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. However, as of 2018, 13 states still delivered services through PCCM programs to about 5.5

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

HIT Consultant

APRIL 20, 2022

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. Impact of Behavioral Health Treatment On Total Cost of Care: An Evernorth Analysis.

Integration 98

Integration Primary Care Telemedicine Patient Experience 98

HIT Consultant

FEBRUARY 23, 2024

What You Should Know: Bridges Health Partners LLC (Bridges) , a Clinically Integrated Network, and Highmark Blue Cross Blue Shield (Highmark) entered into a multi-year Value-Based Agreement for Highmark’s Commercial membership in Western Pennsylvania. Established in 2017 through a collaboration between Independence Health System, St.

Urgent Care 52

Urgent Care Hospice Care Integration Primary Care 52

Health Populi

AUGUST 24, 2021

As an important example, the COVID-19 pandemic has demonstrated that, for instance, despite widespread availability of free vaccines, there are continued inequities in vaccine coverage, which perpetuates COVID-19–related health inequities. This research looked at enrollment in Medicare Advantage plans compared with traditional Medicare.

Ambulatory Care 139

Ambulatory Care Primary Care Medicare Prevention 139

Health Populi

JUNE 27, 2022

Health Populi’s Hot Points: Castlight examined the commercial medical claims even more granularly, looking into differences between higher-income workers compared with lower-income communities.

Prevention 125

Prevention Primary Care Medicaid Medical Services 125

Health Populi

JUNE 8, 2021

These include the use of online patient portals (for 57% of clinicians) along with digital devices and mobile apps that integrate with the EHR as well as health patients manage their health in self-care mode, shown in the bar chart labeled Figure 7. population health burden.

Urgent Care 116

Urgent Care Doctors Healthcare Population Health 116