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. ii] Rural areas are highly likely to suffer from shortages of primary care and other providers.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

HIT Consultant

OCTOBER 11, 2024

Neena Patel, MHA, CSM, VP of Client Success at Chordline As population health 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.

Population Health 98

Population Health Medicare Medicaid Primary Care 98

Healthcare It News

JUNE 30, 2022

For well over a decade, we've seen this challenge progressively worsen partially because we have had a relatively fixed number of graduates from medical programs since 1997, when Medicare started limiting the funding for these programs. In addition to the limited number of professionals, our population is aging and living longer.

Telemedicine 261

Telemedicine Health Data Prevention Primary Care 261

Home Health Care

MARCH 29, 2022

The deal is one of the largest of its kind over the last five years in home-based care. while LHC Group is one of the three largest home health providers, based on Medicare fee-for-service claims data. Meanwhile, Optum is a population health care provider. The company brought in about $2.22

Primary Care 128

Primary Care Population Health Home Care Medicare 128

Health Populi

AUGUST 24, 2021

For Black patients, lower utilization of ambulatory care and higher use of inpatient, emergency department, and nursing suggest greater spender downstream that might be prevented by more spending upstream on primary care, prevention, and early detection of disease.

Ambulatory Care 139

Ambulatory Care Primary Care Medicare Prevention 139

HIT Consultant

NOVEMBER 30, 2023

What You Should Know: – Anthem Blue Cross and Blue Shield in Virginia and Aledade , the nation’s largest network of independent primary care, today announced an expansion of their collaboration to provide more Virginians with access to high-quality primary care.

Primary Care 52

Primary Care Medicare Medicaid Healthcare 52

Healthcare It News

DECEMBER 7, 2023

For example, AI is increasingly being used by provider organizations to develop personalized risk profiles for certain diseases based on family history, genetic and biomarker mapping, social influences, as well as activities and behaviors that may have emerged since the interaction with the care team/provider.

Patient Experience 270

Patient Experience Prevention Hospitals Healthcare 270

Home Health Care

FEBRUARY 8, 2022

Our patient-centric service is changing that, one visit at a time,” Kristen Helton, director of Amazon Care, said. We’ve brought our on-demand urgent and primary care services to patients nationwide. ” So far, Amazon Care has been geared toward employers – not the general public or the rapidly growing Medicare population.

Primary Care 97

Primary Care Medicare Population Health Home Care 97

NASHP

APRIL 29, 2024

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.

Hospitals 78

Hospitals Medicaid Medicare Primary Care 78

NASHP

NOVEMBER 27, 2023

In early September, the Center for Medicare and Medicaid Innovation (CMMI), also known as the CMS Innovation Center, announced a new total cost of care (TCOC) model for states, the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model.

Primary Care 69

Primary Care Medicaid Medicare Hospitals 69

HIT Consultant

APRIL 20, 2022

Since the passage of the Medicare Improvements for Patients & Providers Act in 2008, the U.S. 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.

Integration 98

Integration Primary Care Telemedicine Patient Experience 98

Home Health Care

OCTOBER 11, 2023

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.

Primary Care 100

Primary Care Urgent Care Hospitals Population Health 100

Health Populi

FEBRUARY 4, 2024

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.

Primary Care 90

Primary Care Medicare Prevention Medicaid 90

HIT Consultant

JUNE 12, 2024

VBC: Transforming Kidney Care Humana’s Issue Brief outlines the numerous benefits that VBC offers to kidney patients. Patients enrolled in VBC programs experience: Smoother care coordination: Improved collaboration between primary care physicians (PCPs) and specialists.

Population Health 71

Population Health Primary Care Prevention Quality of Care 71

HIT Consultant

NOVEMBER 2, 2022

– 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. .

Primary Care 52

Primary Care Doctors Medicare Population Health 52

Home Health Care

AUGUST 8, 2022

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 primary care provider One Medical (Nasdaq: ONEM). It additionally provides at-home evaluations, usually on behalf of Medicare Advantage plans.

Primary Care 82

Primary Care Medicare Accountable Care Population Health 82

Sheppard Health Law

OCTOBER 27, 2021

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.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

NASHP

MARCH 1, 2024

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 primary care, and focusing on broad population health goals.

Primary Care 59

Primary Care Population Health Hospitals Medicaid 59

HIT Consultant

NOVEMBER 10, 2021

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.

Healthcare 105

Healthcare Patient Experience Urgent Care Population Health 105

HIT Consultant

NOVEMBER 23, 2021

What You Should Know: – Community Care Physician Network (CCPN) deploys Innovaccer Health Cloud to help its providers deliver exceptional consumer experiences, support high-quality care, and manage costs across its Medicare and Commercial contracts. Point-of-Care Insights. Population Health Analytics.

Health Analytics 52

Health Analytics Population Health Primary Care Medicare 52

HIT Consultant

JUNE 13, 2023

The first-of-its-kind platform will simplify and enhance the entire patient journey—from getting to a primary care 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.

Patient Experience 98

Patient Experience Primary Care Population Health Medicaid 98

HIT Consultant

JULY 18, 2024

Astrana Health What You Should Know: – Astrana Health ( NASDAQ: ASTH), a provider-centric healthcare company, today announced a strategic partnership with Elation Health , a clinical-first technology company specializing in primary care. This provider organization primarily serves Medicare beneficiaries.

Primary Care 52

Primary Care Health Analytics Accountable Care Integration 52

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 90

Urgent Care Hospitals Primary Care Population Health 90

HIT Consultant

DECEMBER 20, 2021

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 primary care platform. Reimagining the New Frontier of Value-Based Care.

Primary Care 52

Primary Care Population Health Medicaid Medicare 52

HIT Consultant

AUGUST 13, 2024

The collaboration aims to expand access to value-based care services for patients across multiple Medicare Accountable Care Organizations (ACOs). The partnership also emphasizes the importance of data analytics and quality metrics in driving successful value-based care initiatives.

Accountable Care 52

Accountable Care Primary Care Population Health Accountability 52

NASHP

DECEMBER 8, 2023

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 health care costs, improving population health, and advancing health equity.

Primary Care 52

Primary Care Population Health Medicaid Medicare 52

NCQA

JULY 16, 2024

Data Is Key to Unlocking Quality Improvement Another focal point of the conversation was the need to standardize quality measures across Medicaid programs and improve health care data. Peggy emphasized that without standardized measures, states miss the opportunity for benchmarking, mutual learning and driving quality improvement.

Medicaid 86

Medicaid Quality Improvement Integration Population Health 86

NCQA

OCTOBER 31, 2023

“ 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.”

Primary Care 52

Primary Care Quality Improvement Medicaid Accountable Care 52

Cloud Blogs

FEBRUARY 28, 2022

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 primary care professionals, unequal access to care. Thus, VBC sits at a pivotal juncture. Heightened cybersecurity threats.

Integration 127

Integration Healthcare Quality of Care Regulations 127

NASHP

JANUARY 19, 2024

For example, will one agency have authority for hospital global budgets, another authority for primary care? This may include input on all-payer cost growth and primary care investment targets. Will the answer differ for model components? Will cross-agency relationships be formalized?

Primary Care 59

Primary Care Medicaid Population Health Hospitals 59

Health Populi

JUNE 27, 2022

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.

Prevention 125

Prevention Primary Care Medicaid Medical Services 125

Home Health Care

DECEMBER 13, 2024

While theyve been told value-based care is the way to go, they often end up finding that health systems and payers arent as willing to meet them in the middle. Medicare Advantage (MA) payers, when pressed on the idea of a value-based arrangement, generally arent willing or able to make agreements with home health providers.

Medicare 65

Medicare Urgent Care Primary Care Population Health 65

Home Health Care

FEBRUARY 10, 2022

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.

Accountable Care 57

Accountable Care Medicare Accountability Medicaid 57

Home Health Care

DECEMBER 20, 2023

It also has a number of care-at-home programs under its roof, including home health care, primary care, hospital at home and more. Patient care is provided through a partnership with Castell, Intermountain’s population health entity. “We The program’s readmission rate is roughly 7%.

Hospitals 69

Hospitals Nursing Primary Care Population Health 69

Home Health Care

APRIL 7, 2022

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 population health, reduce the cost of care and make health care work better for everyone.”. Mike Mikan, Optum’s first CEO, said at the time.

Population Health 92

Population Health Medicaid Medicare Integration 92

HIT Consultant

FEBRUARY 10, 2022

. – Together, Signify Health and Caravan Health will be better positioned to enable organizations to manage larger populations covered by value-based arrangements and to drive more coordinated clinical and social care across the healthcare continuum. Post-Acquisition Impact.

Accountable Care 52

Accountable Care Primary Care Accountability Medicare 52

Accountable Care Doctors

MARCH 19, 2021

His expertise in medicine, population health, and clinical informatics will be valuable in our movement towards accountability in health care. Atrius Health is a progressive system that is well on its way in this journey.

Accountability 52

Accountability Accountable Care Primary Care Population Health 52