provisions created the Center for Medicare and Medicaid Innovation‚ with the intent to focus on better care by “enabling anyone who wants to help join us on this endeavor” (U. S. Department of Health and Human Services‚ 2011b‚ p.1). Americas National Health Expenditure (NHE) continues to increases while quality outcomes decline‚ in 2009 there was an increase of $2.5 trillion ($8‚086 per person) accounting for 17.6% of Gross Domestic Product (HHS & Centers for Medicare Medicaid Services‚ 2011). Hospital
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episodes are covered under Medicare Part A and Part B within 30‚ 60‚ or 90 days following initiation of post-acute services (CMS‚ 2014) The Comprehensive Care for Joint Replacement (CJR) model The Comprehensive Care for Joint Replacement (CJR) model is one of the CMS models‚ started on April 1‚ 2016 and run through December 31‚ 2020. The model‚ comes under the category‚ Episode -based payment initiatives. The purpose of this model is to provide a better support to the Medicare beneficiaries those who
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their medications as prescribed ( Compliance Packaging Council). Healthbeat (Health Human Service Publication HHS) reports noncompliance raises healthcare costs by about $100 billion due to increased hospital and nursing home admissions. It may also be one of the reasons when medical treatment fails. Center for Medicare Service establishes requirements for nursing home participation in the Medicate/Medicare Program. Skilled nursing facilities must meet over 400 requirements‚ broken down into three
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controlling costs and quality of healthcare services. Clearly this need for "middle-ground" options or payment reforms are desired in order to provide greater flexibility and accountability for the costs and quality of care than typical pay-for-performance‚ shared savings‚ and medical home programs‚ but which avoid forcing providers‚ particularly small physician practices‚ to take on more financial risk than they can manage or to take accountability for services they cannot effectively control. “In light
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Review of: Challenges To Using A Business Case For Addressing Health Disparities Perspective: Challenges To Using A Business Case For Addressing Health Disparities‚ sheds light on a alternative approach to community healthcare. The authors reflect on two approaches in addressing disparities‚ business case and social case. They discuss some of the challenges along with the potential benefits in implementing the business case method. The article goes on to mention some key areas that healthcare organizations
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of the pages of someone’s favorite science-fiction novel‚ telehealth is currently being tested and used today. The University of Washington Rehabilitation Research and Training Center on Aging staff defines telehealth as “the use of telecommunications technologies to exchange health information and provide healthcare services” (House Call 19). The preliminary results of the utilization of this new technology has shown promising ways to help the elderly remain in their homes longer‚ and provide cost-saving
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of Health and Human Services (HHS) has the predominant responsibility to enforce legislation that impacts the health and well-being of Americans. Under the umbrella of HHS there are 13 regulatory agencies tasked with setting rules on the enforcement of the legislation passed by lawmakers. Regulatory Agencies Two of the most influential regulatory agencies within HHS are the United States Food and Drug Administration (FDA) and the Center for Medicare and Medicaid Services (CMS)‚ these two agencies
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prevention applied only to clinical lab services‚ and it was also known as the Ethics in Patient Referrals Act of 1989‚ it became effective on January 1‚ 1992. The ethics in patient referrals act was amended over time and with its associated rules‚ is usually referred to as the Stark Law because Congressman Pete Stark. Congressmen sponsor the bill and it became the Stark Law Act. The Stark Law has forbidden physicians from ordering clinical laboratory services for Medicare patients from an entity with whom
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Information Systems in Healthcare Introduction into Health Services and Information Systems Incorporating information technology into healthcare systems can improve provider practices‚ increase the quality of patient care‚ and reduce medical errors. Clinical Information Systems can support patient care in a direct manner by providing healthcare providers with access to relevant clinical information that is both timely and complete. In these types of systems‚ healthcare practitioners are also
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Long-term care services are sought out when an individual requires aid with their daily living activities‚ medical or non-medical‚ due to a chronic illness or disability. In the 19th century‚ it was common for long-term care to be given by family members and friends most often based on a need of feeling it was their duty even when it created privations for the family. After the Great Depression the Social Security Act of 1935‚ in addition to welfare programs‚ we began to see a positive impact helping
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