HIT Consultant

NOVEMBER 2, 2023

Collaboration aims to drive coordinated care and improve quality while reducing costs NS-EEH will strengthen its clinically integrated network (CIN) by incorporating Lumeris’ population health data platform into its value-based care strategy. million residents.

Accountable Care 52

Accountable Care Population Health Accountability Medicaid 52

NASHP

MAY 10, 2024

Medicaid is required to participate by performance year one, and CMS encourages commercial payer participation and Medicare Advantage alignment. A core aspect is a focus on alignment between payers.

Primary Care 52

Primary Care Medicaid Medicare Integration 52

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 80

Accountability Medicare Home Care Quality of Care 80

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. MEDITECH, SeamlessMD Collaborate on Digital Health Integration.

Physical Therapy 98

Physical Therapy Integration Accountable Care Rehabilitation 98

Accountable Care Doctors

NOVEMBER 17, 2020

Earlier this year, CAPP asked the Institute for Accountable Care (IAC) Executive Director Rob Mechanic to conduct a scan of the latest literature on accountable care entities, programs, and payment models in an effort to understand the factors that influence participation in such arrangements and on cost and quality performance.

Accountable Care 52

Accountable Care Accountability Medicare Integration 52

Accountable Care Doctors

NOVEMBER 17, 2020

Earlier this year, CAPP asked the Institute for Accountable Care (IAC) Executive Director Rob Mechanic to conduct a scan of the latest literature on accountable care entities, programs, and payment models in an effort to understand the factors that influence participation in such arrangements and on cost and quality performance.

Accountable Care 52

Accountable Care Accountability Medicare Integration 52

Home Health Care

APRIL 2, 2024

Charter Health Care Group, founded in 2006, is an integrated post-acute care provider offering hospice, home health, and transitional care services,” the description reads. That doesn’t seem to be the case with all managed Medicare [payers]. The private equity company first invested in Charter in 2018.

Healthcare 40

Healthcare Accountable Care Accountability Nursing 40

HIT Consultant

JULY 19, 2022

Curana is focused on driving the adoption of value-based care in senior living communities through multiple business segments, including a provider-led medical group (Curana Health Medical Group), Medicare Advantage health plans (AllyAlign Health), and a Medicare Accountable Care Organization (Curana Health ACO).

Accountable Care 52

Accountable Care Population Health Medicare Accountability 52

HIT Consultant

MAY 24, 2022

– The funding will fuel growth of the provider/payer platform that integrates with the electronic medical records (EMR) to identify high-value tactical care and coding interventions. KAID Health allows providers to profit from delivering more informed coordinated care. First, how to make clinicians more efficient.

Accountable Care 52

Accountable Care Primary Care Accountability Integration 52

Home Health Care

MARCH 3, 2022

One thing that has remained constant, though, is the organization’s push towards a value-based health care system. For Signify, the recent completion of its Caravan Health acquisition — an accountable care organization (ACO) manager — is a major move toward driving more participation and success in value-based payment arrangements. “We’re

Accountability 96

Accountability Medicare Accountable Care Primary Care 96

Accountable Care Doctors

MARCH 19, 2021

Kimura’s contributions as we chart a course toward care integration, new payment models, interoperability and transparent quality measures.”. CAPP’s leadership role in accountable care and care integration is essential to shaping the health care system of the future,” said Dr. Kimura. “We

Accountability 52

Accountability Accountable Care Primary Care Population Health 52

HIT Consultant

SEPTEMBER 18, 2023

Michael Pattwell, Principal Business Advisor, Value-Based Care, Edifecs While the need to address social determinants of health (SDOH) is definitely not new, 2023 marks the first year SDOH is codified into national and statewide value-based payment program mandates. million in 2019, according to the CMS report.

Accountability 114

Accountability Population Health Medicaid Accountable Care 114

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. NCQA is eager to continue the conversation on multi-payer alignment and tracking state innovations.

Primary Care 52

Primary Care Quality Improvement Medicaid Accountable Care 52

Home Health Care

MAY 5, 2022

Another major component of the company’s value-based mission was its acquisition of Caravan Health, an accountable care organization (ACO) manager. I’m very pleased with the positive reaction from our clients who are excited about the prospect of Signify Health providing a total cost of care model,” he said.

Accountability 98

Accountability Accountable Care Primary Care Medicare 98

HIT Consultant

NOVEMBER 22, 2021

Health Fidelity’s technology uncovers insights that enable better care planning and more complete revenue capture; giving health plans and providers the ability to succeed in risk-sharing arrangements across Medicare Advantage, Affordable Care Act (ACA), Medicaid, and Accountable Care Organization programs.

Accountable Care 52

Accountable Care Medicaid Medicare Accountability 52

HIT Consultant

FEBRUARY 2, 2022

A strong VBC network will often need a sizable technology investment to revise traditionally siloed capabilities, the ability to cater to a spectrum of stakeholders, including accountable care organizations (ACOs), bundled payment programs, full and partial capitation, and the Medicare Shared Savings Program with upside and downside risk.

Accountability 98

Accountability Medicaid Accountable Care Medicare 98

Home Health Care

OCTOBER 11, 2021

The program acts as an extension of the work hospitals, health systems, clinically integrated networks and accountable care organizations (ACOs) are doing in terms of transitioning individuals back into the home. “We 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

NASHP

OCTOBER 20, 2022

The “National Forum on Advancing High-Quality, Equitable Care Coordination for Children and Youth with Special Health Care Needs” centered on two key topics for improving care coordination systems for CYSHCN: integrated care coordination and the care coordination workforce.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

NASHP

MAY 26, 2022

By involving the care recipient and family throughout the care process as partners and delivering care in line with an individual’s goals, shared decision-making approaches can reduce delivery of unwanted or unnecessary care and resulting costs.

Patient Experience 52

Patient Experience Medicaid Accountable Care Regulations 52

Home Health Care

FEBRUARY 14, 2022

Smathers will join ATI’s Medicare and Medicaid Integration and long-term services and supports (LTSS) innovation practice. My personal mission is to contribute to innovations in care that are equitable, person-centered, and sustainable,” Smathers said in a press release. ATI Advisory appoints new managing director.

Home Care 52

Home Care Life Sciences Accountable 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. The CHWs were an integral part of the vaccine equity team and helped NMDOH develop a Community Resource Center and a set of flipcharts about vaccination.

Medicaid 52

Medicaid Accountable Care Accountability Quality Assurance 52

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 Primary Care Medicare 52

HIT Consultant

JANUARY 22, 2024

What You Should Know: – The Centers for Medicare & Medicaid Services (CMS) has taken a bold step towards improving care for individuals with both mental health conditions and substance use disorders (SUD), announcing the “ Innovation in Behavioral Health (IBH)” Model.

Medicaid 97

Medicaid Quality of Care Integration Medicare 97

Home Health Care

FEBRUARY 1, 2023

After the Centers for Medicare & Medicaid Services (CMS) released a final rule that poses sizable risk to its Medicare Advantage business, Humana Inc. With that said, we are committed to working productively with CMS to ensure the integrity of the program is maintained.” NYSE: HUM) leaders insisted panic was not necessary.

Primary Care 97

Primary Care Medicare Medicaid Integration 97

Healthcare It News

JANUARY 4, 2022

Progress toward accountable care is halting. "The adoption of hospital-at-home programs across the country has been rapid, with nearly 200 hospitals participating in the Centers for Medicare and Medicaid Services’ Acute Hospital Care at Home program in only a year since its launch," said Majmudar.

Hospitals 349

Hospitals Nursing Accountable Care Clinical Practice 349

NASHP

OCTOBER 16, 2023

The state encourages those broader strategies to improve patient satisfaction and outcomes at all stages of life and illness. ” – Anastasia Dodson, Deputy Director, Office of Medicare Innovation and Integration, California Department of Health Care Services Reimbursement is often cited as a barrier to availability of palliative care.

Medicaid 52

Medicaid Medicare Regulations Accountable Care 52

Home Health Care

SEPTEMBER 7, 2022

In February, Signify acquired Caravan Health – an accountable care organization (ACO) manager – for $250 million. We’re very excited about the opportunity we have with Caravan Health and our ongoing efforts to expand our reach in value-based care,” Signify CEO Kyle Armbrester said at the time. For instance, Humana Inc.

Accountable Care 98

Accountable Care Medicare Accountability Home Care 98

NASHP

AUGUST 24, 2023

It is increasingly clear that any program’s ability to improve care value is critically reliant on targeting the right patients — not too many, not too few, but the right ones.” — Diane E. The state began implementation of palliative care legislation with an analysis of state Medicaid claims and encounter data.

Medicaid 52

Medicaid Quality Assurance Quality of Care Hospitals 52

HIT Consultant

JUNE 16, 2023

care.ai, an advanced Smart Care Facility Platform partners with Samsung to bring the highest quality graphics and display to care settings, elevating the patient experience by transforming hospitals, nursing homes and care facilities with smarter, more responsive care environments. devices paired with Samsung displays.

Physical Therapy 52

Physical Therapy Primary Care Rehabilitation Medicare 52

Sheppard Health Law

FEBRUARY 6, 2023

On Friday, February 3, the Department of Justice, Antitrust Division (the “DOJ”) announced its withdrawal of three policy statements on health care antitrust enforcement: (1) The Department of Justice and Federal Trade Commission Antitrust Enforcement Policy Statements in the Healthcare Area (Sept. 1 1996) ).

Healthcare 52

Healthcare Accountability Accountable Care Integration 52

NASHP

AUGUST 31, 2023

In many states, SHIPs serve as the driving mechanism for engaging health care systems and communities in statewide planning, implementation, and evaluation efforts. Key examples include: Washington state established nine regional Accountable Communities for Health.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

NASHP

AUGUST 23, 2021

Lack of Access to Specialists Associated with Mortality and Preventable Hospitalizations of Rural Medicare Beneficiaries.” Health Care Access in Rural Areas: Evidence that Hospitalization for Ambulatory Care-Sensitive Conditions in the United States May Increase with the Level Of Rurality.” iv] Johnston, K. Wen, and K.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

Triage Health Law

AUGUST 24, 2023

As FTC Chair Lina Khan explained in a July statement to the House Judiciary Committee, the FTC is concerned about the PBM’s “enormous” influence on what drugs can be prescribed and the price patients pay given recent changes in the market, such as increased vertical integration and horizontal concentration.

Pharmaceuticals 52

Pharmaceuticals Healthcare Accountable Care Accountability 52

Health Populi

MAY 22, 2018

Last year’s rate of growth was 4.6%. A few days ago, TransUnion, the credit agency, announced plans to acquire Healthcare Payment Specialists.

Accountable Care 91

Accountable Care Hospitals Accountability Regulations 91

Home Health Care

AUGUST 25, 2022

The Centers for Medicare and Medicaid Services (CMS) has awarded one of its ACO REACH contracts to Upward Health, a multidisciplinary at-home care provider. ACO REACH is a risk-sharing program between companies and the government, standing for Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health.

Home Care 98

Home Care Medicare Medicaid Accountable Care 98