Health Populi

AUGUST 25, 2020

Among these visits, 76% were with a primary care provider, 32% with a specialty care provider, and 18% with a mental health provider, the study found. Most older patients who had a telehealth visit perceived the quality of an office visit was higher (56%) and offered better communication opportunity with the clinician (54%).

Primary Care 171

Primary Care Telemedicine Doctors Hospitals 171

Home Health Care

APRIL 5, 2023

“Expanding access to healthcare: Humana integrated CenterWell home health, pharmacy and primary care services throughout 2021 and 2022, which has allowed the company to lower care costs and increase the value of care,” the company wrote in its report. For Humana, that roughly means 1.3 million beneficiaries.

Primary Care 98

Primary Care Medicare Quality of Care Integration 98

Home Health Care

JULY 5, 2022

Hospital readmissions are regularly viewed as an indicator of the quality of care patients receive. The Centers for Medicare & Medicaid Services (CMS) calculates annual readmission rates, and if those rates are higher than national averages, hospitals are financially penalized.

Hospitals 105

Hospitals Primary Care Nursing Quality of Care 105

Health Populi

JULY 13, 2020

health care financing regime of volume-based payment didn’t fare well as millions of patients postponed or cancelled procedures and visits for fear of contracting the virus in the halls, offices and clinics of hospitals and doctor’s offices. gross domestic product in 2020, the Centers for Medicare and Medicaid Services calculated.

Primary Care 110

Primary Care Medicare Accountability Hospitals 110

HIT Consultant

SEPTEMBER 24, 2024

Using an actuarially validated model, Wider Circle has reduced plan attrition by 50%, decreased inpatient visits, and generated over $100 in monthly value per Medicare Advantage and Medicaid member. This approach helps healthcare partners reduce costs, enhance the quality of care, and foster sustainable health improvements.

Medicare 52

Medicare Medicaid Primary Care Prevention 52

p3care

NOVEMBER 12, 2021

This unit works together to care for and look after a patient’s health. Their main goal is to improve the quality of care for patients. Ultimately, these add up to clinician’s MIPS reporting services, ACO reporting, or Quality Payment Program. Primary care doctors and specialists. How Does It Work?

Doctors 130

Doctors Accountability Healthcare Providers Accountable Care 130

p3care

NOVEMBER 12, 2021

This unit works together to care for and look after a patient’s health. Their main goal is to improve the quality of care for patients. Ultimately, these add up to clinician’s MIPS reporting services, ACO reporting, or Quality Payment Program. Primary care doctors and specialists. How Does It Work?

Doctors 130

Doctors Accountability Healthcare Providers Accountable Care 130

Home Health Care

APRIL 15, 2024

Last week, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced a new proposed model that will undoubtedly affect home health providers, and also allow them the opportunity to get more involved in value-based care initiatives. TEAM would be yet another model furthering that goal, if enacted.

Accountability 81

Accountability Medicare Home Care Quality of Care 81

Home Health Care

FEBRUARY 22, 2023

“Yes, we know that when we take on risk, we’re putting ourselves in a position that we might end up losing, but we’re creating opportunities so that we can actually move health care at home forward,” Resilient CEO Jackleen Samuel said during a presentation last month at the Home Care 100 conference.

Home Care 101

Home Care Primary Care Hospice Care Hospitals 101

Home Health Care

AUGUST 15, 2021

Centers for Medicare & Medicaid Services (CMS) are again touting the Home Health Value-Based Purchasing (HHVBP) Model as one of the agency’s most successful programs ever. CMMI was created through the Affordable Care Act in 2010. Broadly, HHVBP is a Medicare demonstration that aims to tie reimbursement to quality of care.

Medicare 85

Medicare Medicaid Quality of Care Primary Care 85

Home Health Care

JANUARY 31, 2023

This is because most of the biggest issues have already been addressed by Congress and the Centers for Medicare & Medicaid Services (CMS). It will give patients the options for care in the home,” she said.

Nursing 98

Nursing Primary Care Medicare Home Care 98

Health Populi

MAY 10, 2022

That’s an important behavior change to take into future planning for primary care services targeted to older peoples’ chronic care management and remote health monitoring. The top barrier to using telehealth for people 50+ are concerns about the quality of care not being on-par with in-person visits to doctors.

Doctors 126

Doctors Primary Care Medicare Quality of Care 126

Home Health Care

JULY 18, 2024

He will head up the company’s strategic initiatives around Medicare Advantage (MA), and a virtual home health model to support MA business. Bringing Jeff on board is a huge lift for New Day as we continue to ‘Burn the Ships’ and change the way home health care is delivered,” New Day CEO G.

Healthcare 80

Healthcare Home Care Primary Care Medicare 80

Home Health Care

JANUARY 2, 2024

Devoted Health, a next-generation Medicare Advantage plan and tech-enabled startup , made a financial splash to end 2023 – announcing $175 million in new funding. The Massachusetts-based Devoted Health is an all-in-one health care company that delivers virtual-first care and insurance to primarily Medicare Advantage patients.

Medicare 77

Medicare Home Care Primary Care Quality of Care 77

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

Home Health Care

SEPTEMBER 7, 2021

Louisville, Kentucky-based Humana is one of the largest Medicare Advantage (MA) insurers in the country. It is also one of the largest providers of home health care through its $8.1 Nearly 90% of seniors want to age in place, according to a recent study conducted by Capital Caring Health and WebMD. “A

Urgent Care 103

Urgent Care Primary Care Quality of Care Doctors 103

Cloud Blogs

FEBRUARY 28, 2022

These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care. In 2020, the Centers for Medicaid and Medicare Services (CMS) issued additional rules requiring that payors and providers who receive CMS funds make health information more accessible.

Integration 127

Integration Healthcare Quality of Care Regulations 127

HIT Consultant

JUNE 12, 2024

VBC: A Shift from Quantity to Quality VBC represents a paradigm shift in healthcare, moving away from fee-for-service models that reward the number of patients seen and procedures performed. Instead, VBC incentivizes healthcare providers based on patient outcomes and the quality of care delivered.

Population Health 71

Population Health Primary Care Prevention Quality of Care 71

Sheppard Health Law

DECEMBER 12, 2022

The Centers for Medicare & Medicaid Services (CMS) Innovation Center continues to move forward with its “strategic refresh” initiative. Through this shift, CMS aims to examine and enhance payments for specialty care provided to Medicare beneficiaries. Value-Based Care and ACOs.

Accountable Care 52

Accountable Care Accountability Medicare Primary Care 52

Healthcare It News

JULY 17, 2023

CCA specializes in managing complex care for individuals dually eligible for Medicare and Medicaid, as well as those who narrowly miss the threshold for Medicaid. This matters not only for urgent care issues, but also when a patient is motivated and wants to secure a visit quickly.

Telemedicine 167

Telemedicine Urgent Care Medicaid Primary Care 167

Health Populi

JULY 10, 2020

As a sign of satisfaction, 70% of consumers would be likely (very or extremely) to recommend virtual care to friends or colleagues. Among satisfaction deflectors were perceived quality of care, an impersonal experience, and technical issues.

Urgent Care 116

Urgent Care Primary Care Doctors Quality of Care 116

Health Populi

MARCH 9, 2022

Through their lens on real estate, JLL wove three themes from the consumer poll: Location and convenience matter most to patients, and health care providers can leverage patient preferences to inform site selection especially for scarce facility types. ” she added. This week, the U.S.

Doctors 96

Doctors Life Sciences Medicare Urgent Care 96

Health Populi

FEBRUARY 22, 2022

Doximity’s second report on telemedicine explores both physicians’ and patients’ views on virtual care, finding most doctors and health consumers on the same page of virtual care adoption. For the physicians’ profile, Doximity examined 180,000 doctors’ who billed Medicare for telemedicine claims between January 2020 and June 2021.

Telemedicine 83

Telemedicine Doctors Primary Care Quality of Care 83

HIT Consultant

SEPTEMBER 24, 2024

Using an actuarially validated model, Wider Circle has reduced plan attrition by 50%, decreased inpatient visits, and generated over $100 in monthly value per Medicare Advantage and Medicaid member. This approach helps healthcare partners reduce costs, enhance the quality of care, and foster sustainable health improvements.

Medicaid 52

Medicaid Primary Care Prevention Medicare 52

HIT Consultant

JANUARY 25, 2023

. – The report demonstrates, across multiple plans, that placing previously unavailable yet actionable information on quality gaps, HCC (Hierarchical Condition Categories) capture, HRA completion and other initiatives, within the provider’s workflow, is effective in closing more gaps.

Primary Care 52

Primary Care Process improvement Quality of Care Medicare 52

Sheppard Health Law

FEBRUARY 12, 2024

HRSN Initiatives : In the interest of increasing the accessibility and quality of care to address HRSN, the Demonstration Amendment seeks to improve integration between primary care providers and community-based organizations.

Medicaid 52

Medicaid Primary Care Hospitals Integration 52

NCQA

JANUARY 8, 2025

Behavioral Health at the Heart of Texas Medicaid Services Behavioral health has become a central component of primary care in Texas, a shift that manyDr. The Texas legislature recently launched the Texas Child Mental Health Care Consortium with support from the University of Texas. Van Ramshorst includeddidnt anticipate.

Medicaid 52

Medicaid Telemedicine Primary Care Integration 52

NASHP

MARCH 14, 2022

High-quality palliative care can both improve quality of life and avoid unnecessary and often unwanted treatments for Medicaid enrollees with serious illness. States can support palliative care in a number of ways and across a range of settings (e.g., in hospitals, embedded within enhanced primary care, via home health).

Medicaid 94

Medicaid Rehabilitation Quality Assurance Patient Experience 94

NCQA

JULY 16, 2024

Read Kate’s article in Health Affairs Forefront , which outlines the legislative actions Congress should pursue to advance innovation in Medicaid. Behavioral Health c are Takes Center Stage Peggy and Kate’s conversation also delved into the critical role of primary care, particularly in integrating behavioral health services. “If I were to identify (..)

Medicaid 86

Medicaid Quality Improvement Integration Population Health 86

Etactics

JANUARY 26, 2024

Quality of care. These include capitation, value-based reimbursement, and episodes of care/bundled payments. It is also a term applied to traditional Medicare. This helps distinguish it from Medicare managed-care plans, as well as any other new payment systems there might be. Cost containment.

Healthcare 52

Healthcare Medicare Primary Care Healthcare Providers 52

Cloud Blogs

FEBRUARY 28, 2022

These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care. In 2020, the Centers for Medicaid and Medicare Services (CMS) issued additional rules requiring that payors and providers who receive CMS funds make health information more accessible.

Integration 73

Integration Healthcare Quality of Care Regulations 73

NCQA

JUNE 28, 2024

The Centers for Medicare & Medicaid Services (CMS) recently announced two major updates to Medicaid regulations. This blog will delve into their significance and key policy implications for states and managed care organizations (MCO). Implement a Quality Rating System (QRS).

Medicaid 59

Medicaid Regulations Care Transition Primary Care 59

HIT Consultant

OCTOBER 14, 2021

That means virtualized end-to-end processes that integrate every step in patient care from scheduling, intake, waiting rooms and patient queuing to interpretation services, e-prescribe, billing and analytics, referral management and more. So, high quality, accurate data will be an imperative for member satisfaction.

Urgent Care 98

Urgent Care Healthcare Medicare Integration 98

Home Health Care

JANUARY 8, 2025

Patients often visit one clinic for a specific service, a hospital for emergency care and yet another facility for urgent care, all of which differ from their primary care provider’s office or post-acute care. This increase means more operators are engaged in delivering this care model.

Hospitals 52

Hospitals Quality of Care Integration Home Care 52

Sheppard Health Law

JANUARY 10, 2024

Markovich is worried that the healthcare system is losing the public’s trust – which will make it harder to effectively fix our system – while also not delivering the quality of care and accessibility needed by our population. For example, Christopher Riopelle, CEO of Strive Health, shared today that 42% of U.S.

Healthcare 52

Healthcare Ambulatory Care Primary Care Medicare 52

Home Health Care

DECEMBER 14, 2021

Generally, that’s Medicare Advantage,” Johnson said in September. Landmark was originally founded by Rubicon Founders CEO Adam Boehler, who eventually left to head the Center for Medicare and Medicaid Innovation (CMMI). One was that it’s still Medicare fee for service, and it’s built on a fee-for-service chassis.”.

Urgent Care 52

Urgent Care Medicare Quality of Care Medicaid 52

NASHP

MARCH 15, 2023

Opportunities for State Policymakers State health reform efforts increasingly focus on providing comprehensive and well-coordinated care to people with serious illness to improve quality of care and drive down costs. Palliative care can be an important component of these strategies.

Medicaid 52

Medicaid Primary Care Nursing Integration 52