![]() It's not getting us the results that we want," Boughn said. "I feel this regulation is CMS saying, we don't think the way that we've done it in the past is effective. Perhaps one of the biggest changes is retiring outdated systems and transitioning into more modernized technology.Ĭognosante executive and former CMS CIO Julie Boughn, talked to Healthcare IT News about the ruling and its effects on Medicaid and the overall healthcare system. This new funding will implement initiatives, such as automated applications and renewals, efficient claims processing and integrated human services programs. ![]() Specifically, federal funding is increased from 50 to 90 percent for new eligibility and enrollment systems and Medicaid Management Information Systems. The ruling is just one of the latest efforts by CMS to support states attempting to modernize and develop more effective Medicaid IT systems. "We can’t achieve our health system goals until everyone can attain the highest level of health.CMS recently passed the 90/10 final rule, extending the 2011 regulation on federal funding for Medicaid Eligibility systems. "Advancing health equity is the core work of the Centers for Medicare & Medicaid Services," said CMS Administrator Chiquita Brooks-LaSure. First up: a meeting, set for this summer, focused on maternal health outcomes. To reinforce that concept, the agency will hold meetings with groups "including health care facilities, insurance companies, state officials, and providers" to focus on targeted issues. In the press release announcing the strategy list, CMS also emphasizes the role private insurers and other health care stakeholders can play in the evolution toward equity. As part of its efforts to meet that directive, CMS has been calling for public comment on various health equity-related topics in nearly all of its proposed rules. While specifics haven't been established, elements that could be of particular relevance to the physical therapy community include the promotion of services that are responsive to preferred languages, more extensive reporting requirements, and greater standardization of the data collected on patients that would include "race, ethnicity, preferred language, sexual orientation, gender identity, disability, income, geography, and other factors."ĭeveloping a health care equity strategy has been a high priority for CMS since the 2021 enactment of a White House executive order that directed federal agencies to advance racial equity and provide support for underserved communities. The full strategy document is available online, and includes updates on current progress among the various CMS agencies. The efforts aren't limited to Medicare and Medicaid - CMS says that the Children’s Health Insurance Program, the Office of Minority Health, the Center for Consumer Information and Insurance Oversight, the Center for Medicare and Medicaid Innovation, and the Center for Clinical Standards and Quality each have important responsibilities to shoulder. Getting there, according to the plan, will require that the agency up its game when it comes to promoting culturally appropriate services, boosting program enrollment, expanding demographic data collection, implementing new quality measures, and a range of other activities. ![]() The aim, according to the strategy document, is to attain "the highest level of health for all people, where everyone has a fair and just opportunity to attain their optimal health regardless of race, ethnicity, disability, sexual orientation, gender identity, socioeconomic status, geography, preferred language, and other factors that affect access to care and health outcomes." The recently announced "health equity strategy" presents a general outline of the steps CMS will take to support what it describes as the "first pillar" of the agency's strategic plan. ![]() It's an ambitious plan, heavy on data-gathering and quality measures, that leaves CMS with a long list of to-dos. Centers for Medicare & Medicaid Services says that its strategic plan puts health care equity front and center, and the agency has rolled out a high-level roadmap for achieving its goals.
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