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How RPM can scale and sustain CMS' hospital at home program

Healthcare IT News - Telehealth

The Centers for Medicare and Medicaid Services just released data on its Acute Hospital Care at Home initiative , which thus far has admitted 11,159 patients suffering from respiratory infections, heart failure and severe sepsis. Yet, traditional care delivery models are untenable amidst rising healthcare costs and workforce shortages.

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Preventing Genetic Testing Fraud: 5 Actions for Health Plans

Healthcare IT Today

The following is a guest article by Erin Rutzler, Vice President of Fraud, Waste, and Abuse at Cotiviti In Delaware, more than 250 Medicare patients underwent unnecessary genetic testing based on telehealth consultations that often lasted less than two minutes— costing Medicare thousands of dollars per patient.

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Prior Authorization Takes a Leap Forward in CMS Regulation

Healthcare IT Today

The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. I talked to Nikki Henck, Senior Director of Utilization Management at Sagility , about the implementation and potential impact of this proposed requirement, which, if finalized, will be enacted in January 2026.

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CVS Health to Acquire Oak Street Health

Healthcare IT Today

By 2026, Oak Street Health will have over 300 centers, each of which has the potential to contribute $7 million of Oak Street Health Adjusted EBITDA at maturity, representing more than $2 billion of Oak Street Health embedded Adjusted EBITDA at that time. And we do it all with heart, each and every day. Follow @CVSHealth on social media.

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ONC’s HTI-1 Places Undue Burdens on Healthcare Providers, Health IT Developers

Healthcare IT Today

In the comments that we will submit to ONC on HTI-1, we’ll also be encouraging ONC and the Centers for Medicare and Medicaid Services (CMS) to work more closely together to address the misalignments that frequently occur between when ONC tells software developers to deploy new certified versions and when CMS requires providers to be using them.

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Bonus Features – September 17, 2023 – 20% of healthcare marketers worried about job security amid AI adoption, 53% of executives using AI to address drug diversion “very confident” in their efforts, and more

Healthcare IT Today

Welcome to the weekly edition of Healthcare IT Today Bonus Features. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job.

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Will CMS' Acute Hospital Care at Home waiver program become permanent?

Healthcare IT News - Telehealth

The Acute Hospital Care at Home waiver program from the Centers for Medicare & Medicaid Services has grown to 125 health systems and 289 hospitals in 37 states in less than three years. For those who don't know, please describe the Acute Hospital Care at Home waiver program from the Centers for Medicare & Medicaid Services.

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