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

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

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

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

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 109

Medicare Accountable Care Accountability Primary Care 109

NCQA

OCTOBER 31, 2023

“ It’s a marathon, not a sprint ,” said Liz Fowler, Director at the Center of Medicare and Medicaid Innovation (CMMI), during a recent Fireside Chat with NCQA Executive Vice President Eric Schneider. And then we’re also developing an approach for certification based on quality improvement and patient experience.”

Primary Care 52

Primary Care Quality Improvement Medicaid Accountable Care 52

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 93

Primary Care Medicaid Regulations Accountability 93

Sheppard Health Law

AUGUST 11, 2023

On July 13, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued its proposed rule (the “Proposed Rule”) for the 2024 Medicare Physician Fee Schedule (“PFS”). Notably, within this overall decrease, CMS is also proposing increases for certain forms of direct patient care, including primary care.

Medicare 52

Medicare Accountable Care Primary Care Accountability 52

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 89

Medicare Accountable Care Home Care Accountability 89

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 98

Hospitals Primary Care Nursing Quality of Care 98

Healthcare It News

NOVEMBER 30, 2023

Lurie Children’s patients and families experienced disjointed scheduling and registration problems and had a limited scope of appointment availability, leading to long delays in care. The aforementioned functionalities were the tools used by patients to effectively engage with staff as their care providers in a variety of modalities.

Hospitals 203

Hospitals Primary Care Integration Accountability 203

NASHP

JANUARY 19, 2024

Applicant states must identify a lead agency, which may be the Medicaid, public health, state insurance, or other agency with rate setting or budget authority. States may submit a joint application, but a lead agency must be identified that is ultimately accountable for the model. Will the answer differ for model components?

Primary Care 59

Primary Care Medicaid Population Health Hospitals 59

NASHP

MARCH 22, 2024

State Medicaid programs, behavioral health authorities, public health, departments of insurance, human and social service agencies, departments of education, departments of corrections, housing, and employment can collaborate to align overlapping efforts, align policies, and braid funding and accountability mechanisms.

Accountability 52

Accountability Medicaid Primary Care Quality Improvement 52

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 96

Urgent Care Hospice Care Accountability Accountable Care 96

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 66

Accountability Medicare Home Care Quality of Care 66

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

HIT Consultant

OCTOBER 31, 2023

What You Shoud Know: – Medicaid prospective payment rate for Michigan’s federally qualified health centers (FQHCs) has not kept pace with the actual costs incurred to provide healthcare, resulting in a substantial reimbursement gap of $97.95 and indirect costs rising by 26.2%.

Medicaid 52

Medicaid Primary Care Prevention Medicare 52

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 109

Primary Care Doctors Home Care Nursing 109

HIT Consultant

FEBRUARY 10, 2022

What You Should Know: – Today, Signify Health announced it has reached an agreement to acquire Caravan Health , a leader in enabling accountable care organizations (ACOs) to succeed in value-based care payment. Together, the companies form one of the largest networks of at-risk providers in the U.S.

Accountable Care 52

Accountable Care Primary Care Accountability Medicare 52

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

Sheppard Health Law

SEPTEMBER 11, 2023

On August 14, 2023, the Centers for Medicare & Medicaid Services (CMS) released guidance on changes to the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model starting in performance year 2024 (PY2024). The changes came about in response to stakeholder and participant feedback.

Medicare 52

Medicare Accountable Care Medicaid Accountability 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. million Medicaid participants. Executive Summary.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

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.

Primary Care 52

Primary Care Health Science Accountable Care Hospitals 52

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

Sheppard Health Law

NOVEMBER 2, 2023

According to the Congressional Research Service, which analyzed data from the Centers for Medicare & Medicaid Services (“CMS”) National Health Expenditure Accounts (“NHEA”) on the personal health expenditures for LTSS by payer, in 2021, an estimated $467.4 trillion spent on personal health care. [3] This represents 13.2%

Medicaid 52

Medicaid Medicare Accountability Nursing 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 90

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

Accountability 81

Accountability Medicare Accountable Care Primary Care 81

NASHP

MARCH 22, 2024

In addition to expanding Medicaid, North Carolina’s FY2024 budget allocates over $835 million for mental health and substance abuse investments under Medicaid. They focus on crucial areas such as managed care contracting, achieving coverage parity, and enhancing workforce capacity to improve both quality and access to care.

Medicaid 52

Medicaid Urgent Care Primary Care Hospitals 52

HIT Consultant

JULY 18, 2022

Additionally, with this certification, Canvas customers are now eligible for value-based payment models in Medicare and Medicaid programs, as well as many commercial value-based programs. ” Since launching its self-serve suite of developer tools last fall, Canvas has seen more than 300% growth in customer accounts.

Patient Experience 52

Patient Experience Primary Care Medicaid Medicare 52

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

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 82

Accountable Care Primary Care Accountability Medicaid 82

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 Accountable Care Medicare 98

Home Health Care

FEBRUARY 10, 2022

The company signed an agreement to acquire Caravan Health, an accountable care organization (ACO) manager, for the price tag of $250 million. “It That’s what our company does for Medicare Advantage (MA) plans, Medicaid Managed care organizations and provider organizations involved in total risk contracts.”.

Accountable Care 57

Accountable Care Medicare Accountability Medicaid 57

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 83

Primary Care Medicare Accountable Care Population Health 83

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

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

HIT Consultant

FEBRUARY 3, 2022

The funding announcement comes on the heels of ConcertoCare acquiring home-based primary care practice Crown Health. The teams also use a range of connected devices, and the data they generate, to help people manage their conditions and to optimize care delivery. population accounted for half of healthcare expenditures in 2018.

Home Care 52

Home Care Primary Care Population Health Medicare 52