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Insights2020 covid19 episode 4
The document outlines various financial assistance programs related to COVID-19, including $349 billion in forgivable SBA loans for small businesses and $30 billion in grants to healthcare providers from HHS based on 2019 Medicare revenues. It also covers a $200 million telehealth program aimed at supporting public and nonprofit healthcare providers with telecommunications funding, as well as advanced Medicare payments totaling over $51 billion for healthcare providers who meet specific criteria. Additionally, it highlights the resources and services offered by CareOptimize to aid healthcare providers in patient monitoring and data reporting during the pandemic.
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Insights2020 covid19 episode 4
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- 3. Loans and Grants: TheFour Major Programs SBA Loans HHS Grants Telehealth Funding Advanced/Accelerated Payments
- 4. SBA Paycheck ProtectionLoan to Grant • $349 billion in forgivable loans to help small businesses ride out this economic storm. • Money must be used to pay employees and expenses (utilities and rent or mortgage insurance), and you must not have any layoffs. If you follow these guidelines, loan may be forgiven. • “First come, first served “– already more than $217billion given out (880,000 applications) • More money may be on the way, if Congress agrees. • “Know Your Customer” regulations – must deal with bank with which you already have a relationship Our recommendation: Be Persistent
- 5. HHS Grants • TheDepartment of Health and Human Services is delivering $30 billion to providers through direct deposit disbursements. • Payments are based off 2019 Medicare fee-for-service revenues (not including Medicare Advantage) and proportional share. • Providers that don’t have an automated account and get a paper check from CMS for reimbursement will receive a paper check in the mail for this payment within the next few weeks. • Providers have 30 days after getting the payment to sign an attestation confirming they got the funds and agree to terms and conditions. HHS will launch an online portal for providers to sign the attestation next week. • HHS has announced general principles for the next round of funding ($100 billion is the figure quoted) including favoring providers in coronavirus hotspots but has not yet announced timing or a formula for the next round. • We recognize this shortchanged providers without Medicare FFS, but the $100bn will be allocated differently, and hopefully include more providers. We will provide details, when they are available.
- 6. Telehealth Program: On April2, 2020, the Federal Communications Commission (FCC) released a Report and Order establishing the COVID-19 Telehealth Program •Provides $200 million in funding •Funding will be targeted towards areas that have been hardest hit by COVID–19 •Limited to nonprofit and public eligible health care providers (More information on Eligibility in FCC Form 460) •Provides immediate support to eligible health care providers responding to the COVID-19 pandemic by fully funding their telecommunications services o Telecommunications o Information services o Connected patient monitoring devices (e.g., pulse-ox, BP monitoring devices) • Must apply through PDF. If portal is down, keep checking.
- 7. Advance/ Accelerated Medicare Payments •More than 25,000 requests from health care providers have been received • More than17,000 of those requests have been approved • Total for those is more than $51 billion. Providers or suppliers must: • Have billed Medicare for claims within 180 days immediately prior to the date of signature on the provider's/supplier's request form • Not be in bankruptcy • Not be under active medical review or program integrity investigation • Not have any outstanding delinquent Medicare overpayments
- 8. Advance/ Accelerated Medicare Payments,too: Health Insurers Join the Group “The American Hospital Association this month sent letters to the largest health insurers asking them to "support stable cash flow" by offering accelerated payments or periodic interim payments during the pandemic.” “Insurers including UnitedHealth Group, Pittsburgh-based Blue Cross and Blue Shield insurer Highmark, Blue Shield of California, and Blue Cross of Idaho are providing services such as advance and expedited payments, loans, and more favorable repayment terms to providers.” https://www.modernhealthcare.com/payment/insurers-speed-payments- offer-loans-support-providers-during-covid-19
- 9. Advance/ Accelerated Medicare Payments Wecan help Our team of experts can assist in two ways: If you are comfortable with completing the application and submission on your own, we will provide written instructions for the entire process. This is a free service. We can take care of the entire process for you. These services will be billed on an hourly basis.
- 10. CareOptimize COVID-19 FREE Template & Report Monitoring andreporting of patients remain two challenging areas. CareOptimize has developed two free utilities to help: 1) A template for logging in data on patients who test positive. This template also allows streamlining notifications on those patients to the CDC, state health agency, and/or local health department. 2) A report showing all high-risk patients in your organization who should be considered for additional screening or other preventative measures.
- 11. The Report: HowWe Created It CareOptimize employed our service-as-software Analitico Quality Module to identify high, medium, and low-risk COVID-19 patients, so practices can focus their resources accordingly. The primary use of this quality gap module is to easily uncover quality measures and readily suggest actionable solutions at point-of-care. However, we were able to expand its utility, proving the module invaluable for this particular purpose. Patients identified per CDC guidelines and tracked to see whether or not intervention has been completed via phone call or video visit.
- 12. The Analitico QualityModule • Risk adjustment and quality programs drive health plan revenue. Providers are focused on providing good medical care and consider coding and quality programs a frustrating distraction. • Analitico aligns health plan and provider goals by simplifying the process into a centralized list for closing both coding and quality gaps. • Information is then placed into a single checklist at point-of-care for suspected code and quality gaps, leading to an increase in scores and revenue. • MIPS and HEDIS-certified registry. • Available immediately for demos. Allows for custom writing of quality measures, so COVID-19 information was created quickly and easily
- 13. EHRs Agent APIs CCDs D A T A HIE Eligibility Data Machine Learning Reconciliation Claims Labs Hospital Quality & Coding Health Plans/Registries RAPS& Supplemental Data The Analitico Quality Module
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