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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

Written by Carol Howard, VP of Clinical Strategy As Medicare Advantage (MA) continues to grow, hospitals have faced growing challenges in navigating complex policies, payer friction, and financial pressures. These changes will impact how hospitals approach their contracts and denial strategies.

Hospital 130
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What would happen in a nurse’s perfect world?

Scrubs

Patients would not be repeat offenders (admissions). CT/X-ray/ultrasound machines would only be across the hall, not on the other side of the hospital. Here’s what I would have in my perfect nursing world : I’d never get pulled to work in another unit. Staffing would never be lacking. Patient families would be amicable.

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New Insights on Medicare Advantage Plans and The Two-Midnight Rule

EvidenceCare

In case you aren’t familiar, the Two-Midnight Rule mandates that a patient’s hospital stay must span at least two midnights to qualify for inpatient status, directly influencing reimbursement rates and compliance requirements. In the MA Final Rule, however, CMS explicitly states that the two-midnight presumption does not apply to MA plans.

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CNOs Share Their Hopes (And Fears) for Virtual Nursing

Scrubs

Trinity Health announced it will introduce virtual nursing at its hospitals in Michigan and Ardent Health Services plans to do the same in New Mexico. It can also reduce the workload at the bedside by having remote nurses do admissions, discharges, and answer questions virtually. But not everyone agrees on the merits of this approach.

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Nurses Skipping Meals at Work to Afford Food for Their Families

Scrubs

The National Health Service has been criticized for not paying healthcare workers enough for their time, and now some providers are skipping meals just to make sure they have enough money to feed and clothe their children, according to a survey involving several hospital administrators.

Billing 246
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Four Tips for Applying as an Underrepresented Applicant in Medicine

Accepted Blog

And from an admissions perspective, it’s essential that applicants from these groups consider how to best present themselves in their medical school applications. Self-identifying is the easiest way to let admissions committees know that you are part of an underrepresented ethnic or racial group, but it’s not the only way.

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What do the Neighbourhood Health Guidelines mean for Practice Managers?

Practice Index

NHS England states that regional teams should be working with local government partners to set priorities for 2025/26, with an emphasis on improving timely access to general practice, urgent and emergency care, and reducing long and costly admissions to hospitals or care homes. appeared first on GP Practice Management Blog.