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

Healthcare It News

AUGUST 29, 2022

Regional and national health plans, employers, and Fortune 500 organizations use Galileo to help improve population health. 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.

Telemedicine 261

Telemedicine Primary Care Medicaid Urgent Care 261

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

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

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

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 112

Primary Care Urgent Care Hospitals Integration 112

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

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

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

Healthcare It News

JUNE 9, 2022

Primary care in the U.S. On one hand, the value of primary care physicians has never been higher. The evidence of that is in the tens of billions of dollars of investment in healthcare – more than $39 billion invested in the sector last year alone, with a notable focus on primary care.

Primary Care 290

Primary Care Prevention Urgent Care Nursing 290

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 104

Primary Care Medicare Population Health Home Care 104

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

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 93

Primary Care Medicare Accountable Care Population Health 93

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 130

Primary Care Population Health Home Care Medicare 130

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

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 80

Hospitals Nursing Primary Care Population Health 80

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

FEBRUARY 3, 2022

The funding announcement comes on the heels of ConcertoCare acquiring home-based primary care practice Crown Health. Seniors and other adults with unmet health and social needs, like unstable housing, food insecurity, and lack of transportation, are often overlooked by the health care system. Why It Matters.

Home Care 52

Home Care Primary Care Population Health 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

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 304

Patient Experience Prevention Hospitals Primary Care 304

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 59

Accountable Care Medicare Accountability Medicaid 59

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

HIT Consultant

FEBRUARY 23, 2024

The agreement is designed to improve the health of Highmark’s members by providing accessible, high quality, cost effective, patient centered care through member collaboration and innovation. News and World Report’s High Performing Hospitals and Best Regional Hospitals, among others.

Urgent Care 52

Urgent Care Hospice Care Integration Primary Care 52

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

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

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

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 106

Population Health Medicaid Medicare Integration 106

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 140

Integration Healthcare Quality of Care Regulations 140

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

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 97

Primary Care Population Health Medicaid Home Care 97

Home Health Care

AUGUST 29, 2023

Since the start of his career as a primary care, internal medicine physician, Dr. Richard Feifer has sat at the intersection of geriatrics, population health and value-based payment models. The Program of All-Inclusive Care for the Elderly (PACE) model has long been a passion of his.

Nursing 97

Nursing Integration Primary Care Home Care 97

HIT Consultant

SEPTEMBER 2, 2021

This subsequently generated sufficient claims data for Carrot Health to analyze and estimate the impact of disruption. We opted to focus on compliance levels among Medicare Advantage populations for specific procedures, tests, and care interventions. These included: – Substance abuse (-0.2%).

Medicare 52

Medicare Primary Care Urgent Care Medicaid 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 88

Integration Healthcare Quality of Care Regulations 88

Health Populi

JULY 29, 2022

DG has been exploring its health-and-wellness offerings and has enlisted four physicians to advise the company’s strategy. One of the advisors, Dr. Von Nguyen, is the Clinical Lead of Public and Population Health at Google… tying back to yesterday’s post on Tech Giants in Healthcare. billion in 2018.

Telemedicine 87

Telemedicine Doctors Primary Care Healthcare 87

Bill Of Health

JULY 26, 2022

Iora Health was acquired by ONEM in September 2021 for approximately $2.1 Amazon now has an important foothold in the Medicare market. This is not meant to be a victory lap as the stars of the Iora Health story were squarely the management team, particularly the founding CEO, Rushika Fernandopulle.

Primary Care 67

Primary Care Population Health Regulations Accountability 67

Home Health Care

NOVEMBER 12, 2021

Most of the pilots and initiatives I’ll speak about today are in the New York market, specifically when we talk about incorporating home care in the broader sense and addressing the social determinants of health for our population. We are working with a large, regional health plan in the city.

Home Care 93

Home Care Medicaid Primary Care Hospitals 93

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