their Medicaid programs, only 25 provide Medicaid reimbursement for live video as…
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Medicaid redetermination will result in a material decline in revenue this year for health plans across the country. Now more than ever, payers need a comprehensive strategy to ensure all earned income per encounter…
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