NCQA

OCTOBER 31, 2023

The GUIDE model is the first of its kind to address health care costs and target reductions in federal spending on long-term nursing home placement. And then we’re also developing an approach for certification based on quality improvement and patient experience.”

Primary Care 52

Primary Care Quality Improvement Medicaid Accountable Care 52

Health Dialog

FEBRUARY 2, 2016

This is the final post in my three-part series on the successful implementation of Population Care Managers (PCMs) within Accountable Care Organization (ACO) and Patient Centered Medical Home settings. The primary objective for any ACO or at-risk provider is to deliver value-based care and reduce wasteful spending.

Population Health 40

Population Health Primary Care Accountable Care Doctors 40

Home Health Care

AUGUST 29, 2023

Since the start of his career as a primary care, internal medicine physician, Dr. Richard Feifer has sat at the intersection of geriatrics, population health and value-based payment models. The Program of All-Inclusive Care for the Elderly (PACE) model has long been a passion of his.

Nursing 103

Nursing Integration Primary Care Home Care 103

HIT Consultant

FEBRUARY 3, 2022

The funding announcement comes on the heels of ConcertoCare acquiring home-based primary care practice Crown Health. For qualifying members, ConcertoCare further expands its community-based, interdisciplinary care delivery model through its PACE, or Programs of All-Inclusive Care for the Elderly offering.

Home Care 52

Home Care Primary Care Population Health Medicare 52

HIT Consultant

OCTOBER 19, 2023

Scott Cullen, MD, EVP of Strategic Innovation and Chief Clinical Officer at AVIA The rapid growth of America’s senior population presents unique challenges for the healthcare industry. Caring for these seniors accounts for more than one-third of all medical expenditures in the U.S.

Population Health 52

Population Health Nursing Primary Care Healthcare 52

Healthcare It News

JANUARY 24, 2022

One of the next big shifts in patient care will be precision medicine will be "an emerging approach for disease treatment and prevention that takes into account individual variability in genes, environment and lifestyle for each person," as the Precision Medicine Initiative describes it. Click here to access all the features.

Prevention 270

Prevention Remote Care Hospitals Life Sciences 270

HIT Consultant

JANUARY 13, 2022

Payers and providers share goals around emerging healthcare delivery models such as value-based care and accountable care organizations (ACOs). But inadequacies in current payer/provider communication often disrupt the flow of timely care and lead to unnecessary hospital readmissions and poor outcomes. Conclusion.

Primary Care 52

Primary Care Hospitals Accountable Care Population Health 52

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. NIH National Institutes of Health. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. PHW Pandemic Health Worker. RAE Regional Accountable Entity.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

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 65

Primary Care Medicaid Accountability Quality Improvement 65

Health Dialog

JANUARY 5, 2016

Our Population Care Management program places registered nurses, called Population Care Managers (“PCMs”), in primary care practices or within the administrative departments of Accountable Care Organizations (“ACOs”) and Patient Centered Medical Homes. Population Health Management.

Integration 40

Integration Population Health Primary Care Accountable Care 40

NASHP

NOVEMBER 29, 2021

The Department of Health Care Policy and Financing (the Medicaid program administrator) does not specifically require the Regional Accountable Entities (RAEs), care coordinating entities contracted with Colorado’s Medicaid program, or other managed care entities to cover CHW services, nor does the Department pay for CHW services under FFS.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

HIT Consultant

APRIL 25, 2024

The PHNs provide an individualized approach that helps members better navigate the care continuum to find the right care in the right setting at the right time. The PHNs provide an individualized approach that helps members better navigate the care continuum to find the right care in the right setting at the right time.

Nursing 91

Nursing Urgent Care Healthcare Finance Population Health 91

NASHP

OCTOBER 20, 2022

Partnerships are strongest when they are based on a collective impact model, focusing on a common vision and developing shared accountability. 18] This study involved collaboration with accountable care organizations, MCOs, the state Medicaid agency, community-based organizations, and other stakeholders.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

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.

Physical Therapy 52

Physical Therapy Primary Care Rehabilitation Medicare 52

Vie Healthcare

FEBRUARY 1, 2023

So medication and health compliance, discussing care plans, and certainly even follow up to the primary care provider or that referring physician is impactful. And then I began my career as a critical care nurse, and I started actually at York Hospital. Two, fun fact, I drove a 1985 Chevette in 2005.

Healthcare 52

Healthcare Patient Experience Hospitals Nursing 52