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Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

NASHP

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

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Why a Focus on Behavioral Health is Key to Improving Quality Measures

HIT Consultant

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. Integrated care could potentially save an estimated $38 billion to $68 billion annually.

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From Evolution to Innovation, from Health Care to Health: How Health Plans With Collaborators Are Re-Defining the Industry

Health Populi

The response: A health plan is a comprehensive package of healthcare services and coverage that helps individuals or groups manage and finance their healthcare needs. Health plans are designed to provide a range of medical services, preventive care, and financial protection against the costs of healthcare.

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Bridges Health Partners Highmark BCBS Form Commercial Value-Based Care Agreement

HIT Consultant

Additionally, the agreement will establish a joint care management team tasked with utilizing data insights to proactively address Highmark members’ healthcare needs, promoting early intervention and preventive care education. The integration between inpatient and outpatient care teams will ensure seamless coordination of care.

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Health Disparities in America: JAMA Talks Structural Racism in U.S. Health Care

Health Populi

First, consider the big health economics picture painted in the paper US Health Care Spending by Race and Ethnicity. The table arrays data the researchers analyzed from 2002 to 2016, identifying patterns of six types of medical services used by race and age group. colonoscopy).

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Use of Preventive Health Services Declined Among Commercially Insured People – With Big Differences in Telehealth for Non-White People, Castlight Finds

Health Populi

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.

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Post-Pandemic, U.S. Healthcare is Entering a “Provide More Care For Less” Era – Pondering PwC’s 2022 Forecast

Health Populi

These include remote monitoring tools for virtual check-ins addressing chronic conditions, more home-based care, emails and texts that nudge patients over time, digital pricing tools to support shopping for medical services, and better-designed portals that serve up more welcoming digital front doors. population health burden.