Home Health Care

OCTOBER 18, 2022

The Minneapolis-based health system Allina Health is launching a new company named Inbound Health. The startup will enable health systems and health plans to establish hospital-at-home and skilled nursing-at-home programs around the country.

Hospitals 95

Hospitals Nursing Medicare Population Health 95

NASHP

MAY 10, 2024

See the first blog post in the series covering governance and the second blog post describing hospital global budgets. 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

Healthcare It News

OCTOBER 31, 2022

Through the secure collection, documentation, reporting, access and use of data across provider types, ONC aims to address health inequities that have their root causes in poverty and racism. Andrea Fox is senior editor of Healthcare IT News. Email: afox@himss.org. Healthcare IT News is a HIMSS publication.

Private Healthcare 267

Private Healthcare Population Health Medicaid Medicare 267

NASHP

NOVEMBER 27, 2023

In early September, the Center for Medicare and Medicaid Innovation (CMMI), also known as the CMS Innovation Center, announced a new total cost of care (TCOC) model for states, the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model.

Primary Care 69

Primary Care Medicaid Medicare Hospitals 69

Health Populi

FEBRUARY 27, 2024

In addition to highlighting the Patient’s Bill of Rights, NABIP’s keynotes and general sessions will speak to similar topics being brainstormed at VIVE this week — including mental health, maternal health, pharmacy and prescription drugs (pricing, PBMs), population health, and Medicare and Medicaid innovations.

Hospitals 136

Hospitals Population Health Medicaid Prevention 136

NASHP

JANUARY 19, 2024

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. The Medicaid agency does not have to be the lead agency, but if it is not, it must be identified as a sub-recipient as part of the application.

Primary Care 59

Primary Care Medicaid Population Health Hospitals 59

HIT Consultant

NOVEMBER 2, 2023

NS-EEH, the third largest healthcare delivery system in Illinois, comprises nine hospitals, 25,000 team members, and 300 local offices, serving over 4.2 NS-EEH’s CIN includes more than 3,000 system-employed physicians, affiliated physicians and advanced practice providers, and nine hospitals across Chicagoland. million residents.

Accountable Care 52

Accountable Care Population Health Accountability Medicaid 52

NASHP

MARCH 1, 2024

Many states are looking to move away from the health system’s current reliance on fee-for-service, utilization-driven payment and are pursuing reforms that incentivize improving population health and provide predictable funding to providers in ways that also contain costs.

Primary Care 59

Primary Care Population Health Hospitals Medicaid 59

HIT Consultant

NOVEMBER 30, 2022

Significant Growth Anticipated for Medicaid and Capitation Contracts: Most respondents report strategic plans to expand their VBC contracts over the next three years. Some hospitals are just starting out and have little to no revenue from VBC contracts. VP of population health. The product would be a replacement.

Population Health 98

Population Health Medicaid Medicare Integration 98

Healthcare It News

APRIL 13, 2023

They are asking providers to identify cancer patients and families who may qualify as ACP program enrollees, which includes households with Medicaid recipients and other federal subsidy programs, to provide them with the information they need to connect their patients with the Gilda's Club team supporting ACP enrollment.

Healthcare Providers 201

Healthcare Providers Healthcare Population Health Medicaid 201

NASHP

MAY 3, 2024

State Spotlight: Payment and Financing Levers Strategy Example Medicaid 1115 Demonstration Waivers Oregon has started to implement its approved 1115 Medicaid Waiver to provide air conditioners, air filtration systems, and other devices for Medicaid beneficiaries during climate events declared by the governor or federal government.

Medicaid 59

Medicaid Hospitals Prevention Population Health 59

NASHP

DECEMBER 8, 2023

The Centers for Medicare & Medicaid Services (CMS) recently released its latest total cost of care model, the Advancing All-Payer Health Equity Approaches and Development (AHEAD) model with the goals of slowing growth in health care costs, improving population health, and advancing health equity.

Primary Care 52

Primary Care Population Health Medicaid Medicare 52

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. Strategic Objective 2: Advance Health Equity.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

HIT Consultant

JANUARY 31, 2023

Primsa Health Background Prisma Health provides healthcare services to nearly 1.5 million unique patients annually in South Carolina through 18 acute and specialty hospitals, and 300 outpatient sites.

Population Health 52

Population Health Medicaid Integration Patient Experience 52

Healthcare It News

JANUARY 18, 2022

Social determinants of health are major contributors to health inequity and rising healthcare costs in vulnerable populations such as Medicaid beneficiaries. How do care management interventions to mitigate SDOH as a risk for undesired health outcomes work?

Pharmaceuticals 348

Pharmaceuticals Accountable Care Accountability Medicaid 348

NASHP

MARCH 22, 2024

While critical to a comprehensive approach, primary prevention and broad population health approaches are beyond the scope of this resource. Special appreciation goes to state leaders and experts including Suzanne Fields and Rebecca Boss who contributed valuable input and feedback to this resource.

Urgent Care 65

Urgent Care Integration Medicaid Primary Care 65

HIT Consultant

JULY 13, 2022

Initially, Innovaccer will address three distinct use cases in the public sector: – Population Health: Health agencies are launching innovative programs using SDoH to better address the needs of underserved populations and move toward a whole-person care approach. Public Sector Offering Address 3 Use Cases.

Population Health 52

Population Health Medicaid Private Healthcare Quality of Care 52

HIT Consultant

APRIL 3, 2023

These risk-based care models are designed to encourage proactive care, better population health and reduced spending across the healthcare spectrum. To meet that deadline, provider organizations will need technology tools for administering relationships within a value-based network.

Accountable Care 98

Accountable Care Accountability Integration Private Practices 98

HIT Consultant

SEPTEMBER 7, 2022

Artificial intelligence (AI) has emerged as a powerful tool for making population health analytics more accurate and interventions more effective. Sensitivity to a wider range of factors that can impact population health, including SDOH, cultural and community issues, is key to minimizing both coding and data-driven bias.

Population Health 98

Population Health Health Analytics Quality Assurance Medicaid 98

NASHP

FEBRUARY 27, 2024

This report is one section of State Strategies to Leverage Medicaid Managed Care Contracting for Investments in Health and Housing Alignment. For more information on financing housing-related services, please visit our Medicaid and Housing toolkit. See the full resource guide.

Medicaid 40

Medicaid Population Health Hospitals Medicare 40

HIT Consultant

SEPTEMBER 14, 2023

Achieving health equity presents an urgent challenge that demands attention from all stakeholders. However, actual medical care accounts for 20% or less of what affects population health. hospitals screen patients for the social determinants of health and other markers. And only 25% of U.S.

Health Data 115

Health Data Telemedicine Accountability Population Health 115

HIT Consultant

MARCH 28, 2023

In addition, the complexities associated with finding the appropriate follow-up care for patients’ behavioral health needs create “a cycle of ED help-seeking behaviors and mental states that worsen with early discharge,” researchers say. Building trust by prioritizing rapport.

Quality of Care 98

Quality of Care Population Health Hospitals Medicaid 98

NASHP

FEBRUARY 27, 2024

This report is one section of State Strategies to Leverage Medicaid Managed Care Contracting for Investments in Health and Housing Alignment. For more information on financing housing-related services, please visit our Medicaid and Housing toolkit. See the full resource guide. 109 of ACC contract ). 4 of All Plan Letter ).

Medicaid 52

Medicaid Primary Care Population Health Hospitals 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 HRSA Health Resources and Services Agency. MHP Medicaid Health Plans. NIH National Institutes of Health.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

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. Measurable ROI and Improved Outcomes from a Postnatal Medicaid Digital Therapeutic Program.

Quality Improvement 79

Quality Improvement Medicaid Population Health Medicare 79

HIT Consultant

APRIL 20, 2022

The overarching goal of VBC is to improve the patient experience, improve population health, and reduce per capita health costs. As part of this VBC mode l, hospitals and health systems must store, track, and analyze a large amount of quality-related data for compliance and reimbursement purposes.

Integration 98

Integration Primary Care Telemedicine Patient Experience 98

HIT Consultant

JUNE 13, 2023

Re-Imagining the Logistics of Healthcare by Enabling Access to Transportation Value-based care and population health programs have the potential to radically improve our healthcare system. Providers and payers, including Medicare and Medicaid, lack the visibility and infrastructure to execute on these programs effectively.

Patient Experience 98

Patient Experience Primary Care Population Health Medicaid 98

HIT Consultant

MAY 3, 2022

One recent study of Arizona Medicaid plan members with severe mental illness, compounded by other co-occurring conditions, illustrates this. For the 2021 study, the Arizona plan sought to reduce utilization of hospital emergency departments (ED) through a program that involved patients checking in daily with a mobile app.

Healthcare 52

Healthcare Medicaid Population Health Medicare 52

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. In this article, we dissect changes that are expected to appear in MIPS 2021.

Medicare 243

Medicare Measurable Quality Medicaid Accountable Care 243

HIT Consultant

NOVEMBER 10, 2021

Virtual care also offers an opportunity to enhance the patient experience, improve population health , reduce costs and improve the work-life of healthcare providers — the quadruple aim of healthcare. “To Therefore, some hospitals are evaluating a reduction in administrative space to reduce costs. About Larry English.

Healthcare 105

Healthcare Patient Experience Urgent Care Population Health 105

Home Health Care

JULY 10, 2023

White previously served as VP of population health for Lifepoint Health, and before that, spent time at UnitedHealth Group and The Advisory Board. Previously, he was the president and CEO of Passport Health Plan and Evolent Health’s national Medicaid president.

Medicaid 65

Medicaid Nursing Population Health Home Care 65

Health Populi

JUNE 24, 2021

In the larger public and population health context, on the patient side, we can expect the burden of disease beyond COVID to increase due to postponed care and treatment backlogs. This has been found to be the case in the U.S., for example, for heart disease and cardiovascular complications as well as for cancers.

Healthcare 108

Healthcare Pharmaceuticals Population Health Regulations 108

HIT Consultant

FEBRUARY 3, 2022

Founded in 2015, ConcertoCare deploys physician-led interdisciplinary teams— supported by its proprietary population health platform, Patient3D®, and clinical decision support tools — to manage the country’s most medically and socially complex and costly patients in ways that keep them in their homes and out of the hospital.

Home Care 52

Home Care Primary Care Population Health Medicare 52

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

HIT Consultant

MARCH 4, 2022

Despite this reality, there has been a historical lack of funding for organizations addressing these social determinants of health in communities. The Unite Us Payments solution also includes technology to track local government funding, grants and philanthropic investments, as well as hospital community benefits dollars.

Medicaid 52

Medicaid Integration Prevention Hospitals 52

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. Dr. Kimura is a practicing primary care internist with a specialization in clinical informatics.

Accountability 52

Accountability Accountable Care Primary Care Population Health 52

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