This week's note from the instructor reviews the FY 2021 updates to interoperability and other inpatient quality programs from the Inpatient Prospective Payment System (IPPS) final rule.
Q: A recent study by the California Lab Policy reported 50% of unsheltered individuals experience "tri-morbidity" (co-occurring physical health, mental health, and substance abuse challenges), compared to just 2% of sheltered individuals. What can case managers do to assist these patients?
UnitedHealthcare’s (UHC) plan to require in-network, freestanding and outpatient laboratory claims to contain a unique code for most lab testing services is poorly timed and poses significant implementation hurdles, the American Hospital Association (AHA) said.
This week’s Medicare updates include the 2022 Medicare Advantage and Part D Advance Notice, the final report from the Coronavirus Commission on safety and quality in nursing homes, a final rule on new specialty care payment models, and more!