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Medicare Advantage or disadvantage? Lawmakers hear about the good, the bad, and the prior authorizations

Medical Economics

In 2024 Medicare spent $83 billion on rebates for some form of supplemental benefits, representing more money than Medicare spent on the entire the entire Physician Fee Schedule. Another significant concern is the lack of oversight within Medicare Advantage.

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Post-Acute Care Training Promotes Employees as an Asset

Relias

PAC training directly impacts the lives of the patient PAC services provide an extra level of assistance for people discharged from acute hospitals. Returning to their normal life on schedule — or more quickly than they expected — is best for helping them settle back into their day-to-day functions.

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7 Strategies for Mitigating the Healthcare Staffing Crisis

Relias

More flexible work schedules. 3 – Maximize staff coverage through strategic placement and scheduling. In some cases, it could be possible to reduce care without compromising quality. Sign-on bonuses and relocation packages. Loan forgiveness. Tuition assistance.

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Nursing Home Compliance: Prepare for Focused Inspections

Relias

According to CMS, its Focused Infection Control survey timing will be adjusted back to a rate of 20% of nursing homes surveyed annually, and recertification surveys will return to a scheduled routine. Failures to follow transfer or discharge requirements. Care quality issues. Are special-focus facilities.

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New HIPAA Regulations in 2022-2023

The HIPAA Journal

The Centers for Medicare and Medicaid Services (CMS) also published an interoperability rule in March 2020 that applies to Medicare- and Medicaid-participating short-term acute care hospitals, long-term care hospitals, rehabilitation hospitals, psychiatric hospitals, children’s hospitals, cancer hospitals, and critical access hospitals (CAHs).