Healthcare It News

SEPTEMBER 6, 2022

In March, Signify Health acquired Caravan Health , which serves Medicare beneficiaries through accountable care organizations. "We are both building an integrated experience that supports a more proactive, preventive and holistic approach to patient care." In 2023, those ACOs will represent 700,000 patients.

Primary Care 273

Primary Care Remote Care Accountable Care Accountability 273

HIT Consultant

MAY 1, 2024

Previously, Upperline Health’s specialists in podiatry, vascular care, chronic care management, and preventative health grappled with incomplete patient medical histories dispersed across disparate systems and modalities, particularly as the Medicare beneficiary population seeking specialist care burgeoned.

Integration 52

Integration Accountable Care Primary Care Accountability 52

Home Health Care

OCTOBER 20, 2021

Driving accountable care, advancing health equity, supporting innovation, addressing affordability and partnering to achieve system transformation are the five key pillars of the refresh, the paper explains. Moving forward, an innovation center goal for beneficiaries is to steer them toward more accountable care relationships.

Accountable Care 98

Accountable Care Accountability Medicare Medicaid 98

p3care

FEBRUARY 10, 2021

From the next performance year (2021), Accountable Care Organizations (ACOs) expect different reporting requirements under the Medicare Shared Savings Program. 134 Preventive Care and Screening: Screening for Depression and Follow-up Plan. The requirements are somewhat the same as for QPP MIPS. 321 CAHPS for MIPS Survey.

Medicare 246

Medicare Accountable Care Accountability Medicaid 246

Home Health Care

MARCH 19, 2024

The Centers for Medicare & Medicaid Services (CMS) announced a new voluntary model Tuesday – centered around primary care providers – that could offer home-based care providers more opportunity to dive into risk-based care. The model was another creation of the CMS Innovation Center.

Primary Care 85

Primary Care Medicare Accountable Care Medicaid 85

p3care

SEPTEMBER 14, 2021

What is ACO (Accountable Care Organization)? ACOs, in simple terms, including a wide network of clinicians, hospitals, and other health care providers who provide coordinated high-quality services to their Medicare patients. This payment model revolves around managing and preventing chronic diseases. Don’t worry!

Medicare 208

Medicare Accountable Care Prevention Healthcare Providers 208

Healthcare It News

OCTOBER 13, 2021

" For too many patients, "healthcare is still broken: unaffordable, biased – and largely still based on acute care rather than prevention," he said. "COVID-19 showed the world what's wrong: Not enough focus on public health, prevention and equity.

Population Health 280

Population Health Doctors Accountable Care Nursing 280

HIT Consultant

OCTOBER 30, 2023

Under the Medicare Shared Savings Program, a healthcare provider that is an Accountable Care Organization (ACO), ACO participant, or ACO provider or supplier would be deemed ineligible to participate in the program for a period of at least one year.

Medicare 98

Medicare Accountable Care Healthcare Providers Regulations 98

Healthcare Success

JULY 31, 2023

It has application in value-based care, patient population health, accountable care organizations (ACOs), and health management organizations (HMOs). to prevent or improve chronic health conditions. Make healthcare accessible Access to care is a barrier for many rural and underserved populations.

Prevention 130

Prevention Accountability Healthcare Accountable Care 130

HIT Consultant

MARCH 15, 2023

They could better assess addiction risk and make the best judgment on the type of care delivered. When data is missing or of lower quality, leveraging advanced data science algorithms that account for the missing pieces can correct systematic errors in SUD and mental health data.

Accountability 98

Accountability Accountable Care Medicaid Healthcare Innovation 98

p3care

SEPTEMBER 14, 2021

What is ACO (Accountable Care Organization)? ACOs, in simple terms, including a wide network of clinicians, hospitals, and other health care providers who provide coordinated high-quality services to their Medicare patients. This payment model revolves around managing and preventing chronic diseases. Don’t worry!

Medicare 130

Medicare Accountable Care Prevention Healthcare Providers 130

HIT Consultant

OCTOBER 18, 2023

Physicians should emphasize their value in terms of patient outcomes, quality of care, and cost-effectiveness. Value-Based Care Initiatives: Participating in value-based care models and accountable care organizations can lead to increased reimbursement based on improved patient outcomes and cost savings.

Regulations 105

Regulations Accountable Care Prevention Medicare 105

HIT Consultant

NOVEMBER 16, 2022

Edifecs and Empowered-Home announced a partnership to provide automated prior authorizations to medical associations, Accountable Care Organizations (ACOs), Independent Physician Associations (IPAs), medical groups, and home healthcare agencies. Edifecs Partners with Empowered-Home to Deliver Automated Prior Authorizations.

Physical Therapy 98

Physical Therapy Integration Accountable Care Rehabilitation 98

NCQA

NOVEMBER 20, 2023

NCQA seeks candidates who embody Phyllis’ passion for health care quality research and policy. Primary care. Preventive care. Health care disparities. Value-based care and payment. Her research examines the role of social factors on health and health care across the life span. Maternal health.

Primary Care 97

Primary Care Population Health Accountable Care Prevention 97

Home Health Care

JULY 14, 2023

Additional highlights The number of patients served by Optum under fully accountable value-based care arrangements grew by more than 900,000 year-over-year. Patients also experienced reduced wait times for follow-up primary care visits. But probably not much more to say today.”

Accountability 96

Accountability Accountable Care Medicare Primary Care 96

Home Health Care

AUGUST 30, 2021

It offers specialized home care, home infusion, hospice and medical transportation services nationwide. Under the MSSP, CommonSpirit has improved care outcomes for 335,000 Medicare beneficiaries through its 14 accountable care organizations (ACOs). Plus, it boasts an average quality score of 98%.

Medicare 116

Medicare Rehabilitation Home Care Accountable Care 116

Home Health Care

JANUARY 31, 2022

“It really goes back to this idea of powering care programs into the home. MedArrive coordinates in-person care for health systems, Accountable Care Organizations (ACOs) and physician group partners via emergency medical services (EMS) professionals, nurses and community health workers, among others.

Telemedicine 52

Telemedicine Prevention Accountable Care Accountability 52

Health Dialog

JUNE 16, 2016

Food and Drug Administration aims to reduce the use of tobacco, which remains the leading cause of preventable chronic conditions and death in the United States. However, some argue this may be an opportunity for e-cigarette manufactures to invest in research about the potential benefits, such as chronic condition prevention.

Prevention 40

Prevention Regulations Accountable Care Population Health 40

p3care

OCTOBER 30, 2020

Preventive Care and Screening: Screening for Depression and Follow-up Plan. ACO (Accountable Care Organization) Reporting. Many APM participants may use APP (APM Performance Pathway) for quality reporting. CMS also suggests setting six quality measures for APM reporting naming: Controlling High Blood Pressure.

Medicare 243

Medicare Measurable Quality Medicaid Accountable Care 243

NASHP

JANUARY 11, 2024

SELECT A STATE Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon (..)

Medicaid 52

Medicaid Accountable Care Accountability Prevention 52

NASHP

JANUARY 11, 2024

SELECT A STATE Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon (..)

Medicaid 52

Medicaid Accountable Care Accountability Prevention 52

Sheppard Health Law

OCTOBER 27, 2021

The five strategic objectives for advancing this systemwide transformation include (1) Drive Accountable Care, (2) Advance Health Equity, (3) Support Innovation, (4) Address Affordability, and (5) Partner to Achieve System Transformation. Strategic Objective 1: Drive Accountable Care.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Health Populi

MAY 26, 2021

This is especially true for the pharma and consumer health segments in healthcare in America.

Healthcare 81

Healthcare Accountable Care Accountability Nursing 81

NASHP

SEPTEMBER 8, 2023

from maternal-related causes , with more than 80 percent of these deaths being preventable. Factors that can lead to a pregnancy-related death include access to care and timeliness of diagnoses. American Indian, Alaskan Native, and Black women are two to three times more likely to die of pregnancy-related causes than White women.

Medicaid 78

Medicaid Performance improvement Quality Improvement Accountable Care 78

NASHP

JULY 11, 2022

The demands of the pandemic have made it clear that the public health system cannot work in a silo to do the foundational public health work of communicable disease prevention; maternal, child, and family health services; access to and linkage with clinical care; and preventing chronic disease and injury.

Medicaid 52

Medicaid Population Health Prevention Accountability 52

GoMoHealth

OCTOBER 20, 2022

A physician’s office staffed with 1-2 care coordinators just received the following monthly care gap reports with the expectation that they will work to close them (with no guidance or support). 3,000 noncompliant for variety of preventive care screenings or follow-up. 6,000 members. 5,752 members.

Quality Improvement 80

Quality Improvement Medicaid Population Health Medicare 80

HIT Consultant

JANUARY 30, 2022

Moreover, during the pandemic, government deregulation helped drive a surge in virtual care, which was especially critical for patients with chronic conditions and at high risk if they were to contract COVID-19. As vaccines have become available, practices have re-opened their doors, but many continue to offer telehealth appointments.

Accountable Care 98

Accountable Care Accountability Healthcare Prevention 98

Home Health Care

OCTOBER 11, 2021

Over the course of the last 12 months, we’ve continued to bring in more and more advanced diagnostic and preventative services alongside our in-home health evaluations,” he said. “I We know that in an episode of care model, about 45% of the readmissions occur after 30 days,” Boumenot said.

Accountable Care 52

Accountable Care Medicare Accountability Medicaid 52

Health Populi

SEPTEMBER 20, 2022

We may be entering a new phase of digital therapeutic “prescriptions” of consumer-facing devices to enable at-risk patients to generate and gather necessary data to help people prevent and manage their health. Heath plans and providers taking on risk-based payments are tuning into this opportunity.

Population Health 113

Population Health Prevention Health Data Doctors 113

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. CDC Centers for Disease Control and Prevention. PH-MCO Physical Health Managed Care Organization. RAE Regional Accountable Entity. USPSTF United States Preventative Services Task Force. Acronym Guide.

Medicaid 120

Medicaid Primary Care Prevention Nursing 120

Health Dialog

FEBRUARY 2, 2016

This is the final post in my three-part series on the successful implementation of Population Care Managers (PCMs) within Accountable Care Organization (ACO) and Patient Centered Medical Home settings. The primary objective for any ACO or at-risk provider is to deliver value-based care and reduce wasteful spending.

Population Health 40

Population Health Primary Care Accountable Care Doctors 40

Accountable Care Doctors

NOVEMBER 9, 2020

Learnings from COVID-19 must drive major changes in health care delivery, according to interviews conducted with physician leaders of the nation’s leading multi-specialty medical groups and health systems that participate in the Council of Accountable Physician Practices (CAPP). Invest in Primary Care and Prevention.

Accountability 52

Accountability Remote Care Primary Care Integration 52

Accountable Care Doctors

JUNE 14, 2021

These insights were shared at the keynote discussion, “Leveraging Employer-Provider Partnerships to Curb Rising Health Care Costs and Improve Outcomes” at the World Health Care Congress (WHCC), held June 8?–?10. WHCC panelists were Stephen Parodi, M.D.

Primary Care 52

Primary Care Integration Quality of Care Accountability 52

HIT Consultant

MAY 16, 2023

The quality of these healthcare services is measured by patient outcomes that are based on metrics such as rate of hospital readmission, timeliness of care, and overall patient satisfaction.

Population Health 52

Population Health Integration Accountability Pharmaceuticals 52

Accountable Care Doctors

JUNE 14, 2021

These insights were shared at the keynote discussion, “Leveraging Employer-Provider Partnerships to Curb Rising Health Care Costs and Improve Outcomes” at the World Health Care Congress (WHCC), held June 8?–?10. WHCC panelists were Stephen Parodi, M.D.

Primary Care 52

Primary Care Integration Quality of Care Accountability 52

NASHP

DECEMBER 15, 2021

Medicaid reimbursement for CHW services has been added to the state plan, and some of Rhode Island’s Accountable Care Entities also employ CHWs in managed care settings. In addition, the Health Home state plan option was authorized under the Affordable Care Act to coordinate care for beneficiaries with chronic conditions.

Medicaid 52

Medicaid Accountable Care Accountability Quality Assurance 52

Accountable Care Doctors

AUGUST 31, 2021

Integrating behavioral health into primary care serves a secondary function as well: it would also help to reduce the stigma associated with behavioral health which often prevents a patient from seeking help in the first place. Integrating behavioral health into primary care is only one piece of this work.

Primary Care 52

Primary Care Integration Doctors Accountability 52