HIT Consultant

DECEMBER 15, 2021

What You Should Know: – Bamboo Health announced that it has expanded its care coordination partnership with Oak Street Health intended to arm the network of value-based primary care centers (for Medicare) with an additional level of resources for managing real-time patient event notifications.

Urgent Care 52

Urgent Care Primary Care Care Transition Patient Experience 52

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

Healthcare Leadership

APRIL 24, 2023

Over the past decade we have seen more and more specialization and levels of care introduced. We now have telehealth visits, retail clinics, direct-primary-care, and more. More fragmentation = more transitions. More transitions = more issues. Naylor M, Keating SA.

Care Transition 52

Care Transition Nursing Primary Care General Practice 52

NCQA

JUNE 28, 2024

The Centers for Medicare & Medicaid Services (CMS) recently announced two major updates to Medicaid regulations. This blog will delve into their significance and key policy implications for states and managed care organizations (MCO). Implement a Quality Rating System (QRS).

Medicaid 59

Medicaid Regulations Care Transition Primary Care 59

NASHP

NOVEMBER 17, 2023

The state has pursued a range of other approaches in developing HCBS programs: It recently launched a first-in-the-nation long-term care insurance program, WA Cares Fund , which uses a half-percent payroll tax to fund a long-term care insurance option available to all working Washington State individuals, beginning in 2026.

Medicaid 64

Medicaid Nursing Primary Care Hospitals 64

NASHP

MAY 17, 2022

In 2007, 29 states provided health care services to children in child welfare through MMC. [24] managed care organizations, primary care case management, prepaid ambulatory health plans, and prepaid inpatient health plans) to serve some or all CYFC. MMC or FFS). One-time financial stipends.

Medicaid 64

Medicaid Integration Medicare Primary Care 64

NASHP

AUGUST 5, 2024

Several states have received approval from the Centers for Medicare and Medicaid Services (CMS) of Medicaid State Plan Amendments (SPAs) that authorize reimbursement for CHW services. Eligible primary care practices must engage CHWs starting in 2024. It is a primary care population-based payment (PBP) model.

Medicaid 52

Medicaid Primary Care Prevention Accountability 52

HIT Consultant

JUNE 22, 2022

With the right technology, providers can monitor patients across the continuum, identify when patients present to the ED, intervene in a timely manner, and reroute patients to a less costly level of care. In 2019 alone, and under the traditional fee-for-service model, Medicare spending on skilled nursing facilities (SNFs) averaged $27.8

Hospitals 98

Hospitals Medicare Primary Care Care Transition 98

NASHP

AUGUST 9, 2021

The Substance Abuse and Mental Health Services Administration (SAMHSA) recommends screening pregnant women for SUD in multiple settings, including the emergency department, OB/GYN visits, primary care visits, and well-child visits. [15] SBIRT) [22] in multiple health settings, including emergency rooms and pediatric primary care.

Medicaid 52

Medicaid Prevention Primary Care Hospitals 52