This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
idea of value-based care. You just said, you know, when we started looking at value-based care more broadly on the population-side populationhealth, like how do we keep people out of the hospital? You have people that are, it's hard to get care anyway. Stewart Gandolf So let's talk about that a little bit.
The company says that 3,000 healthcare organizations are already using Uber Health for transportation to primarycare appointments and accessing critical prescriptions. Uber Health launched its HIPAA-enabled API and dashboard in 2018 to offer logistics services to populationhealth management programs.
We invited Dr. Ryan Van Ramshorst, Chief Medical Director for Medicaid and CHIP Services at the Texas Health and Human Services Commission (HHSC), to discuss the evolving landscape of Texas Medicaid and recent landmark legislation that is driving innovation. Last quarter, we highlighted the Lone Star State.
Regional and national health plans, employers, and Fortune 500 organizations use Galileo to help improve populationhealth. Employees using Galileo avoid more expensive visits to in-person specialty, urgent or ER care 80% of the time. More than 85% of patients report improved health after receiving care from Galileo.
While many providers in the larger home-based care space have struggled with collecting data, MD at Home considers data utilization one of the pillars of its success. The Chicago-based at-home primarycare provider has a proven track record of leveraging clinical data and enhancing the lives of its patients.
Primarycare 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. million Medicaid participants. Executive Summary.
The Centers for Medicare & Medicaid Services (CMS) unveiled a new state-focused demonstration model Tuesday. One of the model’s primary objectives is to shift healthcare spending and utilization more toward primary and community-based care.
This blog post summarizes both the PrimaryCare AHEAD requirements identified by CMS and additional strategic considerations for states. PrimaryCare AHEAD Overview and Requirements PrimaryCare AHEAD is a key component of the AHEAD Model. A core aspect is a focus on alignment between payers.
In our recent Fireside Chat, we brought together two forward-looking healthcare leaders united in their commitment to quality and their passion for improving care for Medicaidpopulations. 1115 waivers are special demonstrations that allow states to pilot new Medicaid approaches outside federal program rules.
Neena Patel, MHA, CSM, VP of Client Success at Chordline As populationhealth initiatives for Medicare and Medicaid members pick up steam, one of the biggest obstacles to care transformation remains a lack of trust among healthcare’s key stakeholders. Yet too often, analytics platforms are not designed with users in mind.
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.
What You Should Know: – Anthem Blue Cross and Blue Shield in Virginia and Aledade , the nation’s largest network of independent primarycare, today announced an expansion of their collaboration to provide more Virginians with access to high-quality primarycare.
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. MCO Managed Care Organizations. MCE Managed Care Entities. integrating?CHWs
The model also requires Medicaid to establish a hospital global budget for participating hospitals for the first performance year of the model. This means there will be three hospital global budgets: Medicare, Medicaid, and commercial.
What You Should Know: – Alliance Health , a managed care organization serving over 137,000 Medicaid beneficiaries in North Carolina, announced a new partnership with Cityblock , a value-based healthcare provider for Medicaid and dually eligible individuals. ”
Prior to joining CVS, he was chief populationhealth officer of Mass General Brigham, one of the largest healthcare systems in Massachusetts. Humana is one of the largest insurers in the country, and has about 6 million Medicare Advantage (MA) members underneath its health plans.
The program is sponsored by TennCarethe state Medicaid program in Tennesseeand was developed with technical assistance from NCQA. Were excited to share the story of Siloam Health , one of the first organizations to be accredited through the program.
Reimbursement Barriers and Healthcare Inequality: – 44% of surveyed centers do not accept Medicaid, disproportionately affecting underserved communities. – Only 65% of practices accept commercial insurance, making it difficult for those unable to pay upfront costs to access care. We are failing our children as a nation.
Four years in, the company is seeing positive results in terms of gaps in care closed, across the domains of both behavioral health and physical medicine. HealthCare Law and Consulting. Join the conversation on Twitter at #HarlowOnHC. David Harlow. The Harlow Group LLC. You should follow me on Twitter: @healthblawg.
The overarching goal of VBC is to improve the patient experience, improve populationhealth, and reduce per capita health costs. As part of this VBC mode l, hospitals and health systems must store, track, and analyze a large amount of quality-related data for compliance and reimbursement purposes.
What You Should Know: – Cityblock , a value-based healthcare provider specializing in Medicaid, announced a new partnership with Sunshine Health , a Florida managed care plan. – The partnership expands Centene Corporation’s , Sunshine Health’s parent company, existing relationship with Cityblock. .
The urgent care service line will be added to Lifespark COMPLETE, Lifespark’s value-based populationhealth business. The Minnesota-based company provides home health, home care, hospice, primarycare and senior living, among other services. Those services are offered to a wide range of patients.
The last chart from the Commonwealth Fund 2022 State Scorecard talks about the rate of uninsurance by state — think ZIP code or personal GPS — calling out the fact that a dozen Governors did not expand Medicaid to accommodate ACA health plan enrollment for their health citizens. The Fund’s bottom line.
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 primarycare provider One Medical (Nasdaq: ONEM). Walgreens, however, is CVS Health’s most similar peer based on the services and products it offers.
News’ Chairman, believes that this project will give, “citizens, community leaders and policy-makers the tools to assess health in their communities and develop a blueprint for positive change” with learnings that can translate to less-healthy communities. In addition, lower stress in the workplace also improves health status.
On October 20, 2021, the Centers for Medicare and Medicaid (“ CMS ”) Innovation Center (“ Innovation Center ”) published a white paper detailing its vision for the next ten years: a health system that achieves equitable outcomes through high quality, affordable, person-centered care. Strategic Objective 2: Advance Health Equity.
. – Ounce Community Health Workers (CHW) currently serve more than 2,000 D.C. residents, helping them enroll in Medicaid, apply for energy assistance, schedule PCP and pediatrician appointments, avoid eviction, and connect with community resources for transportation and nutritious food, among many other services.
Although many companies had plans on the books to advance telemedicine, the crisis revealed that virtual care is not only possible but in many cases is also preferred by patients. This shift to hybrid care could ameliorate some of the major problems in the U.S. healthcare system. For instance, the U.S. About Larry English.
The first-of-its-kind platform will simplify and enhance the entire patient journey—from getting to a primarycare appointment to accessing critical prescriptions and groceries. Providers and payers, including Medicare and Medicaid, lack the visibility and infrastructure to execute on these programs effectively.
This project aims to assist states in progressing their unique health system transformation efforts toward the overarching goals of better health access and outcomes and minimized cost growth. Examples include moving toward capitated payments, prioritizing primarycare, and focusing on broad populationhealth goals.
Equality Health Logo. What You Should Know: Equality Health receives an infusion of capital from Governor Jeb Bush-led firm to accelerate its national expansion of the company’s value-based primarycare platform. Reimagining the New Frontier of Value-Based Care.
Applicant states must identify a lead agency, which may be the Medicaid, public health, state insurance, or other agency with rate setting or budget authority. The Medicaid agency does not have to be the lead agency, but if it is not, it must be identified as a sub-recipient as part of the application.
This step will make it simpler for clients to connect with the broad expertise and innovative capabilities across our businesses, so we can help them improve populationhealth, reduce the cost of care and make healthcare work better for everyone.”. Mike Mikan, Optum’s first CEO, said at the time.
It also has a number of care-at-home programs under its roof, including home healthcare, primarycare, hospital at home and more. Patient care is provided through a partnership with Castell, Intermountain’s populationhealth entity. “We The program’s readmission rate is roughly 7%.
Passed in 2016, The Cures Act requires that electronic health record (EHR) systems provide patient-facing application programming interfaces (APIs) to maintain federal certifications. Shortage of primarycare professionals, unequal access to care. Thus, VBC sits at a pivotal juncture. Heightened cybersecurity threats.
The Centers for Medicare & Medicaid Services (CMS) recently released its latest total cost of care model, the Advancing All-Payer Health Equity Approaches and Development (AHEAD) model with the goals of slowing growth in healthcare costs, improving populationhealth, and advancing health equity.
“ 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.”
The combination of Kaiser Permanente and Geisinger to form Risant Health will be a test of how Kaiser can build a national brand while embedding its approach to a regional health system that has been geographically boxed-in in central Pennsylvania. Re-building a community health system from an innovative blueprint.
It presents state examples and key considerations for state officials via an organizing framework broken down by major components of the delivery system (from primarycare to community-based and home-based services and supports) and reflecting essential principles for a modern system.
What You Should Know: – Pediatrics Associates , the leading private pediatric primarycare group in the US, has partnered with Innovaccer Inc., – The collaboration aims to leverage AI and data analytics to improve the quality of care for Pediatrics Associates’ over 1.5 million patients across 7 states.
Nate Favini, Chief Medical Officer at Pair Team What You Should Know: – Pair Team , a leader in virtual and community-based care for high-risk Medicaid patients, announced today the appointment of its first-ever Chief Medical Officer, Dr. Nate Favini , alongside two other strategic leadership additions.
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.
Most of the pilots and initiatives I’ll speak about today are in the New York market, specifically when we talk about incorporating home care in the broader sense and addressing the social determinants of health for our population. We are working with a large, regional health plan in the city.
The company partners with both health plans and health systems to deliver various types of care to patients in their homes. Currently, Signify has partnerships with roughly 2,500 post-acute care facilities. The organization didn’t have a solution for these payers to go beyond episodes of care, according to De Brantes.
We organize all of the trending information in your field so you don't have to. Join 19,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content