Oversight Of Healthcare Providers

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A Tool for States to Address Health Care Consolidation - NASHP

(4 days ago) WebA comprehensive and growing body of evidence demonstrates that health care consolidation leads to higher health care costs with little to no increase in quality. Federal antitrust enforcers have historically focused on horizontal mergers, or mergers involving …

https://nashp.org/a-tool-for-states-to-address-health-care-consolidation-improved-oversight-of-health-care-provider-mergers/

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Managed Care HHS-OIG - Office of Inspector General

(4 days ago) WebThe HHS-OIG Strategic Plan for Oversight of Managed Care for Medicare and Medicaid has three goals: Promote access to care for people enrolled in managed …

https://oig.hhs.gov/reports-and-publications/featured-topics/managed-care/

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Quality Safety & Oversight - Guidance to Laws

(2 days ago) WebSurvey & Certification - Guidance to Laws & Regulations. The Medicare Conditions of Participation, Conditions for Coverage and Requirements for Skilled …

https://www.cms.gov/medicare/health-safety-standards/guidance-for-laws-regulations

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CMS to Strengthen Oversight of Medicare’s Accreditation …

(6 days ago) WebCMS will enhance and strengthen its oversight and quality transparency of AOs in three ways: 1) the public posting of AO performance data; 2) a redesigned …

https://www.cms.gov/newsroom/press-releases/cms-strengthen-oversight-medicares-accreditation-organizations

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OVERVIEW OF U.S. HEALTHCARE SYSTEM LANDSCAPE

(5 days ago) WebThe National Academy of Medicine defines healthcare quality as “the degree to which health care services for individuals and populations increase the likelihood of desired …

https://www.ncbi.nlm.nih.gov/books/NBK578535/

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Home - Centers for Medicare & Medicaid Services CMS

(Just Now) WebQuality, safety & oversight - Guidance for laws & regulations; Promising practices project; Quality, safety & oversight - Education division (QSED) See how new rules help …

https://www.cms.gov/

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Frameworks to assess health systems governance: a …

(3 days ago) WebA framework to identify factors which shape the accountability of healthcare providers. Social interactions and norms operating within the system and context are …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5406767/

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Medicaid and CHIP Managed Care Monitoring and …

(3 days ago) WebThe May 2016 Medicaid and CHIP managed care final rule strengthened the federal oversight of state managed care programs in several ways, one of which was to …

https://www.medicaid.gov/medicaid/managed-care/guidance/medicaid-and-chip-managed-care-monitoring-and-oversight-initiative/index.html

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Oregon Health Authority : Health Care Market Oversight : …

(3 days ago) WebAbout the Program. In 2021, the Oregon Legislature passed HB 2362 to oversee health care consolidation, creating the Health Care Market Oversight (HCMO) program. This …

https://www.oregon.gov/oha/HPA/HP/Pages/health-care-market-oversight.aspx

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HHS-OIG's Oversight of COVID-19 Response and Recovery

(7 days ago) Web93 rows · OIG is publishing audits and evaluations assessing COVID-19 preparedness and response in programs that serve HHS beneficiaries. Our reports result in timely information and may provide recommendations …

https://www.oig.hhs.gov/coronavirus/reports.asp

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Accountability in Healthcare Organizations and Systems - PMC

(3 days ago) WebAccountability regimes in healthcare systems thus face numerous challenges relating to the definition of a clear mandate in the form of specific goals and objectives, to the attribution …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4255571/

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Network Adequacy Standards and Enforcement KFF

(5 days ago) WebTo date federal regulation and oversight of QHP provider networks has been limited. For the 2023 plan year, CMS has proposed new network adequacy standards …

https://www.kff.org/affordable-care-act/issue-brief/network-adequacy-standards-and-enforcement/

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States Extend Scope of Regulatory Oversight of Health Care …

(4 days ago) Web[MSO] for the purpose of administering contracts with health plans, third-party administrators, pharmacy benefit managers, or health care providers.” b. Review …

https://lifesciences.mofo.com/topics/states-extend-scope-of-regulatory-oversight-of-health-care-entities

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U.S. GAO - Health Care

(8 days ago) WebThe Secretary of Health and Human Services should develop and implement a coordinated, department-wide after-action program that includes relevant external …

https://www.gao.gov/topics/health-care

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HRSA Made Some Potential Overpayments to Providers Under the …

(Just Now) WebThe Provider Relief Fund (PRF) provided funds to eligible hospitals and other health care providers (providers) for health care-related expenses or lost revenue …

https://oig.hhs.gov/reports-and-publications/all-reports-and-publications/hrsa-made-some-potential-overpayments-to-providers-under-the-phase-2-general-distribution-of-the-provider-relief-fund-program/

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A Lack of Behavioral Health Providers in Medicare and

(7 days ago) WebMedicare spends more than $27 billion annually on behavioral health services.11 Although one in four Medicare enrollees are living with a mental illness, less than half of them …

https://www.oversight.gov/sites/default/files/oig-reports/HHSOIG/Final-Report-OEI-02-22-00050.pdf

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Supporting Hospital and Health System Boards as We Navigate a …

(5 days ago) WebNowadays, boards need to bring much more than traditional oversight of finances, quality and patient care. Board members must be knowledgeable across a …

https://www.aha.org/news/perspective/2024-05-17-supporting-hospital-and-health-system-boards-we-navigate-changing-health-care-landscape

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Government oversight in managing risks of AI in health care

(3 days ago) WebThe EU has been more detailed in its oversight of bias in AI. In April, 2021, the European Commission issued a proposed regulation on AI that, among other things, …

https://www.reuters.com/legal/litigation/government-oversight-managing-risks-ai-health-care-2022-01-12/

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What healthcare REITs mean for providers, patients

(2 days ago) WebWhat healthcare REITs mean for providers, patients. Steward Health Care's Chapter 11 bankruptcy filing is the latest example of the significant role real estate …

https://www.modernhealthcare.com/finance/healthcare-reits-medical-properties-trust-caretrust

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King to VA: Fix ‘Ineffective’ Oversight of Community Care Network

(9 days ago) WebWASHINGTON, D.C. – In response to a recent report from the VA’s Office of Inspector General (OIG), U.S. Senators Angus King (I-ME), Jon Tester (D-MT), and …

https://www.king.senate.gov/newsroom/press-releases/king-to-va-fix-ineffective-oversight-of-community-care-network-administrators

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Blood Safety Basics Blood Safety CDC

(9 days ago) WebHealthcare providers and blood banks ask donors a set of standard questions before donating blood including: Whether or not they are in good health; Their social behavior …

https://www.cdc.gov/blood-safety/about/index.html

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Judge rules Oregon's health care M&A law doesn't violate the

(7 days ago) WebThe oversight program launched in March 2022, in response to concerns about consolidation in health care leading to increased costs and decreased quality and …

https://www.bizjournals.com/portland/news/2024/05/17/hospital-association-lawsuit-m-a-oversight-health.html

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Compliance Guidance Office of Inspector General Government

(1 days ago) WebCompliance Guidance. OIG has developed a series of voluntary compliance program guidance documents (CPGs) directed at various segments of the health care industry, …

https://oig.hhs.gov/compliance/compliance-guidance/

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Women's HealthCare Group of North Jersey

(3 days ago) WebFor information about Holy Name Medical Center, please visit www.holyname.org. Holy Name Medical Center. 718 Teaneck Road. Teaneck, NJ 07666. Phone: 201-833-3000.

https://www.whcgnj.com/

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Find an in-network doctor with Clover Health

(3 days ago) Web1-888-778-1478 (TTY 711) 8 am–8 pm local time, 7 days/week*. Clover Health. P.O. Box 21164. Eagan, MN 55121. *We are open from 8 am–8 pm local time, 7 …

https://www.cloverhealth.com/en/members/find-provider

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Credentialing Process Overview - Horizon BCBSNJ

(5 days ago) Webunique CAQH Provider ID number. Credentialing Forms : All forms that you need to submit with your Application may beaccessed via hyperlinks within the health care …

https://www.horizonblue.com/sites/default/files/2020-04/32244_Other_healthcare_professional_checklist.pdf

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Identifying barriers to genetic testing in subspecialty cardiac care

(1 days ago) WebBackground The utility of genetic testing in cardiovascular medicine is well-established in expert consensus statements for optimizing patient care. However, …

https://www.medrxiv.org/content/10.1101/2024.05.15.24307347v1

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Recommendations Tracker - Office of Inspector General

(7 days ago) WebHHS-OIG provides independent and objective oversight that promotes economy, efficiency, and effectiveness in HHS programs and operations. Review of …

https://oig.hhs.gov/reports-and-publications/recommendations/tracker/?page=59

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Guide for Healthcare Workers Serving Individuals

(3 days ago) WebCOMMISSION FOR THE BLIND AND VISUALLY IMPAIRED. 153 Halsey Street, P.O. Box 47017 Newark, NJ 07101 Telephone: (973) 648-3333 • Fax: (973) 648-3389. CAROLE …

https://nj.gov/humanservices/library/slides/Guide%20for%20Healthcare%20Workers%20Serving%20Individuals%20-%20Text%20PDF.pdf

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Quality, Safety & Oversight Group - Emergency Preparedness

(Just Now) WebQuality, safety & oversight - Emergency preparedness Quality, Safety & Oversight Group - Emergency Preparedness Pages in this section Effective …

https://www.cms.gov/medicare/health-safety-standards/quality-safety-oversight-emergency-preparedness

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S.Africa's top poultry producer flags bird flu risk amid vaccine …

(1 days ago) WebHealthcare & Pharmaceuticals category Genetic profile may predict best Regulatory Oversight category US FDA approves two biosimilars for is the world’s …

https://www.reuters.com/business/healthcare-pharmaceuticals/safricas-top-poultry-producer-flags-bird-flu-risk-amid-vaccine-delays-2024-05-20/

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