Home Health Care

MAY 15, 2022

Accountable care organizations (ACOs) have considerably increased their home-based care arsenals over recent years. They’ve also diversified the types of home-based care they offer, and are finally finding ways for it to make economic sense in capitated models. Source: Institute for Accountable Care.

Accountable Care 75

Accountable Care Accountability Primary Care Medicare 75

HIT Consultant

JUNE 2, 2022

What You Should Know: – CareMax , a tech-enabled provider of value-based care to seniors announced an agreement to acquire the Medicare value-based care business of Steward Health Care System for a combination of cash and stock. – CareMax will pay $25 million in cash and issue 23.5

Medicare 95

Medicare Primary Care Quality of Care Accountability 95

Home Health Care

OCTOBER 26, 2021

Patina Health – a primary care startup focused on delivering care in the home – announced a Series A funding round of $57 million early Tuesday. We’ve used the research we’ve done to reinvent primary care from the perspective of older adults, backwards. And I just think these plans see this as the future.”. “At

Primary Care 67

Primary Care Medicare Accountability 67

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. million Medicare fee-for-service beneficiaries are assigned to an ACO. Currently, roughly 13.2 We’d like to try it that way.’

Medicare 88

Medicare Accountable Care Home Care Accountability 88

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

NASHP

MAY 10, 2024

This blog post summarizes both the Primary Care AHEAD requirements identified by CMS and additional strategic considerations for states. Primary Care AHEAD Overview and Requirements Primary Care AHEAD is a key component of the AHEAD Model. A core aspect is a focus on alignment between payers.

Primary Care 52

Primary Care Medicaid Medicare Hospitals 52

Home Health Care

SEPTEMBER 20, 2024

The DOJ alleged that Oak Street paid kickbacks to those agents in exchange for the recruitment of seniors to its primary care clinics. Health care providers that attempt to profit from kickbacks will be held accountable,” Principal Deputy Assistant Attorney General Brian M.

Primary Care 57

Primary Care Medicare Accountability Regulations 57

Health Business Group

JULY 18, 2024

In this episode, we dive deep into this pressing question with Dr. Mohamed Diab , president of CVS Accountable Care. Dr. Diab highlights systemic challenges, such as physician burnout and the inadequacies of primary care funding.

Accountable Care 52

Accountable Care Accountability Life Sciences Primary Care 52

Home Health Care

NOVEMBER 13, 2024

Medical Management, the home-based care company HarmonyCare raised $200 million in June. On Wednesday, it touted its success in the Accountable Care Organization (ACO) “REACH” Model, the successor to the The Global and Professional Direct Contracting Models (GPDC).

Primary Care 87

Primary Care Medicare Accountable Care Accountability 87

Home Health Care

JULY 8, 2024

The Troy, Michigan-based company is already in 15 states and cares for over 70,000 patients under Medicare Advantage (MA) plans and Medicare Accountable Care Organization (ACO) programs. It provides in-home primary care, as well as home health care, hospice care, palliative care, radiology and laboratory services.

Home Care 91

Home Care Primary Care Hospice Care Accountable Care 91

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.

Medicare 108

Medicare Accountable Care Accountability Primary Care 108

Healthcare It News

JUNE 30, 2022

For well over a decade, we've seen this challenge progressively worsen partially because we have had a relatively fixed number of graduates from medical programs since 1997, when Medicare started limiting the funding for these programs. In addition to the limited number of professionals, our population is aging and living longer.

Telemedicine 261

Telemedicine Health Data Prevention Primary Care 261

p3care

NOVEMBER 12, 2021

ACO or Accountable Care Organization is a group of doctors, hospitals, medical centers, and other healthcare providers. This unit works together to care for and look after a patient’s health. Their main goal is to improve the quality of care for patients. Primary care doctors and specialists. Accountability.

Doctors 130

Doctors Accountability Healthcare Providers Accountable Care 130

p3care

NOVEMBER 12, 2021

ACO or Accountable Care Organization is a group of doctors, hospitals, medical centers, and other healthcare providers. This unit works together to care for and look after a patient’s health. Their main goal is to improve the quality of care for patients. Primary care doctors and specialists. Accountability.

Doctors 130

Doctors Accountability Healthcare Providers Accountable Care 130

Home Health Care

NOVEMBER 1, 2023

Humana’s CenterWell brand includes home health care, primary care and pharmacy services. We are working diligently to identify clinical and operating efficiencies to offset industry headwinds, including rate reductions, declining original Medicare admissions due to increasing MA penetration and ongoing labor pressures.”

Medicare 107

Medicare Primary Care Accountability Integration 107

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

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

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

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

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”). CMS projects that the Proposed Rule will lead to growth in the Medicare Shared Savings Program (“MSSP”).

Medicare 52

Medicare Accountable Care Primary Care Accountability 52

NASHP

APRIL 29, 2024

By the fourth performance year of the model, 30 percent of Medicare fee-for-service (FFS) revenue of the state (or subregion of a state tied to the model) must be tied to a Medicare hospital global budget. This means there will be three hospital global budgets: Medicare, Medicaid, and commercial.

Hospitals 78

Hospitals Medicaid Medicare Primary Care 78

Home Health Care

DECEMBER 10, 2024

The news comes just a month after the Miami-based primary care provider filed Chapter 11 bankruptcy protections. As a company, CareMax provides primary care, specialty care and coordinated services to older adults. In 2022, CareMax acquired the Medicare value-based care business of Steward Health Care System.

Primary Care 57

Primary Care Medicare Accountable Care Accountability 57

HIT Consultant

SEPTEMBER 9, 2024

Rationing or pricing people out of the market in ways that degrade employee health and productivity only shifts costs to other economic and social accounts. These are the underpinnings of value-based care. Different Activation There are a multitude of value-based care strategies to change medical cost trends.

Primary Care 115

Primary Care Healthcare Healthcare Providers Healthcare Innovation 115

NASHP

FEBRUARY 27, 2023

During a recent virtual meeting focused on alternative payment approaches, Maine state officials detailed how the state intends to use its Primary Care Plus (PCPlus) program to reimburse for CHW services.­ Including a scan also helps the state assess practices’ needs and take their varying knowledge of CHW roles into account.

Primary Care 52

Primary Care Medicaid Care Transition Medicare 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 95

Urgent Care Hospice Care Accountability Accountable Care 95

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

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.

Medicare 83

Medicare Primary Care Medicaid Accountable Care 83

Home Health Care

MAY 19, 2023

Now, Humana is focused on accelerating value-based care and integrating all of its services that fall under the larger CenterWell brand, which includes home-based care, primary care and pharmacy services. We have partnered with organizations like Heal, which provides primary care at home.

Primary Care 79

Primary Care Medicare Integration Urgent Care 79

Home Health Care

JUNE 20, 2023

They’re a lot like unemployed people, where at some point they reach a critical point where they actually stop seeking out care because it’s so complex and challenging.” billion nonprofit Medicare Advantage (MA) organization that covers more than 270,000 members. For example, Jain believes Medicare needs a full-on makeover.

Medicare 91

Medicare Home Care Accountable Care Primary Care 91

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 80

Accountability Medicare Accountable Care Primary Care 80

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. Meanwhile, as the number of seniors aging into Medicare increases, the U.S.

Population Health 98

Population Health Medicare Medicaid Primary Care 98

HIT Consultant

APRIL 20, 2022

Since the passage of the Medicare Improvements for Patients & Providers Act in 2008, the U.S. healthcare system has been moving towards value-based care (VBC) which encourages health providers to improve care quality by reimbursing them based on successful outcomes rather than individual medical services.

Integration 98

Integration Primary Care Telemedicine Patient Experience 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

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

HIT Consultant

MAY 4, 2022

The Curana Health ACO is a value-based care program for original Medicare beneficiaries. The organization includes a medical group (Curana Health Medical Group), an operator of Medicare Advantage health plans (AllyAlign Health), and an Accountable Care Organization (Curana Health ACO).

Accountable Care 52

Accountable Care Accountability Medicare Primary Care 52

HIT Consultant

AUGUST 23, 2022

Healthcare System also continues its push to value-based care (VBC) and risk-based deals, and at- risk groups may benefit from light volumes in 2Q:22. CMS’ VBC initiatives highlights CMS’ commitment to get all traditional Medicare beneficiaries and the vast majority of Medicaid beneficiaries into an accountable care relationship by 2030.

Medicare 98

Medicare Accountable Care Medicaid Hospitals 98