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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. “Many of our health systems that have at-risk contracts are expecting headwinds in revenue of up to 20%.”

Hospital 130
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Preparing for CERT Audits and Practicing Compliant Documentation

EvidenceCare

This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. Hospitals need to be aware of these state-specific rules as well. Think of your documentation as the ironclad defense for your hospital admissions.

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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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When Bias Turns Deadly: How Medical Bias Killed My 5-Year-Old Daughter

Scrubs

As a result of these experiences, I launched my organization Project Diversify Medicine, a digital community on Instagram with over 60,000 followers, with a mission to provide culturally inclusive pre-med educational resources to increase the admission of minorities to medical school.

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Nurses Hacking for Health, Addressing Burnout, Workplace Violence, and AI

Health Populi

Three in four nurses working in hospitals care about the success of their institution — “they show up and gown up…yet only 57% feel a sense of ownership in their hospitals, leaving leaders to expect 100% quality to be delivered by about half of the nursing workforce.” health system.

Follow-Up 149
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Inside Geisinger Med School Admissions with Dr. Michelle Schmude [Episode 600]

Accepted Blog

Show Summary Welcome to the 600th episode of Admissions Straight Talk ! Show Notes Welcome to the 600th episode of Admissions Straight Talk. Accepted’s free guide, Med School Admissions, What You Need to Know to Get Accepted can tell you exactly what you need to do. Dr. Schmude, welcome back to Admission Straight Talk.

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Can We Select “Better” Residents?

Sensible Medicine

If applicants are more impressive on paper, but no more impressive in the clinics and hospitals, aren’t we doing something wrong? To some extent, I think this is mostly what we already do in admission/selection committees. [ii] One could also follow the lead of the tech industry and invest in the selection process.