Latest News in Healthcare

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  • 22 Feb 2016 12:28 PM | Deleted user

    CMS formally reaffirms 2015 MU hardship exception does not nullify incentive opportunity

    In direct response to MGMA, the Centers for Medicare & Medicaid Services published a formal FAQ stating that an eligible professional (EP) may submit a hardship exception application, while still remaining eligible for an incentive payment if they successfully attest for 2015 Meaningful Use (MU). MGMA continues to encourage all EPs to take advantage of this opportunity for the 2015 reporting year and apply for the hardship exception, even if they plan to attest. This simple process will provide an extra layer of protection against potential penalties. Review MGMA's member-benefit 2015 MU hardship exception resource.

    Key dates:

    • March 11, 2016 – 2015 MU attestation deadline
    • March 15, 2016 – 2015 MU hardship exception application deadline

  • 09 Feb 2016 8:30 AM | Deleted user

    This tip sheet was developed by Karen Massey (last updated on 2/9/2016) based on materials from the Nevada Office of Vital Records and is intended only as assistance. For specific rules and requirements, please contact the Nevada Office of Vital Records.

    The NV State Medical Association is working on the Death Certificate issue and has obtained some useful results such as help desk hours on the weekend. 

    Please CLICK HERE to view the Tip Sheet that I developed for our group's internal use, and I am happy to share it with my colleagues in MGMA.  There are only 4 tabs that require completion for providers, and that is not readily obvious within the system.  I hope you find it helpful and we will provide updates as we are able to make more advances on this issue.

    Karen Massey, MHA, FACMPE, CPMSM
    NV MGMA Legislative Liaison
    Executive Director, Northern Nevada Emergency Physicians

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Managing chronic care populations: Improve health & contain costs

April 29, 2019

Healthcare in the U.S. continues to move from volume-based care to value-based care. In the process, managing chronic disease has become both a universal imperative and a foundational element of a patient-focused population health program.

Leaders of many physician groups—including those partnered with multi-hospital systems—look for a solid, practical approach to chronic care management. Though difficult, practices are changing up their organizational structure to support alternative payment models that reward maintaining a healthy population.

This paper, a joint effort between Virence Health and Physicians Medical Center, PC, used a real-world example of how PMC introduced a successful population health program into its culture and, by doing so, made the shift to proactive, team-based care, allowing them to leverage their data and improve the lives of their patients.

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Three Environmental Factors Impacting the PPM Industry and Getting Deals Done

April 23, 2019

The PPM industry is by no means immune to the ebbs and flows of a traditional marketplace. Since the consolidation bubble burst in the 1990s, PPMs have gone from practically extinct to a once-again substantial component of the health care delivery system. But with greater influence comes more pressure to respond, and adapting to today’s complex operating environment requires those in the PPM industry to ensure they are building the foundational structure needed to help practices adapt to external factors and achieve long-term success.and achieve long-term success.

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Social determinants of health in an ACO for better population health

April 16, 2019

Valerie was a 31-year-old woman with uncontrolled diabetes, asthma, hypertension and was morbidly obese; she also had a history of trauma and depression. She increasingly was a no-show for appointments and would go to the emergency room instead of her primary care visits at Massachusetts General Hospital in Boston.

It wasn’t until Mass General implemented a social determinants of health (SDoH) survey that the providers learned that Valerie faced homelessness — until then, a P.O. box and a telephone number gave no indication of the larger issue in her life. They also learned that, despite being born and raised in Boston, Valerie could not read and write in English, her primary language.

Through SDoH work, Mass General staff were able to direct Valerie to emergency housing and ask what her goals were beyond health: Learning English, getting a job, securing an apartment and reuniting with her 3-year-old daughter, who was taken at birth due to Valerie being homeless.

As with most of us, social factors such as housing, education and a safe environment largely lead to better health outcomes.1 In Valerie’s case, her factors meant insufficient healthy food, lack of refrigeration for medication and issues with blood pressure heightened by living in a van and a lower sense of personal safety — all directly affecting the care providers working with Valerie.

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