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Preparing for CERT Audits and Practicing Compliant Documentation

EvidenceCare

Traditional Medicare vs. Medicare Advantage vs commercial insurance). A compliance measure calculates the percentage of patients discharged in the appropriate inpatient or observation bed status—a determinant that can result in major financial repercussions if misclassified.

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The Digital Transformation of Home for Health – Brainstorming with Karsten Russell-Wood of Philips

Health Populi

George tells us about being discharged home after dealing with heart failure in the hospital. The Lumify transducer plugs into the midwife’s tablet and captures a clinically fine image to collaborate in real-time with a doctor at another location. Take George and Audrey. This has utility for both patient and provider.

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Why Financial Incentives Oppose Quality Improvement Projects in Healthcare

The Healthcare Blog

Notably, some of the providers involved in the collaborative have said that their hospitals don’t like that they’ve been decreasing emergency department visits and hospitalizations because it hurts the hospital’s finances. Some kind of shared savings arrangement with the insurers could help make this a win for everyone.

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Exploring What Role Patient Advocacy Plays in Bundled Payment Outcomes

Guideway Care

Key Takeaways Bundled payment models promote collaborative healthcare and aim to improve care quality while controlling costs, but implementing these models can be challenging due to the need for enhanced coordination among providers. This personalized support enhances not only their health but also their overall well-being.

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A Comprehensive Guide to HL7 Messages

Arkenea

Since healthcare software developers create a new application without collaborating with other application engineering teams, creating custom interfaces meant different languages and communication gaps. But these companies opted for several developers for innovating applications for different applications.

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Social Determinants of Health Risks Challenge the Promise of Hospital-to-Home

Health Populi

Amidst bullish forecasts for the promise of hospital-to-home discharges, the ability for many patients to make this migration would be a difficult bridge to cross. Patients who reported at least one SDoH concern were less likely to complete a physician follow-up visit post-discharge than patients who reported no SDOH concerns.

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Health Consumers Want More Support from Healthcare – At Retail Experience Levels

Health Populi

For 23% of fitness wearable users, insurances covers 100% of the cost, and 12% of peoples’ insurance companies cover part of the cost. Payment for physical health (say, the gym) is covered totally by insurance for 38% of consumers, with roughly the same proportion of people paying for fitness totally out-of-pocket.