Healthcare Success

FEBRUARY 10, 2025

And it's the same sort of thing when you're thinking about just even general concerns, you know, you have a rash that pops up, do you really need to see a dermatologist or can you take a picture of it and send it to your primary care provider who has a, you know, most dermatology is visual.

Healthcare 171

Healthcare Primary Care Doctors Hospitals 171

Healthcare It News

FEBRUARY 28, 2023

The increase in telehealth adoption by physicians and patients alike continues to allow UPMC to develop new digital health tools that offer greater access to high-quality care from the comfort of their own home. UPMC launched a virtual-first, full-service primary care clinic offering a complete spectrum of care to patients aged 18 and above.

Primary Care 312

Primary Care Healthcare Telemedicine Urgent Care 312

Home Health Care

OCTOBER 30, 2024

Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) over its drop in star ratings. In addition, Humana has its provider services arm CenterWell, which includes home health, pharmacy and primary care. Medicare Advantage (MA) star ratings have become a hot topic for Humana Inc.

Medicare 105

Medicare Primary Care Regulations Medicaid 105

Healthcare It News

JUNE 13, 2023

Uber Health says delivery is especially necessary for homebound patients or those with limited transportation or access to food and healthcare resources – social determinants of health that influence chronic conditions affected by nutrition, like diabetes, and impede value-based care.

Medicaid 278

Medicaid Primary Care Population Health Hospitals 278

Healthcare It News

JANUARY 10, 2023

The virtual care services will be delivered without copays, out-of-pocket costs or deductibles for families with active insurance or Medicaid coverage. "As pediatric primary care providers, we know the short- and long-term medical and neurodevelopmental advantages of breastfeeding," said Dr. WHY IT MATTERS.

Primary Care 327

Primary Care Quality of Care Telemedicine Prevention 327

Home Health Care

NOVEMBER 13, 2024

This shift has increased the need for a larger home-based care workforce, one filled with individuals that understand the ins and outs of treating people in their homes. Rochester, New York-based WellBe Senior Medical works with health plans to provide home-based medical care to patients who are facing multiple complex health challenges.

Primary Care 111

Primary Care Home Care Hospitals Nursing 111

NASHP

OCTOBER 2, 2023

Have you heard about the Center for Medicare and Medicaid Innovation’s (the Innovation Center) States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model, which includes hospital global budgets and investments in primary care? If so, please join this webinar to learn more. Supported by Arnold Ventures.

Primary Care 105

Primary Care Hospitals Medicaid Medicare 105

NASHP

JANUARY 24, 2022

To help build this capacity, the American Rescue Plan Act, among other resources to states, authorized a new Medicaid payment mechanism for Medicaid mobile crisis services, and awarded planning grants to twenty states to prepare for implementation. hospitals, criminal justice, and specialty mental health providers).

Medicaid 122

Medicaid Primary Care Medical Services Hospitals 122

Home Health Care

MARCH 19, 2024

The Centers for Medicare & Medicaid Services (CMS) announced a new voluntary model Tuesday – centered around primary care providers – that could offer home-based care providers more opportunity to dive into risk-based care. The model was another creation of the CMS Innovation Center.

Primary Care 85

Primary Care Medicare Accountable Care Medicaid 85

Home Health Care

JUNE 28, 2022

Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) are taking steps to improve oncology care and primary care this week. While both are not directly related to home-based care, the federal government pushing this should pique providers’ interest.

Primary Care 98

Primary Care Medicaid Medicare Quality of Care 98

Home Health Care

MARCH 21, 2023

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 primary care provider has a proven track record of leveraging clinical data and enhancing the lives of its patients.

Primary Care 98

Primary Care Population Health Home Care Medicaid 98

Home Health Care

JULY 12, 2023

Home-based care providers working with Medicaid managed care plans have to navigate an operating environment that is more administratively complex. That’s one of the key takeaways from a recent webinar hosted by the National Association for Home Care & Hospice (NAHC). These payments are called capitation payments.

Medicaid 98

Medicaid Primary Care Home Care Healthcare 98

Healthcare It News

AUGUST 29, 2022

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. From there, we established partnerships with both regional and national health plans to offer virtual-first care to their members.

Telemedicine 261

Telemedicine Primary Care Medicaid Urgent Care 261

Healthcare It News

SEPTEMBER 18, 2024

Making health data more accessible to patients – not to mention doctors and health plans – is a priority for all hospitals and health systems today, as the final Centers for Medicare and Medicaid Services Interoperability Rule mandates patient access. Please explain how this happened and the result. Dr. Ashley Moss: As a D.C.-based

Primary Care 294

Primary Care Health Data Hospitals Doctors 294

NASHP

JANUARY 30, 2025

For example, Table A Practitioner Detail in Georgia’s Medicaid provider manual provides a clear framework by outlining the behavioral health professionals eligible to work in various settings and detailing their reimbursement rates. States can engage their early adopters of integrated care.

Integration 95

Integration Medicaid Regulations Quality Assurance 95

HIT Consultant

OCTOBER 26, 2021

What You Should Know: – Brave Health , a Miami-based virtual behavioral health provider for Medicaid, today announced it has closed a $10M Series B round ($20.75M in total) led by City Light Capital, Union Square Ventures and Able Partners, bringing its total funding to $20.75M. Recent Traction/Milestones. ”

Medicaid 97

Medicaid Primary Care Hospitals 97

Healthcare ECONOMIST

MARCH 17, 2022

Commercial payers reimburse physicians at 129% of Medicare rates overall ( 144% of Medicare rates for specialty services but only 117% of Medicare rates for primary care services.). Medicaid vs. Medicare rates. 2021 found that Medicaid reimbursement was 72 % of Medicare rates on average across that nation.

Medicaid 105

Medicaid Medicare Hospitals Primary Care 105

Fierce Healthcare

MAY 20, 2024

Medicaid value-based care provider Cityblock has joined forces with Centene subsidiary Sunshine Health in central Florida. Tuesday, the two companies announced a new partnership in Florida stressing improved primary care and care coordination services. Cityblock is deepening its ties to Centene.

Primary Care 146

Primary Care Medicaid 146

Home Health Care

DECEMBER 30, 2024

CenterWell President Sanjay Shetty: Its Time To Give Home Health Its Due (March 12) As the head of Humanas (NYSE: HUM) health care services division which includes CenterWell Home Health, CenterWell Primary Care and CenterWell Pharmacy Dr. Sanjay Shetty has been enthusiastic about the power of home health care.

Home Care 111

Home Care Medicare Nursing Hospitals 111

Home Health Care

FEBRUARY 11, 2025

CenterWell is Humanas provider services arm, which includes home health, pharmacy and primary care. Both CenterWell and Medicaid are important enablers of our long-term strategy, Humana CEO Jim Rechtin said during the companys fourth quarter earnings call on Tuesday.

Home Care 76

Home Care Primary Care Medicare Medicaid 76

Healthcare It News

SEPTEMBER 25, 2023

In addition, the Centers for Medicare & Medicaid Services has selected hypertension as one of three quality measures to be submitted electronically in the future. Epic’s MyChart Care Companion is an interactive app designed to be an extension of a patient’s support system.

Primary Care 339

Primary Care Medicaid Medicare Prevention 339

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

MAY 10, 2024

This blog post summarizes both the Primary Care AHEAD requirements identified by CMS and additional strategic considerations for states. Primary Care AHEAD Overview and Requirements Primary Care AHEAD is a key component of the AHEAD Model. A core aspect is a focus on alignment between payers.

Primary Care 52

Primary Care Medicaid Medicare Hospitals 52

NCQA

SEPTEMBER 7, 2023

Integrating behavioral health care into primary care settings is one way to increase access to important behavioral health services. But are we ready to measure the quality of that care? Behavioral Health Care Integration: Challenges and Opportunities for Quality Measurement , is our newest issue brief.

Primary Care 59

Primary Care Integration Medicaid Health Data 59

NASHP

MARCH 14, 2022

Strengthening Care for People with Serious Illness Seven Steps for Building a Community-Based Palliative Care Benefit Within Medicaid. People with complex or life-threatening conditions often need extra support to manage symptoms and make critical decisions about their care and quality of life. March 14, 2022.

Medicaid 94

Medicaid Rehabilitation Quality Assurance Patient Experience 94

NASHP

MARCH 17, 2025

The National Academy for State Health Policy (NASHP), with support from the Health Resources and Services Administrations Maternal and Child Health Bureau, invites states to apply to participate in the Advancing State Strategies to Address Maternity Care Deserts Policy Academy. financial resources, geographic location, transportation).

Medicaid 52

Medicaid Quality Assurance Hospitals Patient Safety 52

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

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

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

Healthcare It News

NOVEMBER 30, 2023

Lurie Children’s patients and families experienced disjointed scheduling and registration problems and had a limited scope of appointment availability, leading to long delays in care. "Setting up a robust education/support structure for both clinicians and patients should be prioritized and established before implementation."

Hospitals 269

Hospitals Primary Care Integration Accountability 269

NASHP

SEPTEMBER 25, 2023

However, some states and Tribes, working together, are leveraging Medicaid to deliver better care to AI/AN and address health disparities. Arizona’s Medicaid agency established its American Indian Medical Home (AIMH) program in partnership with tribal leadership. Friday, October 20, 2023 1:00–2:15 p.m.

Medicaid 64

Medicaid Primary Care Hospitals 64

NCQA

NOVEMBER 6, 2024

PCOs Are Gaining Acceptance NCQA began developing PCO measures for older adults in Medicare plans, but in response to the groundswell of interest in meaningful measurement, expanded the measures to include behavioral health, serious illness, primary care and long-term services and supports.

Primary Care 59

Primary Care Medicare Quality Improvement Medicaid 59

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

HIT Consultant

MAY 8, 2023

What You Should Know: A new report released by TytoCare , a virtual care company enabling accessible, high-quality primary care from home, revealed insights into how health plans and organizations can drive virtual care engagement. Clinician involvement is critical for both Medicaid and private insurance carriers.

Primary Care 98

Primary Care Urgent Care Medicaid Doctors 98

Home Health Care

MARCH 27, 2024

Kang is the former CMO of the Centers for Medicare & Medicaid Services (CMS). The Chicago-based WellBe offers home-based medical care services to patients who are facing multiple complex health challenges. When I look at home care, or personal care, that largely hasn’t changed. We can fill that role for the consumer.

Primary Care 111

Primary Care Medicare Nursing Medicaid 111

Home Health Care

AUGUST 5, 2022

The Centers for Medicare & Medicaid Services’s (CMS) Independence at Home demonstration aims to find out if delivering comprehensive, home-based primary care can lead to positive outcomes and lowered costs. . One demonstration participant, Northwell Health, has been able to realize this goal.

Primary Care 98

Primary Care Medicare Medicaid 98

HIT Consultant

APRIL 11, 2023

What You Should Know: Audio-only telehealth visits for both primary care and mental health services remained common at safety net clinics in California since the start of the COVID-19 pandemic, according to a new RAND Corporation study. Key findings of the report include: The number of primary care visits increased by 8.5%

Primary Care 96

Primary Care Medicaid Quality of Care Accountability 96