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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

CMS Policy Changes to Reduce Costs Financial pressures are rising as CMS implements the updated Version 28 Hierarchical Condition Category (HCC) model , which introduces changes aimed at limiting types of codes that are most used for up-coding or over-coding to help rein in spending. For Star Ratings specifically, CMS spent $12.8

Hospital 130
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Universal Depression Screening Leads to Unnecessary Harm

Sensible Medicine

In June 2023 , the same was recommended to adults. The USPSTF claims "screening interventions" decrease the prevalence of depression at six-month follow-up by an odds ratio of 0.60. But in the real world, not everyone who screens positive for depression ends up in therapy. She ended up on antidepressants.

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Home Health Agencies Face Growing Competition as Value-Based Purchasing Expands Nationally

Relias

As nationwide expansion begins in 2023, the program is expected to save $3.376 billion in the next five years (2023-2027). Waiting until 2023 may put your agency at a disadvantage compared to your peers. CMS indicated it will provide agencies with their benchmarks and achievement thresholds prior to 2023. TNC Mobility.

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Why Care Coordination Is Important for Home Health and Hospice Agencies

Relias

While the plan of care is always the number one area for citations, care coordination consistently ranks right up there,” said SimiTree Compliance Senior Manager Sheila Salisbury-Sizemore. At a minimum, each patient’s medical record should reflect care team coordination at the following time points: Start of care.

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Understanding the PEPPER Can Reduce Home Health and Skilled Nursing Audit Risks

Relias

This free resource is accessible online and can play an essential part in your internal compliance program in 2023, a year of increased oversight by CMS. The report is available for the following facilities: Skilled nursing facilities. This information is critical for targeted training for staff who need to skill up in this area.

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National Patient Safety Goals Depend on Good Communication

Relias

For 2023, its list of patient safety goals for hospitals includes the following: Identify patients correctly. Communicating clearly about medication requirements during transitions of care — either from one hospital setting to another or during a hospital discharge — helps prevent errors. Improve staff communication.

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Post-Acute Care Training Promotes Employees as an Asset

Relias

According to a 2023 LinkedIn Learning survey , 93% of organizations are concerned about employee retention, and the number 1 way they are working to improve it is by providing learning opportunities. In addition to staff retention, ongoing staff training has the following potential benefits: Improve staff performance Enhance quality.