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Navigating the Complexities of Social Admissions in Healthcare

EvidenceCare

Social Admission vs. Medical Necessity In healthcare, the term “social admission” signifies instances where patients find themselves admitted to a hospital primarily for non-medical reasons. However, these admissions come with their own set of difficulties, particularly in the realm of Medicare coverage and reimbursement.

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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. These changes will impact how hospitals approach their contracts and denial strategies.

Hospital 130
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Florida Law Requires Hospitals to Report Patients’ Immigration Status

Scrubs

A new law is set to pass in the state of Florida that will require all hospitals receiving Medicaid funding to collect information regarding their patients’ immigration status as part of the admissions process. Patients’ names also wouldn’t be disclosed to the state.

Hospital 278
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Medicare Advantage Insurers Hold Sway Over More Hospital Admissions

Forbes Healthcare

Medicare Advantage is accounting for “a rising share of inpatient hospital days,” according to a new KFF study shows.

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ER Waits For Hospital Beds Are Deadly. Many Hospitals Aren’t Fixing The Problem

Forbes Healthcare

Boarding—or waiting in the ER for a bed after admission—is a worsening problem in hospitals. Solutions exist but many hospitals are not addressing the issue.

Hospital 122
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How Innovative Health Tech Can Reduce Hospital Re-Admission Rates

Electronic Health Reporter

The Hospital Re-admissions Reduction Program took effect in 2012 with the goal of sustainably lowering hospital re-admission rates. The article How Innovative Health Tech Can Reduce Hospital Re-Admission Rates appeared first on electronichealthreporter.com.

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Hospital emergency visits, inpatient admissions decrease after ransomware attack

Healthcare Dive - Practice Management

Nearby unattacked hospitals were affected too, suggesting the consequences from a ransomware attack reach beyond targeted facilities, according to a JAMA study.