Healthcare It News

OCTOBER 13, 2023

Social determinants of health – the food, shelter and security attributes of patients that exist outside of care settings – contribute disproportionate risks for disease, hospital readmissions and a lack of access to quality healthcare among vulnerable populations, including people on Medicare.

Accountability 230

Accountability Population Health Regulations Medicare 230

Healthcare It News

JULY 6, 2023

THE PROBLEM In addition, patients too often crash during a hospitalization with no advance care directives in place to guide care. "We did not know what we would learn, but were willing to try, as we did not have a solution to increase our advance care planning for a growing Medicare population," Andrieni noted.

Nursing 212

Nursing Primary Care Medicare Population Health 212

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

Healthcare It News

JUNE 13, 2023

Uber Health announced that payers and providers nationwide can soon use the same platform they may already use for non-emergency medical transportation and prescription delivery to order and deliver other covered items directly to patient homes.

Medicaid 195

Medicaid Primary Care Population Health Hospitals 195

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 272

Private Healthcare Population Health Medicaid Medicare 272

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

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

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

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

Participation in commercial plans, Medicare Advantage, and Medicare Shared Savings Programs will continue to be high, while Medicaid plans—which have the potential to impact a significant number of lives—will see the biggest growth. Some hospitals are just starting out and have little to no revenue from VBC contracts.

Population Health 98

Population Health Medicaid Medicare Integration 98

Healthcare It News

JANUARY 7, 2022

ThedaCare is a seven-hospital health system in Wisconsin with 180 locations and 7,000 employees. To succeed in its mission, ThedaCare is on a path to population health – aiming to go above and beyond treating a particular condition to make care easy and accessible to help achieve better health for life.

Population Health 305

Population Health Prevention Integration Patient Experience 305

Home Health Care

OCTOBER 11, 2023

Humana is a health insurance company that operates one of the largest Medicare Advantage plans in the U.S. It is also a provider organization through its CenterWell arm, which includes home health care, pharmacy and primary care services. Our health care system is very reactive,” she said. A company like Humana Inc.

Primary Care 108

Primary Care Urgent Care Hospitals Integration 108

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.

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

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). How to report MIPS data is what add to your revenue year after year, especially for clinicians associated with Medicare. QPP MIPS Program Updates.

Medicare 243

Medicare Measurable Quality Medicaid Accountable Care 243

Healthcare It News

DECEMBER 7, 2023

Hospitals and health systems, especially larger ones, are using AI in myriad new ways – including leveraging it for improved patient experience, and for better patient engagement with the goal of reducing health inequities. How did you originally see AI being a fit for improving the patient experience?

Patient Experience 275

Patient Experience Prevention Hospitals Primary Care 275

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

HIT Consultant

SEPTEMBER 27, 2023

Population health management : Through the aggregation and analysis of health data from a large population, this partnership will support public health officials in promoting health screenings and updating disease registries for better population health and disease prevention.

Population Health 59

Population Health Prevention Healthcare Providers Integration 59

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

NASHP

JANUARY 19, 2024

For example, will one agency have authority for hospital global budgets, another authority for primary care? statewide equity plan, developing and gaining buy-in for the Medicaid hospital global budget methodology) How will the governance structure coordinate with other boards and work groups?

Primary Care 59

Primary Care Medicaid Population Health Hospitals 59

HIT Consultant

FEBRUARY 20, 2024

. – The strategic collaboration aims to deliver value-based kidney care to eligible members with chronic kidney disease (CKD) and end-stage kidney disease (ESKD) across all lines of business, including Medicare Advantage, individual, and commercial group health plans. Addressing a Hidden Health Crisis: Over 1.3

Population Health 52

Population Health Patient Experience Prevention Medicare 52

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

JULY 19, 2022

the Health Cloud company, announced that Curana Health is partnering with Innovaccer to build a leading edge value-based care solution to support delivery of exceptional care quality at the lowest possible cost for one of healthcare’s highest risk populations: residents in senior living communities across the country.

Accountable Care 52

Accountable Care Population Health Medicare Accountability 52

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

Healthcare It News

JANUARY 18, 2022

How do care management interventions to mitigate SDOH as a risk for undesired health outcomes work? Recently, population health management strategies have begun to incorporate evaluations for patients' social needs connected to SDOH, as well as interventions addressing these needs.

Pharmaceuticals 348

Pharmaceuticals Accountable Care Accountability Medicaid 348

HIT Consultant

APRIL 20, 2022

Since the passage of the Medicare Improvements for Patients & Providers Act in 2008, the U.S. healthcare system has been moving towards value-based care (VBC) which encourages health providers to improve care quality by reimbursing them based on successful outcomes rather than individual medical services.

Integration 98

Integration Primary Care Telemedicine Patient Experience 98

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

Health Populi

FEBRUARY 4, 2024

Of particular note is the organization’s “promise of health assurance – care that is more proactive, accessible, and affordable to people everywhere.” Retail health-meets-Medicare. This work started in 2023 involving Walmart Health clinics serving Medicare members and looking to partner with UnitedHealth plan members and others.

Primary Care 85

Primary Care Medicare Prevention Medicaid 85

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

FEBRUARY 23, 2024

The agreement is designed to improve the health of Highmark’s members by providing accessible, high quality, cost effective, patient centered care through member collaboration and innovation. News and World Report’s High Performing Hospitals and Best Regional Hospitals, among others.

Urgent Care 52

Urgent Care Hospice Care Integration Primary Care 52

NASHP

NOVEMBER 9, 2022

Health Plans’ Weakened Negotiating Authority: Facing high premiums and hospital costs, policymakers, employers, and consumers might ask why health plans aren’t doing a better job negotiating for lower prices with hospitals. Hospitals and health systems may threaten to charge high out-of-network prices.

Regulations 52

Regulations Medicare Hospitals Pharmaceuticals 52

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

NASHP

MAY 3, 2024

This demonstration waiver falls within the scope of the Centers for Medicare and Medicaid Services’ new initiative to address health-related social needs. Hospitals offer another key intersection between energy and health. The health care ecosystem is a contributing source of pollution and emissions.

Medicaid 59

Medicaid Hospitals Prevention Population Health 59

HIT Consultant

MAY 3, 2022

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. By the end of the 12-month study, medication adherence improved by 43% among participants and in-patient hospital utilization declined by 69%.

Healthcare 52

Healthcare Medicaid Population Health Medicare 52

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 79

Quality Improvement Medicaid Population Health Medicare 79

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. For Medicare Part B programs alone, the drug could consume one-half of the total $57 billion of medicines spending… as much as the U.S.

Healthcare 108

Healthcare Pharmaceuticals Population Health Regulations 108