HIT Consultant

APRIL 11, 2023

What You Should Know: Audio-only telehealth visits for both primary care and mental health services remained common at safety net clinics in California since the start of the COVID-19 pandemic, according to a new RAND Corporation study. Key findings of the report include: The number of primary care visits increased by 8.5%

Primary Care 96

Primary Care Medicaid Quality of Care Accountability 96

Health Populi

FEBRUARY 18, 2020

Chartis found nine of these to be most important in predicting closure: average age of the plant, case mix index, government control status, percentage capital efficiency, percentage change total revenue, percentage occupancy, percentage outpatient revenue, system affiliation, and state-level Medicaid expansion status.

Hospitals 109

Hospitals Medicaid Primary Care Secondary Care 109

NASHP

DECEMBER 7, 2022

State Strategies to Support the Future of the Primary Care Physician and Nursing Workforce December 7, 2022 / by Elaine Chhean , Anita Cardwell , Lauren Block (Aurrera Health Group), and Sarah Tocher (Aurrera Health Group). High-quality primary care is foundational to a healthy society and well-functioning health care systems.

Primary Care 72

Primary Care Nursing Prevention Hospitals 72

Home Health Care

DECEMBER 23, 2022

Although CityBlock may not be the first and only provider to think differently about episodic care and value-based payment models, the company is making noise in the home-based care space and wants to keep growing. “In Our founders really focused on how to take care of the whole patient, not just episodically.

Primary Care 105

Primary Care Medicaid Regulations Accountability 105

Home Health Care

JULY 5, 2022

Hospital readmissions are regularly viewed as an indicator of the quality of care patients receive. The Centers for Medicare & Medicaid Services (CMS) calculates annual readmission rates, and if those rates are higher than national averages, hospitals are financially penalized.

Hospitals 105

Hospitals Primary Care Nursing Quality of Care 105

Home Health Care

FEBRUARY 8, 2024

This article is a part of your HHCN+ Membership Home-based care providers avoiding the shift to value-based care are running out of time and excuses. Home health providers are already under the Home Health Value-Based Purchasing (HHVBP) Model, which is, by definition, a value-based care model. “In

Medicare 122

Medicare Accountable Care Accountability Primary Care 122

NASHP

DECEMBER 10, 2021

The information on this map comes from a 50-state survey of a variety of stakeholders, ranging from Medicaid officials to Community Health Workers, on their states’ approaches?to?integrating?CHWs ACO Accountable Care Organizations. CBCM Community Based Care Management Program. MHP Medicaid Health Plans.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

Home Health Care

APRIL 5, 2022

When Walgreens Boots Alliance (Nasdaq: WBA) invested $1 billion into VillageMD , it was largely viewed as a way for Walgreens to enhance its primary care approach, especially in underserved communities. And then we also made an investment in CareCentrix that really focuses the post-acute care episode of a patient’s journey.”.

Primary Care 111

Primary Care Doctors Home Care Nursing 111

Home Health Care

NOVEMBER 7, 2023

Centers for Medicare & Medicaid Services (CMS) has stated its objective to enroll all of its Medicare beneficiaries in accountable care relationships by 2030. Currently, roughly 13.2 million Medicare fee-for-service beneficiaries are assigned to an ACO. The company is a participant in the ACO REACH Model , for example.

Medicare 114

Medicare Accountable Care Home Care Accountability 114

NASHP

FEBRUARY 27, 2023

As states are seeking sustainable financing models and partnerships that offer continued support for the CHW services beyond the COVID-19 pandemic, many are exploring Medicaid reimbursement models. The goal of the PCPlus initiative is to provide primary care practices with more flexibility in care delivery while reducing inefficiencies.

Primary Care 52

Primary Care Medicaid Care Transition Medicare 52

NASHP

FEBRUARY 17, 2025

As detailed in KFFs 20232024 Medicaid budget survey , around 32 states in FY 2023 raised rates for behavioral health services, followed by 34 states in FY 2024, with 26 states planning further increases in FY 2025. percent increase in billing for certain SUD procedure codes (H0015 and H0035). percent to 72.3

Medicaid 52

Medicaid Rehabilitation Hospitals Telemedicine 52

NASHP

APRIL 29, 2024

The model also requires Medicaid to establish a hospital global budget for participating hospitals for the first performance year of the model. This means there will be three hospital global budgets: Medicare, Medicaid, and commercial.

Hospitals 78

Hospitals Medicaid Medicare Primary Care 78

Accountable Care Doctors

MARCH 19, 2021

The Council of Accountable Physician Practices (CAPP), a coalition of visionary medical groups and health systems supporting accountable value-based care, has added Joe Kimura, MD, MPH, to its board of directors. Dr. Kimura is a practicing primary care internist with a specialization in clinical informatics.

Accountability 52

Accountability Accountable Care Primary Care Population Health 52

Home Health Care

FEBRUARY 25, 2025

Our navigation team actively engages with the client’s primary care and specialty providers, making referrals to specialists. We aim to involve their holistic care team, providers, and family or we make necessary referrals. This plan serves participants in Arizonas Medicaid program, AHCCCS.

Home Care 40

Home Care Medicaid Hospitals Primary Care 40

Home Health Care

SEPTEMBER 15, 2023

According to her LinkedIn, the roles she held at Steward Health Care include: COO; EVP of operations; SVP of corporate operations; SVP and chief of staff; VP of operations and strategic initiatives, senior director of primary care and medical specialties; and director of practice operations.

Urgent Care 115

Urgent Care Hospice Care Accountability Accountable Care 115

NASHP

MAY 17, 2022

How State Medicaid Programs Serve Children and Youth in Foster Care May 17, 2022 / Veronnica Thompson. Children and youth in foster care (CYFC) often benefit from targeted services and supports. Yet, many receive fragmented or limited access to care, contributing to higher rates of unmet health needs. [1]

Medicaid 64

Medicaid Integration Medicare Primary Care 64

Home Health Care

FEBRUARY 1, 2023

After the Centers for Medicare & Medicaid Services (CMS) released a final rule that poses sizable risk to its Medicare Advantage business, Humana Inc. Medicare President George Renaudin is also now going to lead Humana’s Medicaid efforts. NYSE: HUM) leaders insisted panic was not necessary. The company also announced new leaders.

Medicare 98

Medicare Primary Care Medicaid Accountable Care 98

Sheppard Health Law

OCTOBER 27, 2021

On October 20, 2021, the Centers for Medicare and Medicaid (“ CMS ”) Innovation Center (“ Innovation Center ”) published a white paper detailing its vision for the next ten years: a health system that achieves equitable outcomes through high quality, affordable, person-centered care. Strategic Objective 1: Drive Accountable Care.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

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

Accountability 98

Accountability Medicare Accountable Care Primary Care 98

Health Populi

JULY 13, 2020

health care financing regime of volume-based payment didn’t fare well as millions of patients postponed or cancelled procedures and visits for fear of contracting the virus in the halls, offices and clinics of hospitals and doctor’s offices. Driving efficiency and accountability. In other words, the U.S. Crowe LLC estimated that U.S.

Primary Care 110

Primary Care Medicare Accountability Hospitals 110

NASHP

AUGUST 5, 2024

CHWs are key to engagement, care coordination, and increasing access to clinical and support services for Medicaid enrollees from their communities. As such, states increasingly are pursuing Medicaid reimbursement options as part of a comprehensive CHW service financing approach, which is currently reliant on expiring grant programs.

Medicaid 52

Medicaid Primary Care Prevention Accountability 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.

Accountability 98

Accountability Accountable Care Primary Care Medicare 98

Home Health Care

OCTOBER 8, 2024

The care coordination program depends on caregivers submitting weekly observations and reporting any changes in client conditions. This tool includes 24 questions about the home environment and access to eligible benefits and services. “The

Prevention 115

Prevention Hospitals Home Care Primary Care 115

HIT Consultant

AUGUST 5, 2022

Policymakers are recognizing the need for payers to increase coverage and reimbursement for integrated behavioral health services, which entails primary care and behavioral health collaboration, to achieve better clinical and cost outcomes along with a healthier workforce.

Life Sciences 98

Life Sciences Telemedicine Healthcare Biotechnology 98

Home Health Care

AUGUST 5, 2022

Exiting the Centers for Medicare & Medicaid Services’ (CMS) Bundled Payments for Care Improvement-Advanced (BPCI-A) program is another reason for the shift in strategy. This tracks, as Signify continues to see momentum when it comes to its HCS business.

Accountable Care 98

Accountable Care Primary Care Accountability Medicaid 98

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.

Accountability 84

Accountability Medicare Home Care Quality of Care 84

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.

Accountability 98

Accountability Medicaid Medicare Accountable Care 98

Home Health Care

AUGUST 8, 2022

CVS Health has been overt about its efforts to reach further into the home; it has been targeting traditional home health agencies, and it was reportedly interested in primary care provider One Medical (Nasdaq: ONEM). Both companies have been in the news spotlight of late. Amazon (Nasdaq: AMZN) agreed to acquire One Medical for $3.9

Primary Care 98

Primary Care Medicare Accountable Care Population Health 98

HIT Consultant

APRIL 20, 2022

Hospitals report the data to the Centers for Medicare & Medicaid Services (CMS), which uses that data to create the Overall Hospital Quality Star rating for each hospital. Rating is based on five areas: mortality, safety of care, readmission, patient experience, and timely/effective care.

Integration 98

Integration Primary Care Telemedicine Patient Experience 98

NASHP

APRIL 17, 2023

1],[2] Nearly all state Medicaid programs are working to improve maternal health through early identification of depression during well-child visits and connecting mothers to follow-up services, as depicted in NASHP’s updated Medicaid Policies for Caregiver Depression Screening during Well-Child Visits by State.

Medicaid 52

Medicaid Prevention Primary Care Accountability 52

HIT Consultant

AUGUST 23, 2022

The Center for Medicare and Medicaid Services (CMS) is leading the charge in value-based-care, with recent updates, including the CY 2023 Medicare Advantage Rate Notice to its CY 2023 Physician Fee Schedule (PFS) Proposed Rule. VillageMD has 315 clinics as of the end of F3Q:22 in which 120 are co-located within Walgreens’ pharmacies.

Medicare 98

Medicare Accountable Care Medicaid Hospitals 98

Home Health Care

OCTOBER 7, 2024

Taking on Frette’s former role as CFO, Chad Derner will manage Accra’s accounting and billing departments, oversee all financial activities and operations and provide strategic guidance to leadership. Derner joins Accra with 25 years of experience in finance and accounting, the last 16 of which have been in leadership. “I

Home Care 105

Home Care Integration Primary Care Accountability 105

NASHP

DECEMBER 8, 2023

A Focus on Primary Care Colorado enacted legislation to cement the state’s r egional health connector program within the Department of Public Health and Environment with budget support.

Primary Care 59

Primary Care Medicaid Medicare Hospitals 59

HIT Consultant

OCTOBER 11, 2024

Neena Patel, MHA, CSM, VP of Client Success at Chordline As population health initiatives for Medicare and Medicaid members pick up steam, one of the biggest obstacles to care transformation remains a lack of trust among healthcare’s key stakeholders. She has over 13 years of experience in healthcare both client-facing and operations.

Population Health 98

Population Health Medicare Medicaid Primary Care 98

Sheppard Health Law

DECEMBER 12, 2022

The Centers for Medicare & Medicaid Services (CMS) Innovation Center continues to move forward with its “strategic refresh” initiative. Through this shift, CMS aims to examine and enhance payments for specialty care provided to Medicare beneficiaries. Value-Based Care and ACOs.

Accountable Care 52

Accountable Care Accountability Medicare Primary Care 52

Home Health Care

AUGUST 15, 2021

Centers for Medicare & Medicaid Services (CMS) are again touting the Home Health Value-Based Purchasing (HHVBP) Model as one of the agency’s most successful programs ever. CMMI was created through the Affordable Care Act in 2010. Officials from the U.S. Doing so would allow patients to utilize appropriate home-based services.

Medicare 85

Medicare Medicaid Quality of Care Primary Care 85

Health Blawg

FEBRUARY 19, 2018

The comapny enables real time coordination of value-based care delivery across providers by simplifying reporting by providers to payors and making resources available to providers to address patient needs. Health Care Law and Consulting. David Harlow. The Harlow Group LLC. You should follow me on Twitter: @healthblawg.

Healthcare 113

Healthcare Population Health Healthcare Innovation Accountability 113