Raymond McGregor

Medicare's PDPM structure is consistent nationally, but across the 30 state Medicaid systems that adjust reimbursement using the MDS, all bets are off. To manage PDPM-based CMI, state-specific expertise is essential. Beyond the PDPM score, depending on the state, Medicaid Rate Construction is a nuanced equation that involves cost reporting, wage-indexing, Direct Care cost allocations driven by population acuity differentials, eligibility markers, add-ons, offsets, and an endless array of arbitrary adjustments. Those delicate variables are carefully poured into a chaos-blender to be transmuted into a pasty bolus of distortion and mispricing that threatens the financial integrity of the entire long-term care sector, but that's not the point. What matters today is that CMI-Connect & PDPM-Connect are gamechangers in clinical reimbursement management and efficiency. Ask any one of the 1,200 SNFs already using Connect to enhance Reimbursement-compliance and reduce MDS administration time by up to 50%. The SNF-Economy is changing quickly. "Get Connected" today.

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Health equity is achievable, and I look forward to this conversation around operationalizing the most essential components that drive health equity especially access to health related social needs like healthy food, housing, and affordable medication.

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"Healthcare for Humans - Dr. Raj Sundar continues the series with Dr. Anne Marie Liebel, founder of Health Communication Partners LLC. They delve into the pressures faced by clinicians to be perfect and resolve issues quickly, exploring how this impacts patient care." #HCforHumansPod

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In 2023, Highmark launched the Highmark #BrightBlueFutures Award Program to provide substantial grants to organizations recognized for leadership and exemplary impact in our communities. Learn more about one of the award winners, POISE Foundation, in this feature article. #communityservice #healthcareleadership #healthcareleaders

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  #TeamworkTuesday  As professionals, we can often find ourselves immersed in projects and tasks that require collaboration and collective effort. As the Chair of the Financial Services Committee for the Atlanta Black Chambers for the past seven years, I have learned that embracing teamwork is not just essential but also immensely rewarding. Along my journey, these are some of the benefits I have experienced: 1.     Synergy and Innovation: When individuals with diverse skills, backgrounds, and perspectives come together, magic happens. 2.     Enhanced Productivity: A well-coordinated team can achieve more in less time. By dividing tasks based on expertise and working towards common goals. 3.     Continuous Learning and Growth: Working within a team provides ample opportunities for learning and development fostering a culture of continuous growth and improvement. 4.     Support and Motivation: In the face of challenges and setbacks, a supportive team can provide invaluable encouragement and motivation and resilience. 5.     Celebrating Success Together: Success is sweeter when shared with others. One of the most rewarding aspects of teamwork is celebrating achievements as a team. As we navigate life, let's recognize and harness the power of teamwork. By fostering collaboration, embracing diversity, and nurturing a supportive team culture, we not only unlock greater potential but also cultivate a more fulfilling and rewarding professional journey. Here's to the incredible things we can achieve when we work together as a team! 💪 #AtlantaBlackChambers

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I am so excited to start the first of many virtual Lunch and Learn sessions! These one hour sessions are meant to inform and educate our communities on relevant healthcare topics, specifically as it relates to uninsured patients. In case you missed it, you can find the link below for the session on back to school vaccines and well child checks. #primarycare #uninsured #publichealth #healthcare

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Streamline #FinancialAid with Ellucian's Student Forms! Eliminate paper forms & empower students to complete their applications in ONE sitting. The director of financial aid at North Georgia Technical College shares how StudentForms transformed their process! #HigherEducation

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It's great to hear that you had the opportunity to discuss advancing personal healthcare through data-driven approaches at such a prestigious event. Utilizing data to prevent chronic illnesses and promote health equity is crucial in improving healthcare outcomes for everyone. Your involvement underscores the importance of collaboration and innovation in addressing complex health challenges. #WeAreGDIT #NCSTC #CMS #NCDHHS #HealthEquity #CPWMPA

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