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CMS Unveils AHEAD Model, Aims To Shift Health Care To ‘Community-Based Settings’

Home Health Care

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.

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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

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. Castlight published the full research findings in April in the company’s 2022 Workforce Health Index.

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Thinking Ahead on the AHEAD Model: Hospital Global Budgets 

NASHP

By the fourth performance year of the model, 30 percent of Medicare fee-for-service (FFS) revenue of the state (or subregion of a state tied to the model) must be tied to a Medicare hospital global budget. This means there will be three hospital global budgets: Medicare, Medicaid, and commercial.

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HealthTap Launches Eval360 for Health Plans to Expand PCP Care for Members

HIT Consultant

– HealthTap completed a successful beta period for Eval360 for over 15,000 seniors through its partnership with a leading Medicare Advantage (MA) plan, and now intends to expand Eval360’s reach to plans nationwide of all types, from Medicare Advantage to commercial plans. .

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Lifespark Adds In-Home Urgent Care, Adding ‘Final Brick’ To Its Suite Of Services

Home Health Care

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.

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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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Startups, Payer-Provider Hybrids Believe They Can Bring New-Age Thinking To Home-Based Care

Home Health Care

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.