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. million Medicaid enrollees.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

GoMoHealth

OCTOBER 20, 2022

This led me to GoMo Health, where we create, activate and scale these improvements daily. While most managed care organizations go to great lengths to comply with Medicaid and Medicare mandates, many are still struggling to meet their goals. Ability to Foster Trust within Community-Based Organizations and Providers.

Quality Improvement 87

Quality Improvement Medicaid Population Health Medicare 87

HIT Consultant

SEPTEMBER 18, 2023

Michael Pattwell, Principal Business Advisor, Value-Based Care, Edifecs While the need to address social determinants of health (SDOH) is definitely not new, 2023 marks the first year SDOH is codified into national and statewide value-based payment program mandates.

Accountability 88

Accountability Population Health Medicaid Accountable Care 88

HIT Consultant

NOVEMBER 2, 2023

Collaboration aims to drive coordinated care and improve quality while reducing costs NS-EEH will strengthen its clinically integrated network (CIN) by incorporating Lumeris’ population health data platform into its value-based care strategy.

Accountable Care 52

Accountable Care Population Health Accountability Medicaid 52

Accountable Care Doctors

MARCH 19, 2021

His expertise in medicine, population health, and clinical informatics will be valuable in our movement towards accountability in health care. Atrius Health is a progressive system that is well on its way in this journey.

Accountability 52

Accountability Accountable Care Primary Care Population Health 52

Home Health Care

FEBRUARY 10, 2022

Signify Health Inc. The company signed an agreement to acquire Caravan Health, an accountable care organization (ACO) manager, for the price tag of $250 million. “It The company partners with both health plans and health systems to deliver various types of care to patients in their homes.

Accountable Care 57

Accountable Care Medicare Accountability Medicaid 57

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.

Primary Care 52

Primary Care Quality Improvement Medicaid Accountable Care 52

Home Health Care

AUGUST 8, 2022

It announced in July that it would be leaving the Centers for Medicare & Medicaid Services’ (CMS) Bundled Payments for Care Improvement-Advanced (BPCI-A) program due to adjustments from CMS on trend calculations. It conducted 624,000 of those in the second quarter alone. As of recently, Signify’s business has materially changed.

Primary Care 82

Primary Care Medicare Accountable Care Population Health 82

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

MAY 10, 2024

Primary Care AHEAD is designed to be tailored to states’ primary care goals within their Medicaid programs, while aligning these goals with Medicare’s primary care strategy that incorporates investments from Medicare. A core aspect is a focus on alignment between payers.

Primary Care 52

Primary Care Medicaid Medicare Hospitals 52

NASHP

OCTOBER 20, 2022

This substandard access to quality care can lead to poor health outcomes.[6]. have a special health care need, and an estimated 44 percent of CYSHCN are enrolled in Medicaid.[7] In June 2022, NASHP convened a national forum with state health officials (e.g., Nearly 20 percent of children in the U.S.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

NASHP

JULY 11, 2022

Although efforts to modernize and strengthen public health systems pre-date COVID-19, the pandemic revealed new urgency and opportunities for states to invest in public health infrastructure and craft new approaches advancing population health goals.

Medicaid 52

Medicaid Population Health Prevention Accountability 52

NASHP

AUGUST 31, 2023

Figure 1 displays a consolidated overview of the “Framework for Public Health-Health Care System Collaboration.” Specific examples taken from a variety of states will be examined in greater detail throughout the toolkit. One example is Live Well San Diego.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

NASHP

NOVEMBER 29, 2021

Development and ongoing updates of the State Community Health Worker Models Map would not be possible without the generous support of the Robert Wood Johnson Foundation and the National Center for Healthy Housing. Medicaid Reimbursement. Medicaid Reimbursement.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

HIT Consultant

JANUARY 22, 2024

What You Should Know: – The Centers for Medicare & Medicaid Services (CMS) has taken a bold step towards improving care for individuals with both mental health conditions and substance use disorders (SUD), announcing the “ Innovation in Behavioral Health (IBH)” Model.

Medicaid 97

Medicaid Quality of Care Integration Medicare 97

NASHP

MAY 8, 2023

Through the strike force, Ohio leveraged community feedback from virtual community forums, town hall meetings, and a community needs assessment performed by the Ohio State University College of Public Health, pairing equity goals (better health outcomes for communities of color) with equity-based processes aimed to transform the health system.

Medicaid 52

Medicaid Accountability Integration Accountable Care 52