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Category Archives: Medicaid

Lots of Changing Rules and Regs on Health Rewards. Here are some blog post on the topic

Legislative History of Health Rewards – We’ve Come a Long Way
Front Page of the Wall Street Journal for the Wrong Reason – Rewards in Healthcare Up the Ante on Design and Execution
CMS Issues Final Guidance on Rewards and Incentives…Here’s What MA Plans Can and Can’t Do
CMS Long-Awaited Expansion of Medicare Rewards Adds Key Tool to […]

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Legislative History of Health Rewards – We’ve Come a Long Way

Today, financial rewards for driving patient and provider behavior have become a foundational element of any behavior change initiative. Virtually every segment of the healthcare community is deploying rewards in an effort to reduce cost, improve health, and in the case of health plans and health systems, drive loyalty and retention.  In the mid 2000s […]

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Be Healthy and Be Rewarded….Health Rewards Spreading To Every Corner of Healthcare

Be Healthy and Be Rewarded….Health Rewards Spreading To Every Corner of Healthcare
Ten years ago, financial rewards for healthy behavior was considered a “fringe” technique and in others was considered morally offensive.  It was common to hear “we are not going to pay people for doing what they should be doing” or “Are we really going […]

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Health Reward Stat of the Day – Dec 29

As of July 2014, 75 percent of eligible professionals and 92 percent of eligible hospitals had received incentive payments for successfully attesting to the adoption and meaningful use of EHRs.
http://www.nationalpartnership.org/research-library/health-care/HIT/engaging-patients-and-families.pdf

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Health Reward Stat of the Day – Dec 26

To date, a wide range of health care providers — hospitals, physician practices, nurse practitioners, dentists and others — have registered for and received incentive payments under the Meaningful Use program.

Since the first fielding of this survey in 2011, nearly all hospitals in the United States have registered for these incentives (95 percent as of June 2014), with […]

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Health Reward Stat of the Day – Dec 2

As of September 2014, in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs:

More than 414,000 health care providers received payment for participating
More than $16.3 billion in Medicare EHR Incentive Program payments have been made between May 2011 and September 2014.
More than $8.59 billion in Medicaid EHR Incentive Program payments have been made between January […]

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HHS OIG Releases Anticipated Proposed Rule For Anti-Kickback Safe Harbor

On Friday, October 3rd, the HHS Office of the Inspector General (OIG) issued a highly anticipated proposed rule (the Proposed Rule) that provides amendments to the Anti-Kickback Statute’s regulatory safe harbors (AKS Safe Harbors) and adds protections for increasingly common payment practices and business arrangements under the Civil Monetary Penalty Law (CMP). These amendments and updates to the AKS […]

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Health Reward Stat of the Day – Oct 22

Medicaid programs operate beneficiary incentive programs under various authorities. To date, most states have used Section 1115 Medicaid demonstration waivers that include beneficiary incentives for healthy behaviors to operate their programs.13 Some states have used Section 1915(b) waivers and Medicaid managed care organizations to offer incentives.14 Other states have operated incentive programs as state plan amendments under the […]

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Health Reward Stat of the Day – Oct 21

Various states have been expanding Medicaid incentive programs for providers. Six states are offering rewards to providers to incentivize their participation in the MIPCD program as well (Table 4). Incentives for providers include $35/individual for enrolling participants in Connecticut, $308/individual for providing services to participants in Hawaii, up to $278,000 for clinics to cover study-related costs […]

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Health Reward Stat of the Day – Oct 20

Various states have been expanding Medicaid incentive programs. The maximum value of incentives varies widely by state:

Incentives range from $20 in California for calling a smoking cessation helpline and participating in counseling sessions to $1,860 per year in New Hampshire for participating in a weight loss program.
Eight out of the ten states offer incentives […]

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