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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. We call them CMS 4201 violations.

Hospital 130
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Connecting for Health at Home: A Unified Field Theory from #CES2025 (On Samsung, Withings, and Panasonic)

Health Populi

There were over 4,500 exhibitors on the show floor of the 2025 CES in Las Vegas last week, addressing every imaginable aspect of consumers’ daily lives as we increasingly coexist with technology to support life, liberty, and our personal pursuits of happiness… … and health.

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An overview of the GP contract updates 2024/25

Practice Index

With several documents related to the contract being released on Thursday (28th April) afternoon, we've taken a look at the contract updates to give you a head start on the requirements of the contract so you're up and running quickly. CHOL002 is replaced by CHOL004 with wording as follows: CHOL004. mmol/L or lower.

Follow-Up 111
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Start Medical School in 2025: How to Get Accepted This Year [Episode 567]

Accepted Blog

If you’re interested in learning more, just go to accepted.com/freemedcall and sign up for invaluable guidance. Also, because there’s so much to cover, Accepted is providing a worksheet for you that you can use to take notes on today’s show or to set up a to-do list that you can use throughout the application process.

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Mental Health’s Unfinished Digital Revolution

The Healthcare Blog

Following the surge, investment plummeted. What were left with entering into 2025 are a smorgasbord of solutions clamoring to attach themselves to traditional enterprise incumbents (Health Insurance Providers, Electronic Health Records, Hospital Systems). Those regions are ripe for follow-on expansion and digital scale.

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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. Assessing communication and collaboration. Care coordination under HHVBP. Increased scrutiny in hospices. Documentation in the medical record.

Hospice 52
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Why Successful Integrated Care Management Matters

Relias

According to the National Library of Medicine , integrated care management: “… views the multidisciplinary approaches to collaborating care delivery by activity, cost and quality, and using a process approach to problem- and outcome-based care delivery. Final recommendations from the U.S.