Etactics

JANUARY 26, 2024

Quality of care. These include capitation, value-based reimbursement, and episodes of care/bundled payments. It is also a term applied to traditional Medicare. This helps distinguish it from Medicare managed-care plans, as well as any other new payment systems there might be. Cost containment.

Healthcare 52

Healthcare Primary Care Medicare Healthcare Providers 52

HIT Consultant

JANUARY 3, 2023

For sellers, as healthcare reimbursement models become more complex, it’s increasingly appealing to have someone else deal with the business back-end so the selling clinician can focus on providing patient care. This trend is likely to continue for the foreseeable future as Medicare Advantage plans increasingly move to value-based models.

Healthcare 52

Healthcare Primary Care Medicare Integration 52

NASHP

AUGUST 23, 2021

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. ii] Rural areas are highly likely to suffer from shortages of primary care and other providers.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

HIT Consultant

OCTOBER 26, 2021

As patients move from the acute to post-acute care setting, they are often discharged without the proper tools to successfully support their transition of care. In fact, 57% of Medicare patients are released from the hospital without any post-discharge monitoring. Continue to lead with patient-first choices .

Remote Care 52

Remote Care Healthcare Doctors Primary Care 52

HIT Consultant

OCTOBER 14, 2021

We’re looking forward to hearing about the acceleration of technology-driven performance and accountability in healthcare. In July of this year, CMS began enforcing a requirement for health plans that offer Medicare/Medicaid services to deliver clinical data to their members over smart phones. Eric Rosow, CEO, Diameter Health.

Urgent Care 98

Urgent Care Healthcare Medicare Integration 98

NASHP

OCTOBER 20, 2022

Federal agencies have also prioritized and supported advancing integrated care. For example, the Centers for Medicare & Medicaid Services Innovation Center is currently supporting the Integrated Care for Kids (InCK) model across seven sites in six states. Leveraging Data and Technology.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

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

AUGUST 15, 2021

Centers for Medicare & Medicaid Services (CMS) are again touting the Home Health Value-Based Purchasing (HHVBP) Model as one of the agency’s most successful programs ever. CMMI was created through the Affordable Care Act in 2010. Broadly, HHVBP is a Medicare demonstration that aims to tie reimbursement to quality of care.

Medicare 85

Medicare Medicaid Quality of Care Primary Care 85

NASHP

MARCH 22, 2024

Integrated Primary and Behavioral Health Care A modern behavioral health system of care is fully integrated into the continuum of health care services, including primary and specialty care settings, and extends into homes and communities to ensure holistic and coordinated support.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

HIT Consultant

JUNE 22, 2022

Hospitals are increasingly turning to value-based care initiatives to transform care delivery, lower the total cost of care, and improve patient outcomes. the number of patient visits), providers are reimbursed based on the quality of care delivered in value-based care. Reduce hospital admissions.

Hospitals 98

Hospitals Medicare Primary Care Care Transition 98

NASHP

AUGUST 31, 2023

State leaders play a critical role in convening key internal and external partners, implementing engagement and input processes that foster shared ownership and accountability toward goals at the state and community levels.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

NASHP

MAY 17, 2022

In 2007, 29 states provided health care services to children in child welfare through MMC. [24] managed care organizations, primary care case management, prepaid ambulatory health plans, and prepaid inpatient health plans) to serve some or all CYFC. MMC or FFS).

Medicaid 64

Medicaid Integration Medicare Primary Care 64

NASHP

AUGUST 24, 2023

State health reform efforts increasingly focus on providing comprehensive and well-coordinated care to people with serious illness to improve quality of care and drive down costs. A recent Health Affairs article reviewed opportunities to incorporate a palliative care benefit into ACOs.

Medicaid 52

Medicaid Quality Assurance Quality of Care Hospitals 52

Sheppard Health Law

MARCH 2, 2022

On February 24, 2022, the Centers for Medicare & Medicaid Services (CMS) announced its redesign of the Global and Professional Direct Contracting Model (GPDC), which now will be called the Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) Model.

Accountable Care 52

Accountable Care Primary Care Medicare Accountability 52