Regulations
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Mandatory Medicare Model on the Horizon — Top 7 Questions Answered
CMS is looking to require certain hospitals to participate in a new bundled payment model called Transforming Episodic Accountability Model (TEAM).
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HHS Finalizes 340B Dispute Resolution Process
The Department of Health & Human Services (HHS) finalized in the Federal Register a 340B alternative dispute resolution (ADR) process.
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Nursing Homes Mandated to Provide Certain Levels of Staffing Under Final Rule
After years of federal rulemaking, the final minimum nursing home staffing mandate rule has arrived. It includes multiple staffing hours requirements, including for RNs, nurse aides, and for total nurse staffing–and there’s more. You’ll want to read our recent blog as we unpack these and other details from the final rule.
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Top 5 Questions: New ACO Primary Care Flex Model
Primary care is a lynchpin for providing person-centered and team-based care. The new voluntary ACO Primary Care Flex Model looks to test new payments focusing in on smaller physician practices, rural hospitals, FQHCs, RHCs and more. Read on to learn more.
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By The Numbers: Medicare Continues Pushing Accountable Relationships
Accountable care relationships, like ACOs, will continue. New statistics from CMS reveal 2024 ACO growth and how all types of providers and organizations are electing to participate. Read on for more.
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Reimbursement Cut, ACO Participation Penalized for Information Blocking
There’s been some debate over who owns your personal electronic health information, but the law says it’s the patient’s right to access that without unnecessary barriers. Those found to be blocking information could face penalties, which were recently proposed. Make sure you know what’s required of you by reading on.
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340B Round-Up: $9 Billion Payment Remedy, More Lawsuits
The 340B program is complex and growing more so with every lawsuit. Recently, CMS finalized how it would repay $9 billion to some 1,650 impacted hospitals. Plus, another court ruling addresses the definition of “patient” while a lawsuit is filed on child site registrations. You’ll want to read our 340B round-up and then reach out for assistance.
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AI Regulations Coming: 5 Things To Know
Artificial intelligence is everywhere, including throughout health care and life sciences. Like most innovations though, AI is well ahead of the regulations and laws that might be needed to govern it. This week the President tasked the federal government to establish guidance and regulations around AI. Read on for how this could impact you and your organization.
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Making Care Primary Model Details
The federal Making Care Primary model is now accepting applications but only through November 30. Interested in learning more or applying? You’ll want to read on for details.
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Emerging Options for Health Care in Rural and Underserved Communities
Access to care can be difficult in some rural and underserved communities. We highlight some opportunities to consider to help bridge these gaps. From mobile health units and telehealth to Rural Emergency Hospitals and innovative partnerships, make sure to read on for more insights.