Sheppard Health Law

JANUARY 20, 2023

Research has indicated that healthcare systems that connect patients to basic resources have observed improvements in population health metrics, fostered trust with their patient base, and experienced reduced hospitalization costs. ILOSs must advance the objectives of the Medicaid program.

Medicaid 52

Medicaid Regulations Federal Healthcare Medicare 52

Healthcare It News

JUNE 13, 2023

The company says that 3,000 healthcare organizations are already using Uber Health for transportation to primary care appointments and accessing critical prescriptions. Uber Health launched its HIPAA-enabled API and dashboard in 2018 to offer logistics services to population health management programs.

Medicaid 206

Medicaid Primary Care Population Health Hospitals 206

Sheppard Health Law

MAY 16, 2022

More than 13 million people were enrolled in Medi-Cal in California in September 2021, making it the largest Medicaid program in the nation. In 2015, DHCS launched the WPC Pilots as part of its Medi-Cal 2020 Section 1115 Demonstration.

Medicaid 59

Medicaid Accountability Nursing Population Health 59

NASHP

APRIL 29, 2024

The model also requires Medicaid to establish a hospital global budget for participating hospitals for the first performance year of the model. This means there will be three hospital global budgets: Medicare, Medicaid, and commercial. A state’s lead agency must recruit commercial payers and hospitals to participate.

Hospitals 78

Hospitals Medicaid Medicare Primary Care 78

Healthcare It News

DECEMBER 12, 2022

New York City-based Unite Us focuses on building equity in population health management through coordinated care networks of health and social service providers – the infrastructure of care. "Partnering with a coordinated care network, like Unite Us, is a game changer," he said.

Rehabilitation 244

Rehabilitation Medicaid Population Health Integration 244

Healthcare ECONOMIST

MAY 29, 2024

However, the Centers for Medicare and Medicaid Innovation (CMMI) has proposed a number of a number of payment models intending to address pharmaceutical cost, spending, and reimbursement. In fact, in 2023 CMS proposed 3 new models to reduce out-of-pocket (OOP) cost for Medicare and Medicaid beneficiaries. CGT Access Model.

Medicare 88

Medicare Pharmaceuticals Medicaid Population Health 88

Healthcare ECONOMIST

APRIL 3, 2024

Pharmacy plan quality is vital since approximately 85% of the US population has prescription drug coverage through public (e.g., Medicare , Medicaid) or commercial (e.g., aligns with key plan/population health priorities, usability (i.e., aligns with key plan/population health priorities, usability (i.e.,

Medicaid 71

Medicaid Population Health Prevention Medicare 71

HIT Consultant

JUNE 7, 2024

Focus on Value-Based Care and Population Health Pediatrics Associates prioritizes delivering comprehensive medical care to children and families. Their business model emphasizes value-based care and population health management (PHM). million lives across Medicaid and commercial contracts.

Quality of Care 52

Quality of Care Population Health Primary Care Medicaid 52

Home Health Care

SEPTEMBER 6, 2023

The Centers for Medicare & Medicaid Services (CMS) unveiled a new state-focused demonstration model Tuesday. One of the model’s primary objectives is to shift health care spending and utilization more toward primary and community-based care. The AHEAD Model could do the same.

Primary Care 100

Primary Care Population Health Medicare Medicaid 100

HIT Consultant

SEPTEMBER 22, 2022

What You Should Know: – MDwise and Cityblock Health , the first tech-driven healthcare provider for communities with complex health and social needs announced that they will be collaborating to provide high-quality, comprehensive care to 10,000 Medicaid members at launch in select Indiana communities, including Indianapolis.

Medicaid 52

Medicaid Doctors Healthcare Providers Healthcare 52

Healthcare It News

OCTOBER 31, 2022

Through the secure collection, documentation, reporting, access and use of data across provider types, ONC aims to address health inequities that have their root causes in poverty and racism. Andrea Fox is senior editor of Healthcare IT News. Email: afox@himss.org. Healthcare IT News is a HIMSS publication.

Private Healthcare 284

Private Healthcare Population Health Medicaid Medicare 284

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. Strategic Objective 2: Advance Health Equity.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

HIT Consultant

APRIL 16, 2024

REACH Program: Reducing Barriers and Improving Outcomes The REACH program from the Center for Medicare & Medicaid Innovation (CMMI) aims to address healthcare disparities. This data-driven approach allows for proactive care and improved health outcomes for the entire patient population.

Accountable Care 52

Accountable Care Accountability Medicare Population Health 52

HIT Consultant

APRIL 25, 2024

. – In an effort to bridge the nutrition access gap in Wisconsin and address health concerns related to food insecurity across the state, Foodsmart and CCHP launched their partnership in July 2021. The joint effort aimed to develop a scalable solution to tackle food insecurity and nutrition-related chronic conditions.

Population Health 72

Population Health Medicaid Integration Healthcare 72

HIT Consultant

NOVEMBER 30, 2022

Significant Growth Anticipated for Medicaid and Capitation Contracts: Most respondents report strategic plans to expand their VBC contracts over the next three years. VP of population health. Key Themes and Ideas Regarding Value-Based Care Reimbursement 2022. The product would be a replacement.

Population Health 97

Population Health Medicaid Medicare Integration 97

HIT Consultant

FEBRUARY 4, 2024

Nate Favini, Chief Medical Officer at Pair Team What You Should Know: – Pair Team , a leader in virtual and community-based care for high-risk Medicaid patients, announced today the appointment of its first-ever Chief Medical Officer, Dr. Nate Favini , alongside two other strategic leadership additions.

Population Health 52

Population Health Medicaid Primary Care Integration 52

Healthcare It News

AUGUST 29, 2022

Regional and national health plans, employers, and Fortune 500 organizations use Galileo to help improve population health. More than 85% of patients report improved health after receiving care from Galileo. His goal is to help remove language as a barrier for access to healthcare for the 53 million U.S. Spanish speakers.

Telemedicine 253

Telemedicine Primary Care Medicaid Urgent Care 253

Healthcare It News

APRIL 13, 2023

They are asking providers to identify cancer patients and families who may qualify as ACP program enrollees, which includes households with Medicaid recipients and other federal subsidy programs, to provide them with the information they need to connect their patients with the Gilda's Club team supporting ACP enrollment.

Healthcare Providers 216

Healthcare Providers Healthcare Population Health Medicaid 216

NASHP

JANUARY 19, 2024

Applicant states must identify a lead agency, which may be the Medicaid, public health, state insurance, or other agency with rate setting or budget authority. The Medicaid agency does not have to be the lead agency, but if it is not, it must be identified as a sub-recipient as part of the application.

Primary Care 59

Primary Care Medicaid Population Health Hospitals 59

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.

Accountable Care 52

Accountable Care Population Health Accountability Medicaid 52

NASHP

NOVEMBER 27, 2023

In early September, the Center for Medicare and Medicaid Innovation (CMMI), also known as the CMS Innovation Center, announced a new total cost of care (TCOC) model for states, the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model.

Primary Care 69

Primary Care Medicaid Medicare Hospitals 69

HIT Consultant

OCTOBER 18, 2021

– Papa and Uber are working together to mitigate social isolation and negative health outcomes among Medicare and Medicaid recipients as well as those with employer health plans. The partnership advances Papa’s and Uber Health’s shared missions to support population health among vulnerable communities.

Population Health 93

Population Health Medicaid Medicare 93

NASHP

MAY 10, 2024

Primary Care AHEAD is designed to be tailored to states’ primary care goals within their Medicaid programs, while aligning these goals with Medicare’s primary care strategy that incorporates investments from Medicare. A core aspect is a focus on alignment between payers.

Primary Care 52

Primary Care Medicaid Medicare Integration 52

Healthcare It News

JANUARY 18, 2022

Social determinants of health are major contributors to health inequity and rising healthcare costs in vulnerable populations such as Medicaid beneficiaries. How do care management interventions to mitigate SDOH as a risk for undesired health outcomes work?

Pharmaceuticals 357

Pharmaceuticals Accountable Care Accountability Medicaid 357

HIT Consultant

JANUARY 31, 2023

Their clinically integrated network, inVio , is one of the largest in the Southeast with more than 5,000 employed and independent network providers delivering high quality, value-based care (VBC) to more than 377,000 patients spanning Medicare, Medicaid, and commercial agreements.

Population Health 52

Population Health Medicaid Integration Patient Experience 52

HIT Consultant

JULY 13, 2022

Initially, Innovaccer will address three distinct use cases in the public sector: – Population Health: Health agencies are launching innovative programs using SDoH to better address the needs of underserved populations and move toward a whole-person care approach. Public Sector Offering Address 3 Use Cases.

Population Health 52

Population Health Medicaid Private Healthcare Quality of Care 52

HIT Consultant

SEPTEMBER 7, 2022

Artificial intelligence (AI) has emerged as a powerful tool for making population health analytics more accurate and interventions more effective. Sensitivity to a wider range of factors that can impact population health, including SDOH, cultural and community issues, is key to minimizing both coding and data-driven bias.

Population Health 98

Population Health Health Analytics Quality Assurance Medicaid 98

NASHP

MARCH 1, 2024

Many states are looking to move away from the health system’s current reliance on fee-for-service, utilization-driven payment and are pursuing reforms that incentivize improving population health and provide predictable funding to providers in ways that also contain costs.

Primary Care 59

Primary Care Population Health Hospitals Medicaid 59

HIT Consultant

APRIL 3, 2023

These risk-based care models are designed to encourage proactive care, better population health and reduced spending across the healthcare spectrum.

Accountable Care 98

Accountable Care Accountability Integration Private Practices 98

NASHP

DECEMBER 8, 2023

The Centers for Medicare & Medicaid Services (CMS) recently released its latest total cost of care model, the Advancing All-Payer Health Equity Approaches and Development (AHEAD) model with the goals of slowing growth in health care costs, improving population health, and advancing health equity.

Primary Care 52

Primary Care Population Health Medicaid Medicare 52

NASHP

MARCH 22, 2024

While critical to a comprehensive approach, primary prevention and broad population health approaches are beyond the scope of this resource. Special appreciation goes to state leaders and experts including Suzanne Fields and Rebecca Boss who contributed valuable input and feedback to this resource.

Urgent Care 64

Urgent Care Integration Medicaid Primary Care 64

NASHP

MAY 3, 2024

State Spotlight: Payment and Financing Levers Strategy Example Medicaid 1115 Demonstration Waivers Oregon has started to implement its approved 1115 Medicaid Waiver to provide air conditioners, air filtration systems, and other devices for Medicaid beneficiaries during climate events declared by the governor or federal government.

Medicaid 59

Medicaid Hospitals Prevention Population Health 59

HIT Consultant

OCTOBER 27, 2022

What You Should Know: – Color Health acquires Mood Lifters , a leading group-based mental health company and launches a new behavioral health product. The new solution will expand access to mental healthcare for organizations tackling public and population health.

Medicaid 52

Medicaid Population Health Medicare Integration 52

NASHP

FEBRUARY 27, 2024

This report is one section of State Strategies to Leverage Medicaid Managed Care Contracting for Investments in Health and Housing Alignment. For more information on financing housing-related services, please visit our Medicaid and Housing toolkit. See the full resource guide.

Medicaid 40

Medicaid Population Health Hospitals Medicare 40

HIT Consultant

MAY 6, 2024

NeuroFlow has developed curricula to support both broad population health initiatives and Ob-Gyn workflows, integrating pathways directly into patient care.

Population Health 52

Population Health Medicaid Prevention Health Technology 52

HIT Consultant

SEPTEMBER 18, 2023

The newest value-based payment program purposely designed to address SDOH is the ACO Realizing Equity, Access, and Community Health (ACO REACH) model, launched by the Centers for Medicare & Medicaid Services (CMS).

Accountability 113

Accountability Population Health Medicaid Accountable Care 113

HIT Consultant

SEPTEMBER 14, 2023

Achieving health equity presents an urgent challenge that demands attention from all stakeholders. However, actual medical care accounts for 20% or less of what affects population health. Additionally, sharing information between payers and providers is inefficient, leading to physician and patient fatigue.

Health Data 114

Health Data Accountability Telemedicine Doctors 114