Healthcare It News

JANUARY 18, 2022

How do care management interventions to mitigate SDOH as a risk for undesired health outcomes work? Recently, population health management strategies have begun to incorporate evaluations for patients' social needs connected to SDOH, as well as interventions addressing these needs.

Pharmaceuticals 344

Pharmaceuticals Accountable Care Accountability Medicaid 344

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

HIT Consultant

JULY 19, 2022

the Health Cloud company, announced that Curana Health is partnering with Innovaccer to build a leading edge value-based care solution to support delivery of exceptional care quality at the lowest possible cost for one of healthcare’s highest risk populations: residents in senior living communities across the country.

Accountable Care 52

Accountable Care Population Health Medicare Accountability 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

p3care

OCTOBER 30, 2020

CMS (The Centers for Medicare and Medicaid Services) released the proposed rule for QPP MIPS 2021 via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM). How MIPS consultants take care of the administrative data to report to the authorities affects revenue cycles. Quality Category: Weighs 50%.

Medicare 243

Medicare Measurable Quality Medicaid Accountable Care 243

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

FEBRUARY 10, 2022

Signify Health Inc. The company signed an agreement to acquire Caravan Health, an accountable care organization (ACO) manager, for the price tag of $250 million. “It The company partners with both health plans and health systems to deliver various types of care to patients in their homes.

Accountable Care 59

Accountable Care Medicare Accountability Medicaid 59

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.

Primary Care 52

Primary Care Quality Improvement Medicaid Accountable Care 52

HIT Consultant

FEBRUARY 10, 2022

What You Should Know: – Today, Signify Health announced it has reached an agreement to acquire Caravan Health , a leader in enabling accountable care organizations (ACOs) to succeed in value-based care payment. Together, the companies form one of the largest networks of at-risk providers in the U.S.

Accountable Care 52

Accountable Care Primary Care Accountability Medicare 52

Home Health Care

AUGUST 8, 2022

The company partners with health plans, health systems, physician groups, employers and other health care providers to help enable at-home care through its proprietary technology and analytics. It additionally provides at-home evaluations, usually on behalf of Medicare Advantage plans.

Primary Care 94

Primary Care Medicare Accountable Care Population Health 94

GoMoHealth

OCTOBER 20, 2022

This led me to GoMo Health, where we create, activate and scale these improvements daily. While most managed care organizations go to great lengths to comply with Medicaid and Medicare mandates, many are still struggling to meet their goals. Ability to Foster Trust within Community-Based Organizations and Providers.

Quality Improvement 80

Quality Improvement Medicaid Population Health Medicare 80

NASHP

OCTOBER 20, 2022

In spite of these barriers, and to help address them, states have implemented innovations to improve integrated care coordination for CYSHCN. Federal agencies have also prioritized and supported advancing integrated care. Aligning measurement, funding, and accountability with care coordination system quality improvement efforts.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

Healthcare It News

JANUARY 4, 2022

Progress toward accountable care is halting. Jerry Shultz, president of Lightbeam Health, whose population health management platform helps risk-bearing organizations manage the cost and quality demands of value-based reimbursement, would like to see a wholesale effort to improve the care delivery system writ large.

Hospitals 345

Hospitals Nursing Accountable Care Clinical Practice 345

NASHP

AUGUST 31, 2023

Figure 1 displays a consolidated overview of the “Framework for Public Health-Health Care System Collaboration.” Specific examples taken from a variety of states will be examined in greater detail throughout the toolkit.

Medicaid 52

Medicaid Accountability Public Health services Population Health 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

HIT Consultant

JUNE 16, 2023

Covered employees can receive care wherever and wherever needed via a virtual visit through the MyChart patient portal or through Captive Health’s mobile application. Spatially Health partners with ilumed , an Accountable Care Organization REACH comprised of more than 2,600 physicians and 56,000 Medicare patients to lead SDOH efforts.

Physical Therapy 52

Physical Therapy Primary Care Rehabilitation Medicare 52

NASHP

AUGUST 23, 2021

Portland, ME: University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center; 2009 [link]. [iv] Lack of Access to Specialists Associated with Mortality and Preventable Hospitalizations of Rural Medicare Beneficiaries.” Health Aff (Millwood) 38 (12): 1993-2002. Coordinated health networks.

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Primary Care Medicaid Accountability Quality Improvement 63