Home Health Care

JULY 14, 2023

Additional highlights The number of patients served by Optum under fully accountable value-based care arrangements grew by more than 900,000 year-over-year. Patients also experienced reduced wait times for follow-up primary care visits. But probably not much more to say today.”

Accountability 70

Accountability Accountable Care Medicare Primary Care 70

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. WHCC panelists were Stephen Parodi, M.D. Employers and providers find common goals.

Primary Care 52

Primary Care Integration Quality of 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. WHCC panelists were Stephen Parodi, M.D. Employers and providers find common goals.

Primary Care 52

Primary Care Integration Quality of Care Accountability 52

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. CDC Centers for Disease Control and Prevention. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. RAE Regional Accountable Entity. Acronym Guide. SPA State Plan Amendment.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

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.

Primary Care 52

Primary Care Integration Doctors Accountability 52

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.

Primary Care 52

Primary Care Integration Doctors Accountability 52

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. The primary objective for any ACO or at-risk provider is to deliver value-based care and reduce wasteful spending.

Population Health 40

Population Health Primary Care Accountable Care Doctors 40

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.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

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.

Accountability 52

Accountability Remote Care Primary Care Integration 52

NASHP

NOVEMBER 29, 2021

The Department of Health Care Policy and Financing (the Medicaid program administrator) does not specifically require the Regional Accountable Entities (RAEs), care coordinating entities contracted with Colorado’s Medicaid program, or other managed care entities to cover CHW services, nor does the Department pay for CHW services under FFS.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

NASHP

OCTOBER 20, 2022

Partnerships are strongest when they are based on a collective impact model, focusing on a common vision and developing shared accountability. 18] This study involved collaboration with accountable care organizations, MCOs, the state Medicaid agency, community-based organizations, and other stakeholders.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

NASHP

AUGUST 31, 2023

State leaders play a critical role in convening key internal and external partners, implementing engagement and input processes that foster shared ownership and accountability toward goals at the state and community levels. A precondition of sustaining these partnerships is sustained investment in state and local public health capacity.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

Accountable Care Doctors

OCTOBER 21, 2020

The COVID-19 pandemic has upended health care in America, and as of this writing, is still raging on. A quick snapshot reveals how decades-long investments by CAPP groups to better integrate their care delivery systems is paying off. The patient experience also significantly improves when care is coordinated versus delivered piecemeal.

Primary Care 59

Primary Care Integration Remote Care Population Health 59

NCQA

MARCH 22, 2023

Four Roadmap Landmarks The Roadmap is organized around four “landmarks”—key steps on the path to better CKD care. Slowing or preventing disease progression is possible if the disease is treated early. Center care on patients. Identify patients with CKD.

Primary Care 52

Primary Care Population Health Pharmaceuticals Accountable Care 52

NASHP

AUGUST 24, 2023

Blue Shield offers a range of palliative care services, including: Value-based purchasing: Over the past decade, state Medicaid agencies have designed and implemented a range of initiatives focused on value, using payment to incentivize provider behaviors that can reduce unnecessary care and improve outcomes.

Medicaid 52

Medicaid Quality Assurance Quality of Care Hospitals 52