Home Health Care

OCTOBER 8, 2024

The care coordination program depends on caregivers submitting weekly observations and reporting any changes in client conditions. Clinical teams can assess, act and prevent avoidable health events in real time to avoid unnecessary hospitalization or institutionalization.”

Prevention 115

Prevention Hospitals Home Care Primary Care 115

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. million Medicaid participants. Executive Summary.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

Health Populi

JUNE 27, 2022

Declines in preventive care services like cancer screenings and blood glucose testing concern employers, whose continued to cover health insurance for employees during the pandemic. The full report speaks to medical spending and utilization trends for preventive care, telehealth, and behavioral health.

Prevention 125

Prevention Primary Care Medicaid Medical Services 125

NASHP

MAY 1, 2023

States use public and private funds to support home visiting programs, including state general revenue, Medicaid, Children’s Health Insurance Program (CHIP), and federal funding, such as the Maternal and Infant Early Childhood Home Visiting (MIECHV) program.

Medicaid 98

Medicaid Nursing Prevention Hospitals 98

NASHP

DECEMBER 7, 2022

State Strategies to Support the Future of the Primary Care Physician and Nursing Workforce December 7, 2022 / by Elaine Chhean , Anita Cardwell , Lauren Block (Aurrera Health Group), and Sarah Tocher (Aurrera Health Group). High-quality primary care is foundational to a healthy society and well-functioning health care systems.

Primary Care 72

Primary Care Nursing Prevention Hospitals 72

HIT Consultant

AUGUST 23, 2022

What You Should Know: – Oak Street Health , a network of value-based primary care centers for adults on Medicare and the only primary care provider to carry the AARP name, is now welcoming patients at the new Rolling Hills Square center at 7040 East Golf Links Road in Tucson. Oak Street Health Background.

Primary Care 98

Primary Care Medicare Medicaid Prevention 98

Home Health Care

SEPTEMBER 6, 2023

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 health care spending and utilization more toward primary and community-based care.

Primary Care 116

Primary Care Population Health Medicare Medicaid 116

Healthcare It News

APRIL 28, 2022

"Physicians commonly prescribe antithrombotic or anticoagulants for these patients to prevent cardiac events such as heart attack and stroke, which may result in hospitalizations and readmissions if patients don't adhere to their medication regimen," said Brian Davis, CIO at Magnolia Regional Health Center.

Hospitals 263

Hospitals Medicare Primary Care Quality of Care 263

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

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 ACO Accountable Care Organizations. ACO Accountable Care Organizations. CBCM Community Based Care Management Program.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

HIT Consultant

MARCH 16, 2023

What You Should Know: – HHAeXchange , a provider of homecare management solutions for state Medicaid programs, managed care organizations, and providers has added six new solutions providers to its Partner Connect program. An online occupational health solution that provides primary care health benefits for employees.

Primary Care 98

Primary Care Medicaid Prevention Quality of Care 98

HIT Consultant

MARCH 8, 2022

Under the PHE, states must keep Medicaid enrollees continuously covered, irrespective of their circumstances. . The goal of the PHE was to help low-income people receive appropriate preventive and primary care during the pandemic without disruptions in coverage.

Medicaid 98

Medicaid Primary Care Care Transition Federal Healthcare 98

HIT Consultant

NOVEMBER 9, 2023

Director of Healthcare Strategy, LexisNexis Risk Solutions During the peak of the Covid-19 pandemic, over 10 million Americans enrolled in Medicaid – nearly a 14% increase from the beginning of 2020. A month before the public health emergency ended on May 11, 2023, 87 million individuals were enrolled in Medicaid.

Medicaid 64

Medicaid Prevention Primary Care Process improvement 64

HIT Consultant

SEPTEMBER 24, 2024

Wider Circle is working with their Medicaid plan to enhance member engagement and improve health outcomes by fostering strong, supportive community ties. Its comprehensive support system spans thousands of communities nationwide, delivering healthcare programs that extend beyond preventive care to tackle a wide array of health challenges.

Medicaid 52

Medicaid Primary Care Prevention Medicare 52

NASHP

APRIL 18, 2022

This case study highlights New Mexico’s Medicaid midwifery benefit under its BOP which has strengthened access to high-quality midwifery care among pregnant people, providing ideas and experience for other states seeking to reimagine maternity care by better integrating midwifery into their health care systems.

Medicaid 124

Medicaid Nursing Prevention Integration 124

NASHP

FEBRUARY 17, 2025

As detailed in KFFs 20232024 Medicaid budget survey , around 32 states in FY 2023 raised rates for behavioral health services, followed by 34 states in FY 2024, with 26 states planning further increases in FY 2025. percent increase in billing for certain SUD procedure codes (H0015 and H0035). percent to 72.3

Medicaid 52

Medicaid Rehabilitation Hospitals Telemedicine 52

Home Health Care

JANUARY 8, 2025

Patients often visit one clinic for a specific service, a hospital for emergency care and yet another facility for urgent care, all of which differ from their primary care provider’s office or post-acute care. This increase means more operators are engaged in delivering this care model.

Hospitals 101

Hospitals Quality of Care Integration Home Care 101

HIT Consultant

AUGUST 8, 2022

The data represent the privately insured population, including Medicare Advantage and excluding Medicare Fee-for-Service and Medicaid. – The rise in telehealth utilization in May could have been due to the growth in the number of COVID-19 cases as reported by the Centers for Disease Control and Prevention.

Primary Care 98

Primary Care Medicare Medicaid Prevention 98

HIT Consultant

MAY 21, 2024

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. Cityblock has already established successful partnerships in other states with high Medicaid populations, including New York and Ohio.

Medicaid 52

Medicaid Primary Care Prevention Hospitals 52

Home Health Care

DECEMBER 15, 2022

One of the largest Medicaid health plans in the country is teaming up with one of the most successful home-based care startups to serve around 40,000 members in Texas. Unfortunately, there are many folks in Texas – and beyond – who utilize the ED as their primary care physician, essentially.”.

Medicaid 105

Medicaid Telemedicine Primary Care Home Care 105

Home Health Care

AUGUST 13, 2024

In July, a study published in Health Affairs argued that these in-home health risk assessments increase coding intensity in MA, which, in turn, leads to higher payments from the Centers for Medicare & Medicaid Services (CMS). Within 90 days of a HouseCalls visit, 75% of patients receive additional primary care in a clinic.

Medicare 119

Medicare Primary Care Medicaid Prevention 119

NASHP

MAY 17, 2022

How State Medicaid Programs Serve Children and Youth in Foster Care May 17, 2022 / Veronnica Thompson. Children and youth in foster care (CYFC) often benefit from targeted services and supports. Yet, many receive fragmented or limited access to care, contributing to higher rates of unmet health needs. [1]

Medicaid 64

Medicaid Integration Medicare Primary Care 64

Home Health Care

AUGUST 13, 2024

This article is a part of your HHCN+ Membership The Centers for Medicare & Medicaid Services (CMS) launched the Guiding an Improved Dementia Experience (GUIDE) Model on July 1, which aims to create more comprehensive, coordinated dementia care. Lifespark, headquartered in St.

Home Care 116

Home Care Medicare Nursing Urgent Care 116

HIT Consultant

DECEMBER 9, 2022

– Juno’s products and services are designed for the family’s “Chief Caregiver” by bringing the best of primary care, pediatrics, women’s health, same-day care, and virtual care into one thoughtfully designed experience.

Healthcare 98

Healthcare Primary Care Medicaid Medicare 98

Health Populi

JUNE 3, 2020

McKinsey’s report models outpatient and office visits that can be virtually enabled for patients covered by both commercial and public sector health plans (Medicare and Medicaid). with most wellness and well-being care shifting to virtual, and a bulk of outpatient and preventive services going virtual.

Healthcare 153

Healthcare Telemedicine Hospitals Urgent Care 153

Etactics

NOVEMBER 1, 2024

However, allowing them to slide by and not becoming proactive in preventing them can lead to an eventual overflow of the same problems. For instance, hospitals might bill certain services differently than primary care providers. Time and energy are best spent on assisting and caring for the patients that come in for services.

Rehabilitation 52

Rehabilitation Physical Therapy Nursing Hospitals 52

NASHP

AUGUST 5, 2024

CHWs are key to engagement, care coordination, and increasing access to clinical and support services for Medicaid enrollees from their communities. As such, states increasingly are pursuing Medicaid reimbursement options as part of a comprehensive CHW service financing approach, which is currently reliant on expiring grant programs.

Medicaid 52

Medicaid Primary Care Prevention Accountability 52

Health Populi

FEBRUARY 16, 2021

Patients dealing with both physical and mental health conditions were even more likely to skip care: 56% of folks managing both a physical and mental issue delayed/forewent care. About one in four people who avoided care reported that their chronic health condition worsened.

Medicaid 156

Medicaid Doctors Prevention Hospitals 156

NASHP

MARCH 20, 2023

States are using a variety of strategies to identify and reimburse providers and community-based supports for contraceptive counseling and care. There are many health and economic benefits of preventing unintended pregnancy with contraception, with different types of providers creating access to these services.

Medicaid 52

Medicaid Nursing Prevention Primary Care 52

p3care

NOVEMBER 1, 2022

However, those with life-threatening conditions require intensive care and on-time treatment. Therefore, the Centers for Medicare and Medicaid took an initiative in 2003 and dedicated POS – 20 (Place of Service – 20) as a designation for an urgent care facility. How to Submit Claims via Urgent Care Billing Process.

Urgent Care 113

Urgent Care Primary Care Doctors Medicaid 113

NASHP

APRIL 17, 2023

1],[2] Nearly all state Medicaid programs are working to improve maternal health through early identification of depression during well-child visits and connecting mothers to follow-up services, as depicted in NASHP’s updated Medicaid Policies for Caregiver Depression Screening during Well-Child Visits by State.

Medicaid 52

Medicaid Prevention Primary Care Accountability 52

HIT Consultant

APRIL 20, 2022

Hospitals report the data to the Centers for Medicare & Medicaid Services (CMS), which uses that data to create the Overall Hospital Quality Star rating for each hospital. Rating is based on five areas: mortality, safety of care, readmission, patient experience, and timely/effective care.

Integration 98

Integration Primary Care Telemedicine Patient Experience 98

NASHP

APRIL 29, 2024

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.

Hospitals 78

Hospitals Medicaid Medicare Primary Care 78

NASHP

SEPTEMBER 28, 2022

As states are not required to include dental services for adults in their Medicaid programs, the ability for low-income individuals to access dental care is often a factor of where they live. Other state Medicaid programs are adding requirements for primary care medical providers to offer similar services.

Integration 64

Integration Primary Care Medicaid Prevention 64

HIT Consultant

MAY 30, 2023

As much as we would like to go back to normal, it seems that simply turning the page on the PHE without carrying forward what we learned during Covid will leave millions of Americans scrambling for healthcare and disengaging from essential preventive health services. I know too well about the heavy price of late detection.

Prevention 98

Prevention Pharmaceuticals Primary Care Doctors 98

Home Health Care

JULY 3, 2024

The urgent care service line will be added to Lifespark COMPLETE, Lifespark’s value-based population health business. The Minnesota-based company provides home health, home care, hospice, primary care and senior living, among other services. Those services are offered to a wide range of patients.

Urgent Care 111

Urgent Care Hospitals Primary Care Population Health 111

NASHP

JULY 25, 2022

In 2018, state Medicaid programs were the single most frequent payer for ED visits, covering over 15 percent of behavioral health visits and 37 percent of total ED visits, about a third of which were triaged and determined to be semi- or-non-urgent in nature. Indiana may also have options to leverage Medicaid funding for MIH services.

Integration 98

Integration Medicaid Hospitals Prevention 98