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

Health Populi

NOVEMBER 9, 2020

Over one-half of Americans would likely use virtual care for their healthcare services, and one in four people would actually prefer a virtual relationship with a primary care physician, according to the fifth annual 2020 Consumer Sentiment Survey from UnitedHealthcare.

Medical Services 153

Medical Services Primary Care Prevention Integration 153

HIT Consultant

FEBRUARY 22, 2022

What You Should Know: – Today, TytoCare has partnered with Alice , Brazil’s first primary care-driven health insurance plan, to expand Alice’s telehealth offerings with at-home medical examinations. Easier access to medical services can also prevent further complications and hospitalization.”.

Primary Care 98

Primary Care Integration Medical Services Hospitals 98

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. We’ve compiled the essential book for supporting integrated care, through published and validated research: 1.

Integration 98

Integration Primary Care Telemedicine Patient Experience 98

Health Populi

AUGUST 24, 2021

The elimination of health care inequities will require effective integration of health care systems with communities and the social safety net. ” Thus begins what should be must-read content for every person working in any aspect of health care in America. colonoscopy).

Ambulatory Care 139

Ambulatory Care Primary Care Medicare Prevention 139

Home Health Care

NOVEMBER 2, 2022

Obviously, there was a lot of synergy and a lot of mission alignment around what the plan was looking to do, which was building a complex medical service for seniors from their payer-provider perspective. Lifespark is a Minneapolis-based senior care provider with both home health and senior living operations.

Primary Care 87

Primary Care Home Care Medical Services Integration 87

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. The report offered 26 recommendations to address health equity and prevention, one of which integrated new models and systems of care delivery.

Prevention 125

Prevention Primary Care Medicaid Medical Services 125

Home Health Care

OCTOBER 7, 2024

The newly appointed chief operating officer, Craig Worland, brings a professional background in leading growing health organizations, having previously served in Southeast Primary Care Partners and Tanner Health System. Integrated Home Care Services Inc.

Home Care 84

Home Care Integration Primary Care Accountability 84

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

HIT Consultant

JANUARY 16, 2023

Incorporating digital health early: I believe that incorporating digital health tools earlier in the prescription process and combining digital with traditional medication therapy will increase in 2023. Anish Sebastion, CEO and Co-founder of Babyscripts. Yossi Bahagon, Chairman of Sweetch.

Patient Experience 98

Patient Experience Nursing Primary Care Prevention 98

Icanotes

JANUARY 15, 2021

These codes are meant to classify the medical services a clinician provides to evaluate patients and manage their health care. In the behavioral health field, psychiatrists may use E/M coding to bill for medication management. Primary care doctors might also use E/M coding in conjunction with mental health services.

Doctors 98

Doctors Primary Care Medicaid Medical Services 98

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.

Urgent Care 116

Urgent Care Doctors Healthcare Population Health 116

Health Populi

OCTOBER 6, 2022

Among people who had used virtual care in the past year, telehealth-as-healthcare is now part of mainstream Americans’ expectations as a normal part of their medical care. would use virtual care to receive medical services in the future, J.D. That’s because 9 in 10 users of telehealth in the U.S.

Healthcare 87

Healthcare Doctors Quality of Care Medical Services 87

Home Health Care

OCTOBER 18, 2023

“We’re working on additional expansions, likely to come in 2024, that will bring us into Washington, and a couple other states out in the Pacific Northwest,” Mike Stuart, chief growth officer at WellBe, told Home Health Care News. This is an opportunity to bring early disease detection and proactive care directly to members.”

Urgent Care 79

Urgent Care Prevention Medical Services Integration 79

NASHP

MAY 17, 2022

In response to the growing recognition of the value of investing in strategies that better serve children in or at-risk of out-of-home placement, a number of federal initiatives have emerged, resulting in significant changes to child welfare and spurring renewed efforts to better integrate care across child-serving systems. [5]

Medicaid 64

Medicaid Integration Medicare Primary Care 64

Healthcare ECONOMIST

SEPTEMBER 24, 2024

Solution to misaligned incentives: incentivize holistic care The authors provide clear examples that more holistic and integrated care can produce improved outcomes and reduce cost. The authors also argue for incentivizing integrated practice units (IPUs). However, this isolated cases do not mean that it always will.

Accountability 40

Accountability Quality Improvement Accountable Care Integration 40

Home Health Care

APRIL 26, 2022

SCAN Health Plan is a nonprofit Medicare Advantage plan that serves 270,000 members in California and the Boston-based CCA is a multi-state nonprofit integrated care system. Two health care veterans are joining VillageMD’s board of directors. Mirsky also served as the vice president of medical operations for Aetna.

Home Care 52

Home Care Medicare Primary Care Integration 52

Sheppard Health Law

JANUARY 2, 2024

Health Care Entities Under SB 184, “health care entities”, which include (i) payers , (ii) providers and (iii) fully integrated delivery systems [2] , are potentially subject to OHCA’s CMIR authority. Who is subject to the CMIR process?

Regulations 59

Regulations Healthcare Primary Care Hospitals 59

NASHP

AUGUST 5, 2024

Are there any examples of states that have taken an alternative payment approach rather than a fee-for-service billing approach for CHW services? Eligible primary care practices must engage CHWs starting in 2024. Read NASHP’s blog post to learn more about how Maine is using an APM to reimburse for CHW services.

Medicaid 52

Medicaid Primary Care Prevention Accountability 52

NASHP

MAY 1, 2023

safe sleep education for Sudden Infant Death Syndrome (SIDS) prevention) Counseling regarding postpartum recovery, family planning, and needs of a newborn Assistance for the family in establishing a primary source of care and a primary care provider (i.e. transportation and interpreter services).

Medicaid 98

Medicaid Nursing Prevention Hospitals 98

NASHP

DECEMBER 20, 2022

These coordinated state efforts, often formalized in governor’s task forces, cross-agency workgroups, and legislative commissions, are predicated on an ideological shift away from solely punitive responses and toward integrating treatment into the criminal legal system. Community Services and Prevention (Intercept 0).

Medicaid 52

Medicaid Prevention Hospitals Integration 52

Vie Healthcare

OCTOBER 20, 2021

But when I did that internship, which was in, at Lehigh Valley Health Network, and it was in the marketing, public affairs and government relations department, which is fully integrated, I really saw there was a lot of potential. is all rolled up into what ultimately is the social determinants of health. For me, it went, though, beyond that.

Healthcare 52

Healthcare Nursing Hospitals Doctors 52

Health Populi

JULY 10, 2022

The virtual/digital services people would more likely use post-pandemic would be online shopping, by far the most popular service that would persist beyond COVID, followed by video chatting with friends and family, using curbside pickup at stores and restaurants, working from home, and receiving virtual medical services — i.e., telehealth.

Healthcare 62

Healthcare Primary Care Medical Services Integration 62

NASHP

JULY 22, 2022

Olmstead: Community Integration for Everyone.” 1] West Virginia Department of Health & Human Resources, Bureau for Medical Services. 1] Centers for Medicare and Medicaid Services. Idaho Initial American Rescue Plan (ARP) Home and Community-Based Services (HCBS) Spending Plan and Narrative,” June 14, 2021.

Medicaid 105

Medicaid Rehabilitation Nursing Medicare 105

Home Health Care

DECEMBER 2, 2024

Participants highlighted the importance of using the existing workforce within rural communities, including non-hospital-based providers such as paramedics, emergency medical technicians, pharmacists and community health workers.

Telemedicine 96

Telemedicine Home Care Medicare Nursing 96