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Thinking Ahead on the AHEAD Model: Primary Care AHEAD

NASHP

This blog post summarizes both the Primary Care AHEAD requirements identified by CMS and additional strategic considerations for states. Primary Care AHEAD Overview and Requirements Primary Care AHEAD is a key component of the AHEAD Model. A core aspect is a focus on alignment between payers.

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Thinking Ahead on the AHEAD Model: Hospital Global Budgets 

NASHP

By the fourth performance year of the model, 30 percent of Medicare fee-for-service (FFS) revenue of the state (or subregion of a state tied to the model) must be tied to a Medicare hospital global budget. This means there will be three hospital global budgets: Medicare, Medicaid, and commercial.

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An inside look at a national, bilingual telemedicine service

Healthcare It News

Regional and national health plans, employers, and Fortune 500 organizations use Galileo to help improve population health. 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.

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Council of Accountable Physician Practices Elects Joe Kimura, MD, MPH, Atrius Health, to Board of Directors

Accountable Care Doctors

Coalition of Leading Medical Groups and Health Systems Confirms Board Appointments for 2021. The Council of Accountable Physician Practices (CAPP), a coalition of visionary medical groups and health systems supporting accountable value-based care, has added Joe Kimura, MD, MPH, to its board of directors.

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CMMI Prioritizes Multi-Payer Alignment in New Models

NCQA

“ 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. And then we’re also developing an approach for certification based on quality improvement and patient experience.”

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Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Sheppard Health Law

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.

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Thinking Ahead on the AHEAD Model: Governance

NASHP

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. States may submit a joint application, but a lead agency must be identified that is ultimately accountable for the model. Will the answer differ for model components?