Home Health Care

OCTOBER 11, 2023

Humana is a health insurance company that operates one of the largest Medicare Advantage plans in the U.S. It is also a provider organization through its CenterWell arm, which includes home health care, pharmacy and primary care services. Our health care system is very reactive,” she said.

Primary Care 101

Primary Care Urgent Care Hospitals Integration 101

HIT Consultant

NOVEMBER 2, 2022

Connecting Members With Primary Care Doctors That Provide Longitudinal Care. HealthTap is a nationwide virtual primary care provider, delivering quality primary care affordably to all Americans, whether or not they have good insurance.

Primary Care 52

Primary Care Doctors Medicare Population Health 52

HIT Consultant

JANUARY 9, 2024

What You Should Know: – Buckeye Health Plan and Cityblock are teaming up to provide integrated, community-based care to approximately 10,000 underserved Medicaid recipients in the Cleveland-Akron-Canton area.

Medicaid 64

Medicaid Primary Care Integration Prevention 64

Health Populi

AUGUST 22, 2022

And that data will be generated from many sources, frequently siloed and decentralized which can prevent aggregation, mash-up, and analysis. In particular, the volume of health data from wearables, implantables, and other decentralized technologies is growing by 48% annually, according to a recent report from the Swiss Re Institute.

Life Sciences 117

Life Sciences Secondary Care Prevention Primary Care 117

NCQA

NOVEMBER 20, 2023

NCQA seeks candidates who embody Phyllis’ passion for health care quality research and policy. Primary care. Preventive care. Maternal health. Behavioral health. Health care disparities. Value-based care and payment. Telehealth and health information technology.

Primary Care 97

Primary Care Population Health Prevention Accountable Care 97

Home Health Care

OCTOBER 7, 2022

The Palm Springs, California-based Desert Oasis Healthcare is an integrated care delivery model comprising a medical group and an Independent Practitioner Association. Like many organizations, Desert Oasis Healthcare has a primary care provider shortage.

Healthcare 94

Healthcare Primary Care Integration Population Health 94

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

NASHP

MARCH 22, 2024

It presents state examples and key considerations for state officials via an organizing framework broken down by major components of the delivery system (from primary care to community-based and home-based services and supports) and reflecting essential principles for a modern system.

Urgent Care 64

Urgent Care Integration Medicaid Primary Care 64

Healthcare It News

SEPTEMBER 23, 2022

Population health management has become an important competency for hospitals and health systems. What are some of the challenges facing successful population health management programs today? More and more organizations are looking for ways to improve the health of the populations they serve.

Population Health 231

Population Health Primary Care Telemedicine Prevention 231

Health Dialog

FEBRUARY 2, 2016

Population Care Managers (PCMs) are registered nurses who are specially trained in behavior change , coaching techniques, decision support , population health management , and how to interpret and use analytic tools to drive primary care practice and ACO transformation. Population Health Management.

Population Health 40

Population Health Primary Care Accountable Care Doctors 40

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

Healthcare It News

JUNE 9, 2022

Primary care in the U.S. On one hand, the value of primary care physicians has never been higher. The evidence of that is in the tens of billions of dollars of investment in healthcare – more than $39 billion invested in the sector last year alone, with a notable focus on primary care.

Primary Care 276

Primary Care Prevention Urgent Care Nursing 276

Healthcare It News

DECEMBER 7, 2023

For example, AI is increasingly being used by provider organizations to develop personalized risk profiles for certain diseases based on family history, genetic and biomarker mapping, social influences, as well as activities and behaviors that may have emerged since the interaction with the care team/provider.

Patient Experience 289

Patient Experience Prevention Hospitals Primary Care 289

HIT Consultant

FEBRUARY 7, 2024

Empowering Individuals with Complex Needs The Cityblock Care Model from Cityblock University on Vimeo. Cityblock’s unique care model connects members to a dedicated team of healthcare professionals, including primary care providers, behavioral health specialists, community health partners, nurse care managers, and more.

Primary Care 52

Primary Care Medicaid Nursing Prevention 52

Healthcare It News

JANUARY 24, 2022

One of the next big shifts in patient care will be precision medicine will be "an emerging approach for disease treatment and prevention that takes into account individual variability in genes, environment and lifestyle for each person," as the Precision Medicine Initiative describes it. A lot of new challenges.

Prevention 289

Prevention Remote Care Hospitals Life Sciences 289

Health Populi

SEPTEMBER 8, 2020

Health Populi’s Hot Points: What Senator Paul Wellstone advocated for and knew way back in 2000 was that mental health is just part of health, and needed to be embedded into primary care and the U.S. health care system in terms of workflow and payment parity.

Primary Care 137

Primary Care Prevention Integration Hospitals 137

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

HIT Consultant

NOVEMBER 10, 2022

hours/ day to serve their patients if they followed the national recommended guidelines for preventive and chronic care. They are all trying to tackle this issue of broader access by launching new primary care models and virtual services. First, mental health should not be seen as some adjunctive problem to solve.

Telemedicine 98

Telemedicine Population Health Integration Healthcare 98

Health Populi

APRIL 12, 2024

have still not returned to usual care , some delays due to cost and some postponing needed care due to concerns about exposure to viral risks. The latest research notes that the volume of preventive screenings in the U.S. Health care happens everywhere. Many patients in the U.S. It is a critical time for the U.S.

Doctors 83

Doctors Hospitals Prevention Population Health 83

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. The post Post-Pandemic, U.S.

Urgent Care 116

Urgent Care Doctors Healthcare Population Health 116

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 integrating?CHWs ACO Accountable Care Organizations. CBCM Community Based Care Management Program. SPA State Plan Amendment.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

Accountable Care Doctors

NOVEMBER 9, 2020

Learnings from COVID-19 must drive major changes in health care delivery, according to interviews conducted with physician leaders of the nation’s leading multi-specialty medical groups and health systems that participate in the Council of Accountable Physician Practices (CAPP). Invest in Primary Care and Prevention.

Accountability 52

Accountability Remote Care Primary Care Integration 52

NASHP

OCTOBER 20, 2022

The “National Forum on Advancing High-Quality, Equitable Care Coordination for Children and Youth with Special Health Care Needs” centered on two key topics for improving care coordination systems for CYSHCN: integrated care coordination and the care coordination workforce.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

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. ii] Rural areas are highly likely to suffer from shortages of primary care and other providers.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

Health Populi

NOVEMBER 3, 2021

For hospitals and health systems, better integration and interoperability with coordinated care, improved efficiency, and enabling new models of care delivery (esp. However, there remain several key barriers preventing the full use of digital health, the PHTI group identified. Health care workforce training.

Population Health 62

Population Health Prevention Hospitals Integration 62

Sheppard Health Law

OCTOBER 27, 2021

In addition, only four models met the requirements to be expanded in duration and scope: Home Health Value-Based Purchasing Model; Pioneer ACO Model; Repetitive, Prior Authorization of Repetitive, Schedule Non-Emergent Ambulance Transport Model; and Medicare Diabetes Prevention Program Expanded Model. FOOTNOTES. [1]

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

NASHP

NOVEMBER 29, 2021

This map highlights state activity to integrate CHWs into evolving health care systems in key areas such as financing, education and training, certification, and state definitions, roles and scope of practice. Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

Home Health Care

NOVEMBER 12, 2021

We have folks looking at population health, cutting through diagnoses and understanding if it’s post-acute, pre-acute. Then the RN can apply certain interventions to prevent a condition from exacerbating and leading to an emergency room or a hospital admission. Murphy: I want to get your take on the role of technology.

Home Care 84

Home Care Medicaid Primary Care Hospitals 84

Health Populi

JANUARY 31, 2018

This has prevented them from being embraced and adopted for patients’ use by the medical profession, which has seen a plethora of patients wear activity trackers generating data that has been questioned in peer-reviewed studies.

Doctors 81

Doctors Prevention Healthcare Accountability 81

Healthcare It News

JUNE 30, 2022

These tools can be made more effective by integrating into existing workflows in a way that allows scalability of a provider's time. Technology also can support more sophisticated tasks, such as the synthesis of health data with AI software so physicians don't have to wade through extraneous details for the essential information.

Telemedicine 281

Telemedicine Health Data Prevention Integration 281

NASHP

AUGUST 31, 2023

Figure 1 displays a consolidated overview of the “Framework for Public Health-Health Care System Collaboration.” A precondition of sustaining these partnerships is sustained investment in state and local public health capacity.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

HIT Consultant

JANUARY 10, 2024

Pre-screening symptoms Functional self-service surveys and symptom guides integrated with appointment scheduling help patients assess the severity of their symptoms. This can also prevent vulnerable patients from waiting too long to get help, thus, reducing the occurrence of deadly emergencies.

Urgent Care 98

Urgent Care Nursing Hospitals Doctors 98

HIT Consultant

APRIL 25, 2024

As President of Value-Based Care (VBC) for Conifer Health Solutions, Mary Bacaj is responsible for leading the company’s business unit that delivers population health management and financial risk management services to more than 250 organizations. About Mary Bacaj, Ph.D.

Nursing 91

Nursing Urgent Care Healthcare Finance Population Health 91

Accountable Care Doctors

OCTOBER 21, 2020

The 31 multi-specialty medical groups and integrated health systems that are part of the Council of Accountable Physician Practices (CAPP), their 85,000 physicians, and hundreds of thousands of staff are at the forefront of the battle for their patients’ lives.

Primary Care 59

Primary Care Integration Remote Care Population Health 59

Health Care Leader News

DECEMBER 14, 2022

The challenge now is to use that learning in our ‘business as usual’ model to enable better care. Integrated Care Boards (ICBs) are tasked with the achieving the Triple Aim of improving patient experience, population health and value for money. Quality over speed.

Healthcare 94

Healthcare Primary Care Population Health Patient Experience 94

NCQA

MARCH 22, 2023

Adding the Population Health Roadmap for Chronic Kidney Disease to our Kidney Health Toolkit means there’s a fifth free resource from NCQA to help manage chronic kidney disease (CKD) or end-stage renal disease (ESRD). Slowing or preventing disease progression is possible if the disease is treated early. Somatus, Inc. “In-the-Field

Primary Care 52

Primary Care Population Health Pharmaceuticals Accountable Care 52

Health Care Leader News

DECEMBER 14, 2022

The challenge now is to use that learning in our ‘business as usual’ model to enable better care. Integrated Care Boards (ICBs) are tasked with the achieving the Triple Aim of improving patient experience, population health and value for money. But as we have learnt from the pandemic, data saves lives.

Healthcare 52

Healthcare Primary Care Population Health Patient Experience 52