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  • sam patrick posted an article
    ChartSpan debuts new service offering nationally see more

    ChartSpan is excited to announce the expansion of its value-based care platform into the Remote Patient Monitoring (RPM) space, but with a twist. The leader in preventative care solutions will now offer patient enrollment services, called RPM Enrollment-as-a-Service (EaaS), to practices, hospitals, and RPM vendors that need assistance with enrolling patients into their RPM programs.

    According to Medicare claims data, only 30,000 out of 51,000,000 eligible Medicare patients (0.0006%) are actively enrolled in monthly RPM services. With such a shocking underutilization of this Medicare program, ChartSpan saw an opportunity to use its years of experience in Chronic Care Management (CCM) patient enrollment to offer a solution. Claims data shows, ChartSpan averages 305% higher patient enrollment than the CCM industry average. ChartSpan's new RPM EaaS offering will take the investment and knowledge obtained in becoming the largest CCM managed service provider and apply it to RPM enrollment.

    ChartSpan's RPM EaaS handles all aspects of RPM enrollment including eligibility verification, data reconciliation, patient education and marketing, and telephonic documentation to maximize the number of patients who enroll in RPM. This removes the burden of enrolling patients from practices so they can focus on providing meaningful RPM healthcare services to patients instead.

    "With ChartSpan's success in enrolling and managing patients with chronic conditions, it only makes sense to expand our value-based offering to include RPM enrollment services," said ChartSpan's President and Chief Operating Officer, Christine Hawkins. "Enrolling more patients in RPM will help bridge the gap in access to healthcare while bringing patients and their providers closer to effectively managing chronic conditions."

    For more information about this end-to-end enrollment offering, visit ChartSpan's website.

    About ChartSpan

    ChartSpan is the largest, managed service provider of Chronic Care Management (CCM) programs in the United States. The company provides turn-key, managed care coordination and compliance programs for doctors, clinics, and health systems. ChartSpan manages patient care coordination and value-based programs for more than 100 of the most successful practices and health systems in the United States.

  • sam patrick posted an article
    A new topic from the Nelson Mullins Idea Exchange see more

    The Centers for Medicare & Medicaid Services (CMS or the Agency) announced on January 19, 2022 that it was delaying the publication of a Clinical Laboratory Improvement Amendments of 1988 (CLIA) final rulemaking by one year.  The goal of this rulemaking is to update clinical laboratory proficiency testing (PT) regulations.  PT is the testing of unknown samples sent to a clinical laboratory by a CMS-approved program.  Such testing is used by CMS, accreditation organizations, and clinical laboratories to verify the accuracy and reliability of a laboratory’s testing activities.

    CMS published the PT proposed rulemaking in February 2019.  Under the Social Security Act, a Medicare final rule must be published within three years of the proposed rule (absent exceptional circumstances).  CMS originally slated the PT final rulemaking for publication in February of this year.  Now, the Agency is expecting finalization of the rule by February 2023.

    The PT rulemaking is intended to address current analytes and newer technologies by updating CLIA regulations (42 CFR Part 493).  In the February 2019 proposed rule, CMS proposed, among other items:

    • Requiring PT for an additional 29 analytes;
    • Mandating a minimum of 10 laboratory participants before a PT program offers an analyte;
    • Increasing the number of challenges per PT event for certain types of testing (e.g., susceptibility or resistance testing for each microbiology subspecialty would increase from one to two challenges); and
    • Requiring that PT programs limit participants’ online submission of PT data to one submission or that a method be provided to track changes made to electronically-reported results.

    CMS received over 100 comments concerning the proposed rulemaking.  In delaying the publication of the final rulemaking by a year, CMS cited the COVID-19 public health emergency.  The Agency is currently prioritizing the “publication of notices relevant to COVID-19 and to provide guidance to laboratories involved in COVID-19 testing.”  Because of these ongoing public health demands, CMS explained that it cannot meet the original February 2022 deadline.

    According to the Fall 2021 Unified Agenda, CMS is scheduled to publish another clinical laboratory-focused proposed rulemaking in March of this year.  That rulemaking will focus on updates to the clinical laboratory personnel, histocompatibility, and alternative sanctions regulations as well as CLIA-related program fees.  Because of the COVID-19 public health emergency, it is unclear if the Agency will postpone publication of this proposed rulemaking as well.

    Nelson Mullins continues to closely monitor developments related to clinical laboratories and CLIA regulations.  For questions or assistance, please contact Christopher Hanson.

  • sam patrick posted an article
    Helping patients stay out of hospital, recover faster see more

    Courtesy Columbia Regional Business Report

     

    Prisma Health is taking key elements of inpatient care into patients’ homes to help them stay out of the hospital under a new program for the Midlands called Home Recovery Care. 

    The model has been used at Prisma Health hospitals in the Upstate, according to a news release.  

    For patients under care through Prisma Health Richland Hospital, the organization partners with Nashville, Tenn.-based Contessa to deliver the service at its third site, the news release said. 

    The program launched at Greenville Memorial Hospital in 2019 and expanded to Oconee Memorial Hospital last year. In the Upstate, the program has a 90% acceptance rate and an average patient satisfaction score of 98%, according to the release.  

    Prisma Health was one of the first health systems approved to provide Home Recovery Care to Medicare fee-for-service patients under the Center for Medicare and Medicaid Services’ Hospitals Without Walls waiver, the release said. Programs that encourage hospitals to find healthy ways to stay out of emergency rooms and hospital rooms have been part of Medicare/Medicaid rules for years, with the COVID-19 pandemic spurring more efforts.  

    “Prisma Health has had great success with the program in the Upstate, and we are thrilled to provide this level of home care to more South Carolinians by adding it at Richland,” Bo Cofield, Prisma Health Richland Hospital CEO, said in the release. “The COVID-19 pandemic reinforced that going beyond the walls of the traditional hospital setting often gives our patients a better option for acute-level health care. Home Recovery Care was in place before the pandemic, but it is now gaining momentum. We believe this kind of service is essential to the care of our patients and is an important component of health care.” 

    Home recovery is more satisfying for patients and costs less than traditional recovery in a hospital, according to the release. 

    The care is for patients with acute, non-life-threatening medical conditions. Roughly 150 diagnoses are considered eligible for the service and range from congestive heart failure and pneumonia to dehydration, cellulitis and urinary tract infections. Patients must be evaluated by a Prisma Health doctor to determine if their conditions can be safely treated in the home instead of a standard hospital environment, according to the release. 

    The program includes 24-hour access to a recovery care coordinator and continual monitoring for up to 30 days, the release said. The in-home work is done by Prisma Health’s home-health registered nurses and by physician consultation utilizing telehealth. 

    “Since we launched the program, we have served 300 patients and saved patients from being hospitalized for 1,000 additional inpatient days,” Angela Orsky, vice president of post-acute services at Prisma Health, said in the release. “Our patient likelihood to recommend scores are 100, and we are exceeding all our quality targets. Our home health clinicians in partnership with our hospitalists have exceled in the ability to care for complex patients safely in their homes.”