Oversight Of Healthcare Providers

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Health Professions Oversight Processes: What They Do and Do …

(5 days ago) WEBPart of the charge to this committee was to “assess the implications of the changing health system for provider credentialing and licensing programs.” The committee interpreted this charge to include the array of mechanisms and rules meant to ensure that health …

https://www.ncbi.nlm.nih.gov/books/NBK221526/

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Compliance - Government Oversight U.S. Department of Health …

(1 days ago) WEBTo help healthcare providers such as hospitals and physicians comply with relevant Federal health care laws and regulations, OIG creates compliance resources, which are …

https://oig.hhs.gov/compliance/

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Private Health Insurance: State and Federal Oversight …

(2 days ago) WEBThe Consolidated Appropriations Act, 2021, includes a provision for GAO to review the adequacy of provider networks in individual and group health plans. This report describes (1) state, CMS, …

https://www.gao.gov/products/gao-23-105642

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Federal Agencies with Regulatory or Oversight Authority …

(4 days ago) WEBFederal Agencies with Regulatory or Oversight Authority Impacting Hospitals Four federal agencies account for 629 regulatory requirements that health systems, hospitals and …

https://www.aha.org/system/files/2018-01/info-regulatory-burden-federal-agencies.pdf

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Managed Care HHS-OIG - Office of Inspector General

(4 days ago) WEBThe HHS-OIG Strategic Plan for Oversight of Managed Care for Medicare and Medicaid has three goals: Promote access to care for people enrolled in managed care. …

https://oig.hhs.gov/reports-and-publications/featured-topics/managed-care/

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Horizontal and Vertical Integration of Health Care Providers: A

(3 days ago) WEBAs a formative step in this initiative, we conducted a review of the literature spanning 10 years to identify the core elements of organizational structures in the U.S. …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6978994/

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HHS Provides States with Additional Resources to Improve …

(Just Now) WEBCMS unveiled a suite of new resources to improve CMS and state oversight of Medicaid and Children’s Health Insurance Program (CHIP) managed care programs. …

https://www.hhs.gov/about/news/2022/07/06/hhs-provides-states-with-additional-resources-to-improve-oversight-and-ensure-access-to-quality-care-in-medicaid-and-chip-managed-care-programs.html

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State Action to Oversee Consolidation of Health Care Providers

(8 days ago) WEBof Health Care Providers Issue Brief August 2021 Alexandra D. Montague, Katherine L. Gudiksen, and Jaime S. King ABSTRACT While federal oversight over health care …

https://www.milbank.org/wp-content/uploads/2021/08/State-Action-to-Oversee-Consolidation_ib_V3.pdf

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GAO-23-105642, PRIVATE HEALTH INSURANCE: State and …

(4 days ago) WEBThe Consolidated Appropriations Act, 2021, includes a provision for GAO to review the adequacy of provider networks in individual and group health plans. This report …

https://www.gao.gov/assets/gao-23-105642.pdf

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Understanding the Role of the FTC, DOJ, and States in Challenging …

(Just Now) WEBThe brief focuses on health care providers, Most states have passed laws that expand oversight of provider mergers, which may lead to additional legal …

https://www.kff.org/health-costs/issue-brief/understanding-the-role-of-the-ftc-doj-and-states-in-challenging-anticompetitive-practices-of-hospitals-and-other-health-care-providers/

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Quality Safety & Oversight - Guidance to Laws & Regulations

(2 days ago) WEBThe Medicare Conditions of Participation, Conditions for Coverage and Requirements for Skilled Nursing Facilities (SNFs) and Nursing Facilities (NFs) are sets …

https://www.cms.gov/medicare/health-safety-standards/guidance-for-laws-regulations

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Government Oversight - U.S. Department of Health and Human …

(Just Now) WEBHHS-OIG has approximately 1,600 employees dedicated to government oversight, combating fraud, waste and abuse and to improving the efficiency of HHS programs.

https://oig.hhs.gov/

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Supporting Hospital and Health System Boards as We Navigate a …

(5 days ago) WEBNowadays, boards need to bring much more than traditional oversight of finances, quality and patient care. Board members must be knowledgeable across a …

https://www.aha.org/news/perspective/2024-05-17-supporting-hospital-and-health-system-boards-we-navigate-changing-health-care-landscape

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Permitted Uses and Disclosures: Exchange for Health …

(1 days ago) WEBFigure 1: Health Oversight of the Health Care System Scenario . Example 2: Exchange for Health Oversight of the Health Care System Fact Pattern: The State X Medical Board …

https://www.healthit.gov/sites/default/files/phi_permitted_uses_and_disclosures_fact_sheet_012017.pdf

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State Policies to Address Vertical Consolidation in Health Care

(2 days ago) WEBVertical acquisitions of physician groups by hospitals has increased dramatically in recent years. From 2012-2018, hospital ownership of physician practices grew 128 percent. In …

https://nashp.org/state-policies-to-address-vertical-consolidation-in-health-care/

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King to VA: Fix ‘Ineffective’ Oversight of Community Care Network

(9 days ago) WEBWASHINGTON, D.C. – In response to a recent report from the VA’s Office of Inspector General (OIG), U.S. Senators Angus King (I-ME), Jon Tester (D-MT), and …

https://www.king.senate.gov/newsroom/press-releases/king-to-va-fix-ineffective-oversight-of-community-care-network-administrators

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A Lack of Behavioral Health Providers in Medicare and

(7 days ago) WEBMedicare spends more than $27 billion annually on behavioral health services.11 Although one in four Medicare enrollees are living with a mental illness, less than half of them …

https://www.oversight.gov/sites/default/files/oig-reports/HHSOIG/Final-Report-OEI-02-22-00050.pdf

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Strengthened Tool to Address Health-Related Social Needs: The …

(7 days ago) WEBOversight of ILOS Use and Spending. The third major thing the Managed Care Rule does is increase oversight of ILOS. Oversight of ILOS can be challenging. …

https://ccf.georgetown.edu/2024/05/23/strengthened-tool-to-address-health-related-social-needs-the-new-medicaid-managed-care-regulations-in-lieu-of-services-explained/

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Blood Safety Basics Blood Safety CDC

(9 days ago) WEBHealthcare providers and blood banks ask donors a set of standard questions before donating blood including: Whether or not they are in good health; Their social behavior …

https://www.cdc.gov/blood-safety/about/index.html

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Department of Health Health Facilities Consumer Reports and …

(Just Now) WEBGuide for adults planning for their future financial, health and housing needs. Describes programs that provide medical, financial, legal, and social service …

https://www.nj.gov/health/healthfacilities/reportcards.shtml

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Employment at the County - Bergen County New Jersey

(2 days ago) WEBProvide direction and oversight of evidenced based practices that are found to be effective in providing care to at-risk youth. Consult and work collaboratively with the legal …

https://www.co.bergen.nj.us/employment-at-the-county

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What healthcare REITs mean for providers, patients

(2 days ago) WEBWhat healthcare REITs mean for providers, patients. Steward Health Care's Chapter 11 bankruptcy filing is the latest example of the significant role real …

https://www.modernhealthcare.com/finance/healthcare-reits-medical-properties-trust-caretrust

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Health Coaching For Healthcare Professionals - Vestibular …

(3 days ago) WEBEmployment in this industry is projected to increase by 12% in the next 10 years. This means there will be an additional 15,200 jobs in this industry by 2031. In …

https://vestibular.org/blog/health-coaching-for-healthcare-professionals/

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RMA New Jersey Top NJ Fertility Clinic - #1 IVF Center

(2 days ago) WEBOut of every fertility clinic in the world, IVIRMA is the world's leading investor in fertility research. With over seven research centers (one of which is in Basking Ridge, New …

https://rmanetwork.com/our-locations/rma-new-jersey/

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Recommendations Tracker - Office of Inspector General

(7 days ago) WEBHHS-OIG provides independent and objective oversight that promotes economy, efficiency, and effectiveness in HHS programs and operations. Review of …

https://oig.hhs.gov/reports-and-publications/recommendations/tracker/?page=59

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Misleading and avoidable: design-induced biases in observational

(1 days ago) WEBAll involved health insurance providers as well as the German Federal Office for Social Security and the Senator for Health, Women and Consumer Protection …

https://www.medrxiv.org/content/10.1101/2024.04.29.24306522v2

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Quality, Safety & Oversight - General Information CMS

(7 days ago) WEBCMS maintains oversight for compliance with the Medicare health and safety standards for laboratories, acute and continuing care providers (including …

https://www.cms.gov/medicare/health-safety-standards/quality-safety-oversight-general-information

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Search the Provider Directory

(8 days ago) WEBSearch the Provider Directory. Use the link below to search for specific types of in-network providers. You can search for physicians by name, location and/or specialty or search …

https://www.empireplanproviders.com/provider.htm

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Employers facing rising health care costs get tough on providers

(3 days ago) WEBEmployers trying to rein in rising health costs are also taking the fight directly to health care providers.. Why it matters: New transparency around the price of …

https://www.axios.com/2024/05/13/health-costs-employers-hospitals-doctors

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Emergency obstetric care access dynamics in Africa′s cities: …

(1 days ago) WEBThe rapid urbanization, particularly in Africa has posed several challenges that affect provision and accessibility of healthcare. The complex mix of providers, …

https://www.medrxiv.org/content/10.1101/2024.05.15.24307462v1

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