Key Takeaways on How 340B Works The federal 340B Program is a drug price control program. It lets qualifying facilities purchase outpatient drugs at 20 to 50% below the average manufacturer price. In this article, we answer “how does 340B work?,” who qualifies, and what 340B participation can mean for your rural healthcare facility and […]
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Key Takeaways to Decide if Your Clinic Should Become a Rural Health Clinic Rural health clinics (RHCs) are outpatient facilities regulated by the Centers for Medicare & Medicaid Services (CMS). The RHC designation was developed to improve access to care in underserved rural areas particularly for Medicare and Medicaid patients. Its aim is to support
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Key Takeaways on the Value-Based Care Mode Many healthcare providers are paid based on the volume of services they deliver, such as the number of tests or procedures. The fee-for-service (FFS) vs value-based care model can result in overtreatment, poorer care, and higher costs.1 How a Value-Based Care Model Works A value-based care (VBC) model,
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Key Takeaways on What Is a Critical Access Hospital A critical access hospital, or CAH, is a small rural hospital that meets federal criteria to receive cost-based reimbursement from Medicare. These hospitals keep emergency and essential inpatient services available in communities too small to support a full acute-care facility. They provide 24×7 emergency care, short-stay
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Key Takeaways on CMS Final Rule 2026 The Centers for Medicare & Medicaid Services (CMS) announced its CMS final rule 2026 policy changes for the Medicare Physician Fee Schedule (PFS) on October 31, 2025.1 Actual changes go into effect on or after January 1, 2026. Other recent regulatory changes are also finalized. Changes that will
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Key Takeaways From the CMS Final Rule for Rural Health Clinics in 2025 Big news for rural health clinics: the 2025 CMS Final Rule is here, and it’s packed with changes you need to know. From faster reimbursement processes to updated billing codes, these updates could directly impact how you run your clinic and manage
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Key Takeaways to Master the Annual Wellness Visit Annual Wellness Visit Table of Contents Quick, What is the Annual Wellness Visit (AWV)? It’s a visit to develop or update a Personalized Prevention Plan (PPP) and perform a Health Risk Assessment (HRA). As a health care provider, you may recommend patients get services more often than
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Key Takeaways to Navigate IPPE and Medicare Wellness Visit Codes Table of Contents Quick, What is the Initial Preventative Physical Examination (IPPE) Exam? At its core, the Initial Preventative Physical Examination, or IPPE, is a review of all medical and social health history with additional preventive services and healthcare education. However, the IPPE does not
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Key Takeaways on the Benefits of Telepsychiatry Concern for patient mental health is growing as the pandemic continues, but telepsychiatry provides a way to access and treat patients from a safe distance. What is Telepsychiatry? Telehealth, or telemedicine allows for providers to connect with patients at a distance often through the use of mobile technology.
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Key Takeaways to Choose the Best Behavioral Healthcare Program In light of the global pandemic, mental health has been a growing concern for doctors and patients everywhere. With rising stress, anxiety, and isolation, behavioral health services are more important now than ever. What Is a Behavioral Healthcare Program? Behavioral health, sometimes referred to as mental
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