Why geographic restrictions are bad for CHCs

Reason #5 why geographic restrictions are bad policy for #340B contract pharmacies. Local pharmacies may choose not to participate as a 340B contract pharmacy. It is possible that local retail pharmacies do not wish to participate in the 340B program. In this case, it is vital that CHCs have the potential to contract with pharmacies that are not located in any pre-defined geographic area. This is a particular risk in rural communities and is related to the de facto exclusivity mentioned in a prior post. Health Resources and Services Administration (HRSAgov), HHS Centers for Medicare & Medicaid Services National Association of Community Health Centers (NACHC) PhRMA #340B #CoveredEntities Advocates for Community Health

We're constantly evaluating and evolving our strategies to ensure individuals with special health needs are being served in the best way possible. In keeping with recent updates, our 2024 goals focus on the unique composition of SNP enrollment, enhancing ties to Medicaid, supporting both full and partial duals, and ensuring SNPs have the maximum amount of flexibility feasible to meet the needs of this highly vulnerable population. Read more on our updated policy goals: https://bit.ly/4dcHHS4 #SpecialNeedsPlans #Healthcare

Alabama's refusal to expand Medicaid under the Affordable Care Act is exacerbating the struggle for access to medical care, particularly in rural areas where hospitals are facing closures. Despite the potential to provide coverage to over 174,000 residents, politicians cite concerns over sovereignty, labor participation rates, and partisan opposition to the ACA as reasons for their resistance. Instead, they advocate for alternative solutions, leaving many low-income individuals without essential healthcare services. https://lnkd.in/dQFTe6rR #Sandiola #InpatientAcuityCaptureExperts #AcuityCapture #BecauseEveryPatientAndDollarMatters  #RuralHospitals #ClinicalDocumentationIntegrity #ClinicalDocumentation #CDI #BestPractices #Hospitals #DRGoptimization #Healthcare #RROI #ROI #RuralHealthcare #RuralHealth #Technology #Teamwork #HealthcareProfessionals #HealthcareProviders #ACDIS #HealthcareChallenges #HealthCareAccess #Hospital #Medicare #Medicaid #MedicareAdvantage #Telehealth #FinancialPerformance #CDI #SandiolaSuccess #CommunityHealthcare #HealthcareClaims #ProviderChallenges #MedicareAdvantage #ClaimsDenials #HealthcareFinance #RevenueCycleManagement #SandiolaSuccess #Collaborative #HealthcareChallenges #HealthcareFinance #HealthcareDocumentation #DocumentationIntegrity #CDIProgram #CDIServices #CodingIntegrity #CDISpecialist #CDIReview #DocumentationImprovement #RCM #revenuecycle #revenuecyclemanagement

Today, we published a peer-reviewed study in NEJM Catalyst evaluating the impact of our early intervention model for over 64,000 patients covered by two Medicaid health plans and almost 2,300 providers in Virginia and Washington state. The study found that Waymark significantly improved clinical outcomes for patients receiving our services over the course of 2023—including a 22.9% reduction in all-cause emergency department (ED) and hospital visits. As a public benefit company, Waymark is chartered to improve access, quality of care and health equity for people enrolled in Medicaid. This study demonstrates that our approach is working—we are delivering on our charter. We’re excited to share more about how we’re scaling this impact for more communities in the months ahead. Full study here: https://wymrk.co/3BNtg8V Press release here: https://wymrk.co/4f2RrhO #medicaid #research #communitybasedcare

Real life results, delivering impressive outcomes for our patients and partners.

🏥✨ The Medicaid Primary Care Improvement Act, a law that has passed in the House and is now under consideration in the Senate, seeks to expand the opportunities for direct primary care arrangements in Medicaid, according to an emailed press release from Sen. Marsha Blackburn's (R-Tenn.) office. "Rural residents often experience worse health outcomes and higher hospital utilization compared to urban populations, and 78 of Tennessee's 95 counties are rural -- making it extremely important to improve primary care access for Medicaid recipients in these communities," said Senator Blackburn. "The Medicaid Primary Care Improvement Act would address disproportionate health care coverage in rural areas by providing states with greater flexibility to address primary care challenges within Medicaid populations." #DirectPrimaryCare #MedicaidReform #HealthcareAccess #HealthPolicy #MedicaidMatters #PrimaryCareSolutions #PatientCenteredCare #SimplifiedHealthcare #DirectCareModel #HealthcareInnovation #PolicyChange #WellnessMatters #AffordableHealthcare

Are you participating in the #healthIT summer reading program? It includes the following: ✅ Office of the National Coordinator for Health Information Technology (ONC) HTI-2 Proposed Rule ✅ Centers for Medicare & Medicaid Services CY25 Medicare Physician Fee Schedule (MPFS) Proposed Rule ✅ Centers for Medicare & Medicaid Services CY25 Hospital Outpatient Prospective Payment System (OPPS) and ASC Payment System Proposed Rule. Happy reading! 📚☀ #interoperability #healthIT #HTI2 #HIE #publichealth

The U.S. Department of Health and Human Services (HHS), through Centers for Medicare & Medicaid Services, has finalized new policies to improve healthcare access and safety, especially in underserved communities. Key changes include: •         Increased Medicare payments to hospitals serving vulnerable populations •         Enhanced support for rural hospitals •         New measures to address drug shortages and emergency preparedness These efforts are part of a broader push for value-based care, aimed at building a more resilient healthcare system and ensuring equitable access for everyone, particularly in vulnerable and rural areas. www.ardx.net #ARDX #HealthcareEquity #ValueBasedCare #HealthPolicy

Long-term care facilities arguably deal with the most extensive documentation requirements compared to other types of care, primarily due to the regulations of Medicare and Medicaid. However, instilling effective documentation practices requires time, and given that staff in these facilities are already stretched thin, performing the actual tasks is often a greater priority than documenting them. InteliChart’s Family Portal eases a portion of this burden by consolidating all messages with families into a centralized dashboard. With all necessary family communications instantly documented and readily accessible, staff no longer need to spend hours searching through emails, phone messages, and texts when preparing for annual surveys. Learn more about how we ’re helping long-term care facilities here : https://hubs.ly/Q02tZjpF0 #PatientEngagement #InteliChartFamilyPortal #SeniorCare #SeniorLiving #LongtermCare #ResidentCare

Have you read HCHB's Comment letter to CMS yet? Find out what data analysis from 44% of the home health industry by visit volume has to say about the state of the industry and the potential effects of the 2025 CMS Proposed Rule. https://bit.ly/3WOnydB Centers for Medicare & Medicaid Services #HomeHealth #HealthcareAdvocacy