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. million Medicaid participants. million Medicaid enrollees.

Primary Care 62

Primary Care Medicaid Accountability Quality Improvement 62

Accountable Care Doctors

MARCH 19, 2021

His expertise in medicine, population health, and clinical informatics will be valuable in our movement towards accountability in health care. Atrius Health is a progressive system that is well on its way in this journey.

Accountability 52

Accountability Accountable Care Primary Care Population Health 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 58

Accountable Care Medicare Accountability Medicaid 58

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

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). It contains six measures that focus on population health. ACO (Accountable Care Organization) Reporting. Quality Category: Weighs 50%.

Medicare 243

Medicare Measurable Quality Medicaid Accountable Care 243

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. One example is Live Well San Diego.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

NASHP

DECEMBER 10, 2021

The information on this map comes from a 50-state survey of a variety of stakeholders, ranging from Medicaid officials to Community Health Workers, on their states’ approaches?to?integrating?CHWs ACO Accountable Care Organizations. CBCM Community Based Care Management Program. MCO Managed Care Organizations.

Medicaid 120

Medicaid Primary Care Prevention Nursing 120

NASHP

JULY 11, 2022

Although efforts to modernize and strengthen public health systems pre-date COVID-19, the pandemic revealed new urgency and opportunities for states to invest in public health infrastructure and craft new approaches advancing population health goals.

Medicaid 52

Medicaid Population Health Prevention Accountability 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

It announced in July that it would be leaving the Centers for Medicare & Medicaid Services’ (CMS) Bundled Payments for Care Improvement-Advanced (BPCI-A) program due to adjustments from CMS on trend calculations. It conducted 624,000 of those in the second quarter alone. As of recently, Signify’s business has materially changed.

Primary Care 83

Primary Care Medicare Accountable Care Population Health 83

NASHP

OCTOBER 20, 2022

This substandard access to quality care can lead to poor health outcomes.[6]. have a special health care need, and an estimated 44 percent of CYSHCN are enrolled in Medicaid.[7] In June 2022, NASHP convened a national forum with state health officials (e.g., Nearly 20 percent of children in the U.S.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

NASHP

NOVEMBER 29, 2021

Development and ongoing updates of the State Community Health Worker Models Map would not be possible without the generous support of the Robert Wood Johnson Foundation and the National Center for Healthy Housing. Medicaid Reimbursement. Medicaid Reimbursement.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

NASHP

MAY 8, 2023

Through the strike force, Ohio leveraged community feedback from virtual community forums, town hall meetings, and a community needs assessment performed by the Ohio State University College of Public Health, pairing equity goals (better health outcomes for communities of color) with equity-based processes aimed to transform the health system.

Medicaid 52

Medicaid Accountability Integration Accountable Care 52

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 355

Hospitals Nursing Accountable Care Clinical Practice 355

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