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Planning for Medicaid Unwinding in 2023

Social Work Blog

When the COVID-19 PHE ends, which is expected in 2023, state agencies will begin the “unwinding” of continuous Medicaid and Children’s Health Insurance Program (CHIP) by going through the redetermination process for all enrollees. The Biden-Harris administration has committed to providing a 60-day notice to states before the PHE will expire.

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Why Successful Integrated Care Management Matters

Relias

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), integrated care is defined as “the systematic coordination of general and behavioral healthcare.” Now that we have a better understanding of these processes, let’s explore how organizations can use integrated care management.

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Importance of Image and Respect for Home Health Recruitment and Retention

Relias

An unintended, but positive offshoot of the pandemic is that the crisis highlighted home health’s “very quick and successful adjustments” and “versatility” to serve COVID-19 patients and millions of others served under Medicare, Medicaid, Veterans Administration, and other services. Setting up caregiver mentorship programs.

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Invest in Wound Care Education To Avoid Legal Risks

Relias

Understanding the legal implications of gaps in care can help protect all involved: physicians, nurses, other caregivers, and healthcare administrators and leaders. Skillful Clinician Communication. Factors spurring legal action often involve communication and behavioral issues as well as clinical skills.

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Maximizing Healthcare Reimbursement Through Higher Patient Satisfaction Scores

Relias

Medicare payment systems link patient satisfaction scores with reimbursement rates, making quality patient care a primary determinant of an organization’s viability and motivating healthcare administrators to implement patient satisfaction strategies. Communicating consistently — Patients want to be informed.

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New Frequently Asked Questions on the No Surprises Act: Good Faith Estimates

Social Work Blog

The Centers for Medicare and Medicaid Services (CMS) has released clarifying information about Part 2 of the No Surprise Act, Good Faith Estimates (GFEs). The social worker must also communicate these changes to the patient upon delivery of a new GFE to help the patient understand what was changed between the initial GFE and the new GFE.

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Innovations in Behavioral Healthcare: A Digital Path to Resilience

Relias

Several factors drove these concerns, such as licensing, Medicare/Medicaid?reimbursement, communities ?in Medicaid beneficiaries use telehealth services. These tools allow administrators to perform a variety of tasks associated with training programs and give staff flexibility in the way they receive and perform their training.