Healthcare It News

AUGUST 29, 2022

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. From there, we established partnerships with both regional and national health plans to offer virtual-first care to their members.

Telemedicine 264

Telemedicine Primary Care Medicaid Urgent Care 264

Home Health Care

JUNE 26, 2023

The Chicago-based WellBe offers home-based medical care services, including integrated mobile urgent care, in six states: Georgia, Illinois, Ohio, Utah, West Virginia and Pennsylvania. Health plans are looking for ways to differentiate and improve medical cost and quality across the health care spectrum.

Primary Care 98

Primary Care Urgent Care Medicare Integration 98

Home Health Care

DECEMBER 5, 2021

Jamie Sharp, chief medical officer for Aetna Medicare. “We’re We’re kind of assuming a new landscape for the delivery of health care and moving away from acute,” Sharp told Home Health Care News. “I million Medicare members nationwide. I think it’s important to focus on aging in place.”.

Medicare 124

Medicare Urgent Care Nursing Hospitals 124

Home Health Care

OCTOBER 4, 2022

With the annual enrollment period just around the corner, Medicare Advantage (MA) organizations are starting to tout what benefits they’re offering seniors for the upcoming year. MA is a form of Medicare that is administered by private insurers. Medicare open enrollment runs from October 15 to December 7, 2022. Humana Inc.

Medicare 105

Medicare Primary Care Urgent Care Home Care 105

Home Health Care

JULY 24, 2024

Seniors who have difficulty leaving their homes or accessing traditional medical facilities have a new option for health care: mobile, medical home care visits from Horizon Care Services. Horizon Care Services is already a successful home care, care management and senior placement provider in Florida.

Primary Care 59

Primary Care Home Care Doctors Urgent Care 59

Healthcare Success

APRIL 8, 2024

urgent care, acute care, primary care, ambulatory care, Telehealth, etc.)—especially Net consumer cost depends on several factors, including: Insurance types and coverages (HMO, PPO, Medicare, Medicaid, etc.). especially if they offer something their competitors do not. Pre-authorizations.

Patient Experience 273

Patient Experience Ambulatory Care Urgent Care Doctors 273

Home Health Care

AUGUST 13, 2024

This article is a part of your HHCN+ Membership The Centers for Medicare & Medicaid Services (CMS) launched the Guiding an Improved Dementia Experience (GUIDE) Model on July 1, which aims to create more comprehensive, coordinated dementia care. Lifespark, headquartered in St.

Home Care 116

Home Care Medicare Nursing Urgent Care 116

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 101

Hospitals Quality of Care Integration Home Care 101

Home Health Care

SEPTEMBER 23, 2022

The home health leader of one of the nation’s largest health insurers believes the industry will need to be ready to move toward value-based care. Meanwhile, critics of Medicare Advantage (MA) should start to spend time with payers to understand what their needs are and what is driving up their costs.

Primary Care 98

Primary Care Medicare Urgent Care Nursing 98

Home Health Care

MAY 19, 2023

Now, Humana is focused on accelerating value-based care and integrating all of its services that fall under the larger CenterWell brand, which includes home-based care, primary care and pharmacy services. We have partnered with organizations like Heal, which provides primary care at home.

Primary Care 104

Primary Care Medicare Integration Urgent Care 104

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. We have the largest senior focused value-based primary care,” Agwunobi said. “We

Primary Care 116

Primary Care Urgent Care Hospitals Population Health 116

Home Health Care

SEPTEMBER 15, 2023

According to her LinkedIn, the roles she held at Steward Health Care include: COO; EVP of operations; SVP of corporate operations; SVP and chief of staff; VP of operations and strategic initiatives, senior director of primary care and medical specialties; and director of practice operations.

Urgent Care 115

Urgent Care Hospice Care Accountability Accountable Care 115

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. When clinicians’ schedules can be pooled, or when virtual care can be done during downtime or no-show time, wait times for visits fall dramatically.

Telemedicine 246

Telemedicine Urgent Care Medicaid Primary Care 246

Health Populi

JUNE 3, 2020

McKinsey’s report models outpatient and office visits that can be virtually enabled for patients covered by both commercial and public sector health plans (Medicare and Medicaid). Most providers also reported they were more comfortable using telehealth post-COVID. 24% of all office visits and outpatient encounters, plus.

Healthcare 153

Healthcare Telemedicine Hospitals Urgent Care 153

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 New approaches to at-home health care, such as urgent care in the home, are making the patient experience more convenient than ever.

Urgent Care 105

Urgent Care Primary Care Quality of Care Doctors 105

Home Health Care

MAY 10, 2022

MidCoast Health System — an El Campo, Texas-based health organization that has four hospitals, with several primary and specialty clinics, plus urgent care and long-term care facilities — became the initiative’s first participant. The company’s staff includes PTs, OTs, speech therapists, dietary specialists and others.

Hospitals 105

Hospitals Medicare Nursing Urgent Care 105

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 93

Medicare Urgent Care Primary Care Population Health 93

Home Health Care

DECEMBER 19, 2021

Specifically, an insurance company that is pretty deep in Medicare Advantage (MA). Our primary care clinics, our home health, our pharmacy and other delivery services that are payer agnostic will be transitioned to the CenterWell brand over the next few years. One of those areas is care in the home.

Primary Care 98

Primary Care Urgent Care Nursing Integration 98

Home Health Care

FEBRUARY 11, 2023

It delivers “a comprehensive care visit that addresses quality, risk and care gaps for at-risk Medicare Advantage, Medicaid, Commercial and ACO Members,” according to its website. VillageMD is a value-based primary care provider. On its end, Summit Health-CityMD is a provider of primary, specialty and urgent care.

Home Care 98

Home Care Primary Care Urgent Care Medicaid 98

HIT Consultant

DECEMBER 15, 2021

What You Should Know: – Bamboo Health announced that it has expanded its care coordination partnership with Oak Street Health intended to arm the network of value-based primary care centers (for Medicare) with an additional level of resources for managing real-time patient event notifications.

Urgent Care 52

Urgent Care Primary Care Care Transition Patient Experience 52

Health Populi

JULY 10, 2020

Over one-half of consumers learned about virtual care options through an online search like Google or Bing (“Calling Dr. Google!”), ”), and another one-third through a patient portal, hospital system, or urgent care website.

Urgent Care 116

Urgent Care Primary Care Doctors Quality of Care 116

HIT Consultant

NOVEMBER 10, 2021

This shift to hybrid care could ameliorate some of the major problems in the U.S. has a shortage of primary care clinicians, which means it can be difficult to get an appointment. Many patients end up turning to urgent care or emergency departments, far costlier than a standard office visit. healthcare system.

Healthcare 105

Healthcare Patient Experience Urgent Care Population Health 105

Health Populi

APRIL 16, 2018

A decade later, can Walmart re-imagine primary care the way the company did low-cost medicines? Here’s a New York Times article from 2014 discussing the company’s vision for expanding primary care. Today, that low-cost generic Rx is ubiquitous in the retail pharmacy. Just sayin’]).

Primary Care 54

Primary Care Healthcare Urgent Care Medicare 54

Health Populi

MARCH 9, 2022

For those of you focused on serving Medicare or older patients, there are some important findings in the JLL study to add into your scenario planning assumptions. Those often lead to follow-up care, so we may not be seeing any difference between in-person and telehealth for follow up to specialists, etc.,” ” she added.

Doctors 96

Doctors Life Sciences Medicare Urgent Care 96

Home Health Care

APRIL 12, 2023

We have a huge footprint in value-based care, particularly serving seniors,” Powder said. “We We take a lot of full-risk capitation in Medicare Advantage. They should be in urgent care or in a retail clinic. Advocate Health Enterprises also acquired the non-medical home care provider Senior Helpers over two years ago.

Hospitals 98

Hospitals Urgent Care Nursing Medicare 98

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

Sheppard Health Law

JANUARY 13, 2023

That is why perhaps we have devolved (because I don’t think it is beneficial evolution) to the proliferation of psychiatric medications being prescribed at such high frequency by primary care physicians and nurse practitioners, psychiatrists, psychiatric nurse practitioners and other professionals. More on Primary Care.

Healthcare 98

Healthcare Primary Care Integration Urgent Care 98

Health Populi

OCTOBER 10, 2022

” McKinsey is talking about Medicare’s spending that could be shifted home in just two+ years, ranging from $180 to a quarter of a trillion dollars. There’s a convergence and blur in the center here, with primary care and ambulatory care getting the attention they merit as lower-cost and more appropriate sites of care.

Primary Care 62

Primary Care Ambulatory Care Hospitals Urgent Care 62

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.

Urgent Care 52

Urgent Care Hospice Care Primary Care Integration 52

Sheppard Health Law

JANUARY 11, 2022

Morgan Conference – COVID-19, the jittery stock market, the future of Medicare Advantage and recent industry changes. Centene noted that for Centene Medicare members, the inpatient utilization trend was higher than 60%, but lower than 60% for Medicaid and Marketplace members. I really had to look at the shadows and not the backgrounds.

Healthcare 52

Healthcare Medicare Primary Care Nursing 52

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. Eric Rosow, CEO, Diameter Health.

Urgent Care 98

Urgent Care Healthcare Medicare Primary Care 98

Lexis Nexis

DECEMBER 14, 2023

Care Delivery Diversification How care is delivered is rapidly changing with the expansion of retail health centers and continued advancement in the capabilities of digital health platforms. Department stores, pharmacies and urgent care centers continue to expand their retail health center footprint and the types of care they provide.

Healthcare 52

Healthcare Urgent Care Life Sciences Medicare 52

Home Health Care

DECEMBER 14, 2021

Landmark’s value-based clinical model is actively transforming health care in America,” Johnson said in the release. “By By extending primary and urgent care into the homes of patients with challenging illness, we’re helping seniors age in place, surrounded by family and friends. Some of our customers are Humana Inc.

Urgent Care 52

Urgent Care Medicare Quality of Care Medicaid 52

HIT Consultant

SEPTEMBER 2, 2021

We opted to focus on compliance levels among Medicare Advantage populations for specific procedures, tests, and care interventions. This is because risk models—following Centers for Medicare and Medicaid Services (CMS) guidelines—emphasize appropriate care and member experience to meet quality standards central to Star Ratings.

Medicare 52

Medicare Primary Care Urgent Care Medicaid 52

Sheppard Health Law

JANUARY 10, 2024

As Mostashari said today, it is becoming increasingly clear to primary care practices that the current system is not sustainable. Sell noted that there had been higher utilization coming from hip and knee replacements in their Medicare Advantage (MA) population, as well as certain drug and other costs.

Healthcare 52

Healthcare Ambulatory Care Primary Care Medicare 52

NASHP

MARCH 22, 2024

Two states have pursued more innovative approaches and were highlighted in a NASHP report on increasing access to behavioral health care. In addition, through its new 1115 demonstration extension and “Roadmap for Behavioral Health Reform,” the state is phasing in a new integrated primary care payment and reimbursement structure.

Medicaid 52

Medicaid Urgent Care Primary Care Hospitals 52

NASHP

APRIL 24, 2023

Federal partners could intentionally align these grant programs with opportunities/guidance/demonstrations from the Centers for Medicare & Medicaid Services (CMS) and other federal partners that have a goal of increasing the use of evidence-based interventions, such as the U.S.

Medicaid 52

Medicaid Integration Prevention Urgent Care 52