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

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

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 113

Medicare Accountable Care Accountability Primary Care 113

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 Primary Care Medicare 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 93

Medicare Accountable Care Home Care 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

FEBRUARY 24, 2022

Centers for Medicare & Medicaid Services (CMS) made an announcement late Thursday that some providers and associations have been waiting for. It’s one that offers a glimpse into how the agency will operate during the remainder of President Biden’s term – and one that will have an immediate impact on some home-focused care providers.

Primary Care 86

Primary Care Accountable Care Medicare Accountability 86

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 87

Medicare Primary Care Medicaid Integration 87

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

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 100

Urgent Care Hospice Care Accountability Accountable Care 100

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

Sheppard Health Law

MARCH 2, 2022

On February 24, 2022, the Centers for Medicare & Medicaid Services (CMS) announced its redesign of the Global and Professional Direct Contracting Model (GPDC), which now will be called the Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) Model.

Accountable Care 52

Accountable Care Primary Care Medicare Accountability 52

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

Accountable Care Doctors

MARCH 19, 2021

Kimura’s contributions as we chart a course toward care integration, new payment models, interoperability and transparent quality measures.”. Dr. Kimura is a practicing primary care internist with a specialization in clinical informatics.

Accountability 52

Accountability Accountable Care Primary Care Population Health 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. MCO Managed Care Organizations.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

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 86

Accountable Care Primary Care Accountability Medicaid 86

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 58

Accountable Care Medicare Accountability Medicaid 58

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 86

Primary Care Medicare Accountable Care Population Health 86

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

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.

Accountability 69

Accountability Medicare Home Care Quality of Care 69

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 93

Accountability Accountable Care Primary Care Medicare 93

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 84

Accountability Medicare Accountable Care Primary Care 84

Home Health Care

FEBRUARY 28, 2022

A new path was laid out last week for home-based care providers wishing to engage in direct contracting with the federal government. Centers for Medicare & Medicaid Services (CMS) announced Thursday , the Global and Professional Direct Contracting (GPDC) Models will expire at the end of 2022. As the U.S.

Primary Care 95

Primary Care Accountable Care Accountability Medicaid 95

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

NASHP

AUGUST 24, 2023

There are a number of strategies state health officials can use as they build sustainable access to palliative care services in their Medicaid programs. Target Populations That Could Benefit from Palliative Care Services Use data to identify Medicaid enrollees with serious illness.

Medicaid 52

Medicaid Quality Assurance Quality of Care Hospitals 52

Etactics

JANUARY 26, 2024

Send your bills to your payer, which might include private insurance companies or government programs (Medicare or Medicaid). Direct Primary Care (DPC): This model focuses on the financial relationship between providers and patients. Patients can receive a range of primary care services by paying a monthly or annual fee.

Healthcare 52

Healthcare Primary Care Medicare Healthcare Providers 52

NASHP

NOVEMBER 29, 2021

Medicaid Reimbursement. Medicaid Reimbursement. Alabama does not reimburse for CHW services through its Medicaid program. Alaska Medicaid reimburses for CHW services through MCOs as authorized under the state plan. Arizona does not currently reimburse for CHW services through its Medicaid program.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

NASHP

AUGUST 31, 2023

Interviewees shared a range of perspectives, including those of local health departments, the state’s sheriff’s association, the state medical society, community health centers, hospital and primary care associations, funders, a CBO, aging and assisted living partners, consumer advocacy groups, and legislators.

Medicaid 52

Medicaid Accountability Public Health services Population Health 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] public health, Medicaid, mental health) and other stakeholders (e.g., Training CHWs in core components of care coordination.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98