Health Care Dive

JANUARY 30, 2025

nominee for HHS secretary, seemed unfamiliar with the massive insurance program during Thursday’s hearing, mistakenly saying Medicare Part A mainly paid for primary care or physicians. Kennedy Jr.,

Medicare 307

Medicare Primary Care 307

Health Care Dive

MAY 17, 2022

The payer plans to open about 100 new value-based primary care clinics for Medicare patients between 2023 and 2025 through the latest deal.

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Primary Care Medicare 261

Home Health Care

OCTOBER 30, 2024

Medicare Advantage (MA) star ratings have become a hot topic for Humana Inc. 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 105

Medicare Primary Care Regulations Medicaid 105

Health Care Dive

NOVEMBER 1, 2022

The provider, which focuses on care for seniors, is collaborating with Cigna to offer house calls and remote monitoring to Medicare Advantage customers in four states.

Primary Care 284

Primary Care Medicare 284

Home Health Care

JANUARY 17, 2025

Last year, many major Medicare Advantage (MA) organizations released previews of what benefits they planned to offer seniors this year. Many of these organizations have moved away from offering plans that include home-based care services. Currently, almost 33 million Medicare beneficiaries are enrolled in a MA plan.

Medicare 105

Medicare Physical Therapy Primary Care Prevention 105

Healthcare It News

FEBRUARY 7, 2025

FIM interventions are "a referral from your primary care provider or another healthcare provider, and it’s really tied to a health condition that’s related to diet," Ridberg said. FIM is "more about food and nutrition support being tied to the health system.

Primary Care 259

Primary Care Integration Medicaid Medicare 259

Fierce Healthcare

MARCH 19, 2024

The Centers for Medicare & Medicaid Services (CMS) has announced the ACO Primary Care Flex Model (ACO PC Flex Model), allowing eligible accountable care organizations to treat people with with | Accountable care organizations are largely supportive of CMS' new primary care model released Tuesday, they wish the agency would broaden its scope (..)

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Primary Care Accountable Care Accountability Medicaid 157

Health Care Dive

SEPTEMBER 19, 2024

Before the primary care chain was purchased by CVS Health, Oak Street illegally paid marketing agents for referring Medicare-eligible seniors to its clinics, according to the Department of Justice.

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Primary Care Medicare 293

HIT Consultant

FEBRUARY 11, 2025

What You Should Know: – Aledade , the nation’s largest network of independent primary care providers, announced the addition of over 500 new primary care practices, clinics, and community health centers to its network. The company serves nearly 3 million patients through various value-based care programs.

Primary Care 52

Primary Care Doctors Medicare 52

Home Health Care

SEPTEMBER 1, 2023

CenterWell Senior Primary Care – a part of Humana Inc. It announced Wednesday that, in select Georgia and Louisiana locations, patients would be able to receive at-home primary care services under its “CenterWell Primary Care Anywhere” program. CenterWell is Humana’s senior care services arm.

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Primary Care Medicare Integration Doctors 116

Healthcare It News

MAY 4, 2023

A new health project in Adelaide seeks to provide virtually-delivered primary care services to patients with chronic conditions. In addition, the project will form a new digital health workforce by training doctors, nurses and allied health professionals in both hospital and primary care.

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Primary Care Doctors Integration Nursing 311

Home Health Care

MARCH 26, 2025

Patina has introduced Patina Total Health, a program designed to provide personalized, age-friendly care and support specifically for Medicare Advantage (MA) members. This initiative aims to help individuals maintain their health, receive appropriate care and navigate their health care journey more easily.

Medicare 52

Medicare Quality Assurance Quality Improvement Health Analytics 52

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

Fierce Healthcare

JUNE 28, 2023

Author Health banked $115 million for its new platform offering care and treatment for Medicare Advantage members with serious mental illness and substance use disorders. Humana will be the first to launch the startup’s services in conjunction with CenterWell Senior Primary Care in South Florida.

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Primary Care Medicare 267

Healthcare It News

FEBRUARY 20, 2025

"Rather than treating healthcare as a series of isolated interactions, this increased interoperability will bundle primary care, mental health services, fitness, nutrition and even social support to provide consumers with a holistic view of their health," she said.

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Patient Experience Healthcare Providers Primary Care Health Data 248

Healthcare It News

JULY 6, 2023

For Texas health system Houston Methodist, the major challenges to obtaining completed advance care directives included the time constraints of primary care physicians in addressing advance care planning with their patients. Many of these patients did not have advance care planning in place.

Nursing 298

Nursing Primary Care Medicare Population Health 298

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.

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Primary Care Healthcare Telemedicine Urgent Care 317

Healthcare It News

DECEMBER 26, 2023

First, the program offers an initial access point for patients who present to the Convenient Care clinics or emergency rooms and who do not have a primary care provider, said Stephen Kapa, administrative director of telehealth services at FirstHealth of the Carolinas.

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Primary Care Telemedicine Medicare Nursing 321

Healthcare It News

SEPTEMBER 6, 2022

In March, Signify Health acquired Caravan Health , which serves Medicare beneficiaries through accountable care organizations. times longer with a patient in the home than providers in average primary care office visits, according to the company. In 2022, Signify Health clinicians are expected to serve 2.5

Primary Care 338

Primary Care Remote Care Accountable Care Accountability 338

Healthcare It News

FEBRUARY 2, 2023

The care planning platform, INCA, developed by the health IT company Precedence Health Care, enables health professionals to manage patient health data, create and monitor care plans, and share information digitally.

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Primary Care Quality Improvement Medicare Prevention 289

Health Care Dive

SEPTEMBER 19, 2022

The insurer is accelerating the expansion of its primary care chain serving Medicare patients.

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Primary Care Medicare 245

Home Health Care

MARCH 13, 2024

By breaking down barriers between patients and at-home primary care, the whole continuum wins. Case in point, Patina Health has a specific strategy when it comes to delivering at-home primary care. Patina Health is a Philadelphia, Pennsylvania-based home-focused primary care medical practice.

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Primary Care Medicare Healthcare 111

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.

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Primary Care Home Care Hospitals Nursing 111

HIT Consultant

OCTOBER 27, 2023

has seen a consistent decline in primary care clinicians since 2014 due to fewer clinicians entering the workforce, increased rates of burnout and decreased direct patient care, according to the latest evidence report from the Primary Care Collaborative and Robert Graham Center. In 2022, MSSP saved Medicare $1.8

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Primary Care Accountable Care Medicare Accountability 98

Health Care Dive

NOVEMBER 4, 2021

But Medicare revenue in the quarter made up more than a fifth of the primary care chain's topline. Currently, at-risk membership makes up less than 5% of One Medical's overall membership base.

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Primary Care Medicare 246

HIT Consultant

FEBRUARY 4, 2025

announced that PlushCare , its direct-to-consumer virtual healthcare offering, now accepts Medicare Part B. This expansion brings accessible and convenient healthcare services to 64 million Medicare beneficiaries across all 50 states. What You Should Know: – Accolade, Inc. Leo Vieira, Medical Director at PlushCare.

Medicare 52

Medicare Healthcare Primary Care Healthcare Providers 52

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.

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Home Care Medicare Nursing Hospitals 111

Healthcare It News

JANUARY 10, 2023

The Connecticut Children's Care Network, with 37 independent pediatric practices and more than 200 pediatric primary care providers in Connecticut and Massachusetts, has a mission to improve the quality of care and health outcomes for infants, children and adolescents.

Primary Care 331

Primary Care Quality of Care Telemedicine Prevention 331

Home Health Care

SEPTEMBER 12, 2023

CVS Health (NYSE: CVS) believes that its home-based care and primary care capabilities will unlock value and create long-term earnings power for the company. And we said we needed to build out national provider capabilities either through primary care or in the home.” and believe it’s set up perfectly to do so.

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Primary Care Home Care Medicare Healthcare 116

Home Health Care

AUGUST 7, 2023

Since the at-home primary care provider Patina launched, it has been busy forming partnerships with some of the largest payers in the country. As a way to provide a better experience for their Medicare Advantage (MA) patients, Humana Inc. Then we help create a personalized care plan for you to help you implement that.”

Primary Care 98

Primary Care Medicare Hospitals 98

Home Health Care

SEPTEMBER 27, 2023

There are significant differences in home-based medical care utilization between Medicare Advantage (MA) and traditional Medicare beneficiaries. Specifically, having exactly one home-based medical care visit was 31 times as likely for MA beneficiaries, at 18.6%, compared to traditional Medicare beneficiaries at 0.6%.

Medicare 111

Medicare Primary Care Hospitals 111

Health Care Dive

OCTOBER 25, 2023

Value-based primary care chains for seniors operated by major retail health players did particularly well, with Amazon’s Iora, CVS’ Oak Street and Walgreens’ VillageMD all notching high net savings.

Medicare 167

Medicare Primary Care 167

Home Health Care

MARCH 30, 2023

With only a couple years under its belt since its launch, Patina Health – a Philadelphia, Pennsylvania-based home-focused primary care medical practice – has secured partnerships with multiple major health plans. Patina’s work with payers combines care coordination and primary care services for seniors.

Primary Care 98

Primary Care Urgent Care Telemedicine Medicare 98

Home Health Care

MARCH 21, 2025

Precise payer strategies Its no secret that home health providers have been struggling with margin pressure related to Medicare Advantage rates. Overall, 48% of Enhabits non-Medicare visits are now in payer innovation contracts at improved rates. The two companies eventually formed a new agreement later that year.

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Home Care Medicaid Primary Care Healthcare 103

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

Home Health Care

APRIL 24, 2023

Given their shared goals of closing care gaps, home-based primary care providers should be home health providers’ natural ally. We’re all working in our own little silos, and don’t really understand the incentives and challenges of each other,” she told Home Health Care News. That could change soon, however.

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Primary Care Nursing Medicare Prevention 98

Fierce Healthcare

DECEMBER 23, 2024

Medicare Advantage, UnitedHealth Group, physician pay and reimbursement and layoffs were top of mind for Fierce Healthcare readers in 2024. Major changes in the primary care and telehealth markets also drew readers' interest this past year.

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Primary Care Medicare Healthcare 184