Healthcare It News

MAY 4, 2023

" NorthSight's facilities initially manually tracked outcomes and lacked an integrated data platform. "When data is missing or of lower quality, the solution can leverage advanced data science algorithms to account for the missing pieces and help identify anomalies," he explained.

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Sheppard Health Law

AUGUST 11, 2023

Notably, within this overall decrease, CMS is also proposing increases for certain forms of direct patient care, including primary care. Impact to Health Equity Services CMS is proposing to pay separately for Community Health Integration and Social Determinants of Health (“SDOH”) Risk Assessment services.

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NCQA

OCTOBER 31, 2023

The Innovation Center also released the Making Care Primary (MCP) model and the GUIDE model this year, innovative solutions to achieve multi-payer alignment and focus on populations that have historically been underfunded in health care.

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Primary Care Quality Improvement Medicaid Accountable Care 52

Health Dialog

NOVEMBER 17, 2015

As we know, Accountable Care Organizations (ACOs) are complex ecosystems and the implementation of new population health management programs can be daunting. Here are steps your organization can take in advance of new program integration to maximize success.

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HIT Consultant

MAY 24, 2022

– The funding will fuel growth of the provider/payer platform that integrates with the electronic medical records (EMR) to identify high-value tactical care and coding interventions. KAID Health allows providers to profit from delivering more informed coordinated care.

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Accountable Care Primary Care Accountability Medicare 52

Home Health Care

APRIL 15, 2024

Last week, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced a new proposed model that will undoubtedly affect home health providers, and also allow them the opportunity to get more involved in value-based care initiatives. TEAM would be yet another model furthering that goal, if enacted.

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NCQA

NOVEMBER 20, 2023

NCQA seeks candidates who embody Phyllis’ passion for health care quality research and policy. Primary care. Preventive care. Health care disparities. Value-based care and payment. The Phyllis Torda Fellow will work on critical issues related to quality and equity, including: Social needs. Maternal health.

Primary Care 97

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HIT Consultant

MAY 19, 2023

Tampa General Hospital Teams Up with Navina Tampa General Hospital (TGH) partners with AI-powered platform Navina to bring its transformative AI the health system’s primary care clinicians. Clinicians using Navina’s platform can quickly assess diagnoses and opportunities to improve care and compliance with quality measures.

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Primary Care Health Science Accountable Care Hospitals 52

Home Health Care

MAY 5, 2022

Another major component of the company’s value-based mission was its acquisition of Caravan Health, an accountable care organization (ACO) manager. I’m very pleased with the positive reaction from our clients who are excited about the prospect of Signify Health providing a total cost of care model,” he said.

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Accountability Accountable Care Primary Care Medicare 90

Home Health Care

MARCH 3, 2022

One thing that has remained constant, though, is the organization’s push towards a value-based health care system. For Signify, the recent completion of its Caravan Health acquisition — an accountable care organization (ACO) manager — is a major move toward driving more participation and success in value-based payment arrangements. “We’re

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Accountability Medicare Accountable Care Primary Care 81

Accountable Care Doctors

JUNE 14, 2021

These insights were shared at the keynote discussion, “Leveraging Employer-Provider Partnerships to Curb Rising Health Care Costs and Improve Outcomes” at the World Health Care Congress (WHCC), held June 8?–?10. A growing demand for integrated mental health care. WHCC panelists were Stephen Parodi, M.D.

Primary Care 52

Primary Care Integration Quality of Care Accountability 52

Sheppard Health Law

OCTOBER 27, 2021

The five strategic objectives for advancing this systemwide transformation include (1) Drive Accountable Care, (2) Advance Health Equity, (3) Support Innovation, (4) Address Affordability, and (5) Partner to Achieve System Transformation. Strategic Objective 1: Drive Accountable Care.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Accountable Care Doctors

JUNE 14, 2021

These insights were shared at the keynote discussion, “Leveraging Employer-Provider Partnerships to Curb Rising Health Care Costs and Improve Outcomes” at the World Health Care Congress (WHCC), held June 8?–?10. A growing demand for integrated mental health care. WHCC panelists were Stephen Parodi, M.D.

Primary Care 52

Primary Care Integration Quality of Care Accountability 52

HIT Consultant

FEBRUARY 2, 2022

A strong VBC network will often need a sizable technology investment to revise traditionally siloed capabilities, the ability to cater to a spectrum of stakeholders, including accountable care organizations (ACOs), bundled payment programs, full and partial capitation, and the Medicare Shared Savings Program with upside and downside risk.

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Accountable Care Doctors

AUGUST 31, 2021

These discussion forums generated many promising and innovative solutions including improving healthcare by integrating behavioral health with primary care, pursuing strategies for reducing low-value care and increasing high-value care, and developing better metrics for measuring performance in alternative payment models.

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Accountable Care Doctors

AUGUST 31, 2021

These discussion forums generated many promising and innovative solutions including improving healthcare by integrating behavioral health with primary care, pursuing strategies for reducing low-value care and increasing high-value care, and developing better metrics for measuring performance in alternative payment models.

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Primary Care Integration Doctors Accountability 52

Health Blawg

JANUARY 8, 2018

Behavioral health, said Cindy, doesn’t necessarily have to be integrated into the delivery system, but assessments should be integrated (e.g., PHQ-9’s may be administered by primary care providers), so that the behavioral health data may be integrated into the analytics framework used to manage population health.

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Health Dialog

JANUARY 5, 2016

Our Population Care Management program places registered nurses, called Population Care Managers (“PCMs”), in primary care practices or within the administrative departments of Accountable Care Organizations (“ACOs”) and Patient Centered Medical Homes.

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Health Dialog

FEBRUARY 2, 2016

This is the final post in my three-part series on the successful implementation of Population Care Managers (PCMs) within Accountable Care Organization (ACO) and Patient Centered Medical Home settings. When a patient’s doctor is no longer within the network she assists that patient in identifying a primary care doctor who is.

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Population Health Primary Care Accountable Care Doctors 40

NASHP

OCTOBER 20, 2022

The “National Forum on Advancing High-Quality, Equitable Care Coordination for Children and Youth with Special Health Care Needs” centered on two key topics for improving care coordination systems for CYSHCN: integrated care coordination and the care coordination workforce.

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Medicaid Integration Accountability Quality Improvement 98

Accountable Care Doctors

NOVEMBER 9, 2020

Learnings from COVID-19 must drive major changes in health care delivery, according to interviews conducted with physician leaders of the nation’s leading multi-specialty medical groups and health systems that participate in the Council of Accountable Physician Practices (CAPP). Invest in Primary Care and Prevention.

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Accountable Care Doctors

FEBRUARY 1, 2021

Employers also collectively shoulder the biggest share of national health care costs, which regularly rise faster on an annual basis than overall inflation. demanding more transparency from insurers and other intermediaries.

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Primary Care Accountability Patient Experience Integration 52

NASHP

AUGUST 23, 2021

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. ii] Rural areas are highly likely to suffer from shortages of primary care and other providers.

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Primary Care Medicaid Accountability Quality Improvement 64

Health Blawg

JANUARY 8, 2018

Behavioral health, said Cindy, doesn’t necessarily have to be integrated into the delivery system, but assessments should be integrated (e.g., PHQ-9’s may be administered by primary care providers), so that the behavioral health data may be integrated into the analytics framework used to manage population health.

Population Health 60

Population Health Healthcare Primary Care Healthcare Innovation 60

Health Blawg

JANUARY 8, 2018

Behavioral health, said Cindy, doesn’t necessarily have to be integrated into the delivery system, but assessments should be integrated (e.g., PHQ-9’s may be administered by primary care providers), so that the behavioral health data may be integrated into the analytics framework used to manage population health.

Population Health 60

Population Health Healthcare Healthcare Innovation Integration 60

Health Blawg

JANUARY 8, 2018

Behavioral health, said Cindy, doesn’t necessarily have to be integrated into the delivery system, but assessments should be integrated (e.g., PHQ-9’s may be administered by primary care providers), so that the behavioral health data may be integrated into the analytics framework used to manage population health.

Population Health 60

Population Health Healthcare Healthcare Innovation Integration 60

Health Blawg

JANUARY 8, 2018

Behavioral health, said Cindy, doesn’t necessarily have to be integrated into the delivery system, but assessments should be integrated (e.g., PHQ-9’s may be administered by primary care providers), so that the behavioral health data may be integrated into the analytics framework used to manage population health.

Population Health 60

Population Health Healthcare Healthcare Innovation Integration 60

NASHP

DECEMBER 10, 2021

integrating?CHWs CHWs into evolving health care systems in key areas such as financing, education and training, certification , and state definitions, roles and scope of practice. ACO Accountable Care Organizations. CBCM Community Based Care Management Program. PCCM Primary Care Case Management.

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Medicaid Primary Care Prevention Nursing 122

Health Blawg

APRIL 27, 2018

Health Care Law and Consulting. Related Stories Will Vertical Integration Kill the Primary Care Practice? With this background I ask you: What is your definition of population health and what are the tools we need to manage it more effectively? David Harlow. The Harlow Group LLC.

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Health Blawg

APRIL 8, 2018

The Humana-Kindred deal, the existing United Health Care conglomerate with insurer and provider services, and other providers under the payor umbrella, are further exemplars of this approach — becoming “ payviders ,” to cite the neologism favored by one of my recent podcast guests.

Primary Care 60

Primary Care Integration Urgent Care Pharmaceuticals 60

Health Blawg

APRIL 8, 2018

The Humana-Kindred deal, the existing United Health Care conglomerate with insurer and provider services, and other providers under the payor umbrella, are further exemplars of this approach — becoming “ payviders ,” to cite the neologism favored by one of my recent podcast guests.

Primary Care 60

Primary Care Integration Urgent Care Pharmaceuticals 60

Health Blawg

APRIL 8, 2018

The Humana-Kindred deal, the existing United Health Care conglomerate with insurer and provider services, and other providers under the payor umbrella, are further exemplars of this approach — becoming “ payviders ,” to cite the neologism favored by one of my recent podcast guests.

Primary Care 60

Primary Care Integration Urgent Care Pharmaceuticals 60

Health Blawg

APRIL 8, 2018

The Humana-Kindred deal, the existing United Health Care conglomerate with insurer and provider services, and other providers under the payor umbrella, are further exemplars of this approach — becoming “ payviders ,” to cite the neologism favored by one of my recent podcast guests.

Primary Care 60

Primary Care Integration Urgent Care Pharmaceuticals 60

Health Blawg

APRIL 8, 2018

The Humana-Kindred deal, the existing United Health Care conglomerate with insurer and provider services, and other providers under the payor umbrella, are further exemplars of this approach — becoming “ payviders ,” to cite the neologism favored by one of my recent podcast guests.

Primary Care 60

Primary Care Integration Urgent Care Pharmaceuticals 60

Health Blawg

APRIL 8, 2018

The Humana-Kindred deal, the existing United Health Care conglomerate with insurer and provider services, and other providers under the payor umbrella, are further exemplars of this approach — becoming “ payviders ,” to cite the neologism favored by one of my recent podcast guests.

Primary Care 60

Primary Care Integration Urgent Care Pharmaceuticals 60

Health Blawg

APRIL 8, 2018

The Humana-Kindred deal, the existing United Health Care conglomerate with insurer and provider services, and other providers under the payor umbrella, are further exemplars of this approach — becoming “ payviders ,” to cite the neologism favored by one of my recent podcast guests.

Primary Care 60

Primary Care Integration Urgent Care Pharmaceuticals 60

Sheppard Health Law

DECEMBER 12, 2022

CMS’s strategic refresh initiative aims to meet five objectives: drive accountable care, advance health equity, support care innovations, improve access and affordability, and establish partnerships to achieve these objectives. Why align specialty care with value-based models?

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