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3 Keys to CVS Health’s Growth Strategy

CVS Health’s strategic priorities are in care coordination and chronic-disease management, health IT and home health especially bear watching as the nation’s health system continues to transform.

What’s Next for Unitedhealth and Optum after $5.4 Billion Acquisition of Home Care Provider?

UnitedHealth Group’s Optum is making another significant push into care delivery after its recent $5.4 billion merger agreement with home care company LHC Group. The question now is: What’s next for Optum?
Public

AHA Comments to the CMS Urging Changes to MA Prior Authorization Requirements for Public Health Emergencies

AHA encourages the Centers for Medicare & Medicaid Services to work with Congress to require Medicare Advantage plans to waive prior authorization and other utilization management policies during public health emergencies, especially for hospitals transferring patients to post-acute care.

Administration to establish minimum staffing ratio for nursing homes

In tonight’s State of the Union address, President Biden is expected to announce plans to establish new minimum staffing ratios for nursing homes.
Member

Alert with Model Letter on CMS Medicare Advantage RFI on Prior Authorization for Hospital Transfers

The Centers for Medicare & Medicaid Services (CMS) Jan.
Member Non-Fed

Model Letter on Medicare Advantage RFI on Prior Authorization for Hospital Transfers

The Centers for Medicare & Medicaid Services (CMS) Jan. 12 released a proposed rule for the Medicare Advantage program, which includes a request for information (RFI) on prior authorization for hospital transfers to post-acute care settings during a public health emergency. The AHA has developed a model comment letter that hospitals and health systems can use to assist with submitting their own comments in response to the RFI.
Public

Hospitals at Home with UnityPoint Health

The hospital at home model of care is emerging as an important strategy to improve value during the COVID-19 pandemic and beyond.

3 Critical Health Care Focus Areas for 2022

Health care providers face a reality that was unimaginable a couple of years ago. Service lines continue to be interrupted by COVID-19, with no end in sight. These and other trends have sped up health care transformation. And while the future appears anything but clear, thought leaders have issued a slew of predictions and analyses about what executives should be taking away from the current trends.

Fact Sheet: Viable Unified Post-acute Care Payment Model Not Possible Under Current Approach

The unified post-acute care (PAC) payment system required by the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 is not on track to protect access to medically necessary PAC services.
Public

Case Study: Sky Lakes Medical Center: How Becoming a “Blue Zone” Advanced the Health of Klamath Falls, Oregon

Sky Lakes Medical Center (SLMC), located in Klamath Falls, Oregon, is a rural, not-for-profit, community-owned, internationally accredited acute-care teaching hospital.