HIT Consultant

FEBRUARY 23, 2023

What You Should Know: – Apixio , a leading AI platform that powers value-based care launches its new Apicare Post-Visit™ offering, an EHR-integrated intelligent workflow solution for health plans and providers.

Integration 98

Integration Medicare Process improvement Medicaid 98

HIT Consultant

JANUARY 9, 2024

What You Should Know: – Buckeye Health Plan and Cityblock are teaming up to provide integrated, community-based care to approximately 10,000 underserved Medicaid recipients in the Cleveland-Akron-Canton area.

Medicaid 64

Medicaid Primary Care Integration Prevention 64

Sheppard Health Law

FEBRUARY 12, 2024

HRSN Initiatives : In the interest of increasing the accessibility and quality of care to address HRSN, the Demonstration Amendment seeks to improve integration between primary care providers and community-based organizations. Medicaid Hospital Global Budget Initiative CMS authorized up to $2.2

Medicaid 52

Medicaid Primary Care Hospitals Integration 52

Healthcare ECONOMIST

NOVEMBER 15, 2022

The authors use 2015-2017 data from the Centers for Medicare and Medicaid services and control for other differences between integrated and non-integrated Medicare Advantage (MA) plans using state fixed effects and contract random effects. Using this approach, they find: Integrated MA plans were associated with $19.4 (95%

Integration 69

Integration Medicare Medicaid 69

NASHP

MAY 1, 2023

States use public and private funds to support home visiting programs, including state general revenue, Medicaid, Children’s Health Insurance Program (CHIP), and federal funding, such as the Maternal and Infant Early Childhood Home Visiting (MIECHV) program.

Medicaid 98

Medicaid Nursing Prevention Hospitals 98

Fierce Healthcare

NOVEMBER 5, 2023

It also integrates Medicaid enrollment into the billing experience. Healthcare is becoming increasingly unaffordable for many consumers, and rising medical costs often limit patients' access to much-needed care. |

Medicaid 301

Medicaid Integration Healthcare 301

NASHP

MARCH 22, 2024

States are increasingly turning to capitated Medicaid managed care programs to deliver long-term services and supports (LTSS) to individuals with complex needs. pdf On October 1, 2023, Virginia Medicaid combined its two managed care programs of Medallion 4.0

Medicaid 73

Medicaid Nursing Medicare Integration 73

HIT Consultant

OCTOBER 24, 2023

Tim Taylor, Principal Industry Consultant at SAS Victor Sterling, Principal Industry Consultant at SAS State Medicaid agencies are responsible for health services that touch the lives of every American, making the potential benefits of modern technology tools, such as artificial intelligence (AI) and machine learning (ML), enormous.

Medicaid 78

Medicaid Prevention Integration 78

NASHP

MARCH 1, 2024

rebalancing spending to improve access to home and community-based services, improving care transitions, or encouraging greater care coordination) Innovative oversight approaches for Medicare/Medicaid integrated models What’s In It for States? For questions or inquiries, please contact  Holly Stockdale ( hstockdale@nashp.org ).

Medicaid 78

Medicaid Care Transition Medicare Integration 78

Healthcare It News

APRIL 29, 2024

Salesforce for public health and other government agencies could integrate natural language processing to ease administrative burdens and generate richer case files. And DrFirst's integration with a medication management platform could speed up infusion and other medication approvals in more than 270 electronic health record systems.

Public Health services 246

Public Health services Integration Pharmaceuticals Healthcare Providers 246

HIT Consultant

JANUARY 29, 2024

What You Should Know: – HealtheMed , a revolutionary public health utility startup, is empowering underserved Medicaid recipients in Minnesota to live healthier, more independent lives through its innovative Clinic@Home platform. This isn’t just a TV; it’s a window to a world of accessible healthcare and improved well-being.

Medicaid 52

Medicaid Telemedicine Integration Healthcare 52

NASHP

NOVEMBER 18, 2022

Medicaid Reimbursement of Midwifery Services in Minnesota and Washington State Supports Diverse Pathways to Care November 18, 2022 / by Anoosha Hasan and Emily Creveling. 1] Evidence shows that states integrating midwives into their health care systems have better indicators of maternal and neonatal wellbeing.[2]

Medicaid 103

Medicaid Nursing Hospitals Integration 103

HIT Consultant

OCTOBER 18, 2023

What You Should Know: – Waymark , a San Francisco, CA-based Medicaid provider enablement company raises $42M in new financing to scale technology-enabled, community-based care for primary care providers and their patients enrolled in Medicaid programs.

Medicaid 52

Medicaid Primary Care Quality of Care Hospitals 52

NASHP

NOVEMBER 14, 2022

Rhode Island Looks to Auto-Enrollment to Ease Transitions from Medicaid to Marketplace November 14, 2022 / by Gia Gould and Maureen Hensley-Quinn. The looming expiration of the Medicaid continuous coverage requirement tied to the federal public health emergency has renewed the urgency for policymakers to address the adverse effects of churn.

Medicaid 104

Medicaid Integration 104

Healthcare It News

APRIL 5, 2024

Dell and Northwestern drive AI further into hospital workflows Dell Technologies and Northwestern Northwestern University Feinberg School of Medicine aim to develop and integrate generative multimodal large language models into hospital workflows to improve patient care and reduce physician burnout, according to an announcement Friday from Dell.

Integration 216

Integration Medicaid Hospitals Prevention 216

HIT Consultant

AUGUST 15, 2023

What You Should Know: MedArrive, the leading mobile-integrated care provider, today announced a unique collaboration with Heartbeat Health, the largest tech-enabled virtual cardiology company in the U.S. More than one in four Medicaid beneficiaries have some form of CVD, rates that are often much higher than in other populations.

Medicaid 52

Medicaid Integration Prevention Healthcare 52

Home Health Care

AUGUST 19, 2022

Integrated Home Care Services hires new CEO. Integrated Home Care Services Inc. Indeed, the appointment comes on the heels of Integrated Home Care Services’ national expansion efforts. Currently, Integrated Home Care Services delivers home-based care to over 2.2 Pereda will now serve as chairman of the board.

Home Care 73

Home Care Integration Medicare Medicaid 73

Cloud Blogs

FEBRUARY 28, 2022

In 2020, the Centers for Medicaid and Medicare Services (CMS) issued additional rules requiring that payors and providers who receive CMS funds make health information more accessible. It empowers users to take a giant leap towards continuous, integrated care. These goals require increasingly data-driven approaches to care.

Integration 140

Integration Healthcare Quality of Care Regulations 140

NASHP

MAY 26, 2023

Family caregivers play an important role in caring for Medicaid home and community-based services (HCBS) waiver participants. Although most states offer respite through Medicaid, varied program policies and payment rates among states greatly affect caregivers’ access to high quality respite services. Government.

Medicaid 52

Medicaid Integration 52

NASHP

MAY 1, 2023

3] Most individuals participating in home visiting programs are enrolled in Medicaid.[4] 4] As of 2022, at least 28 states offer home visiting services within their Medicaid programs to better address the unique needs of their beneficiaries. Oklahoma and Wisconsin).[12]

Medicaid 62

Medicaid Medicare Nursing Integration 62

Home Health Care

MARCH 28, 2022

We will continue to protect the integrity of our MassHealth program and ensure compliance with our wage and hour laws.”. Compassionate owner, Francis Kimaru, pleaded guilty to separate criminal charges brought in by the Attorney General’s Medicaid Fraud Division in September 2019. OIG releases Medicaid fraud report.

Medicaid 97

Medicaid Home Care Accountability Integration 97

NASHP

MARCH 14, 2022

Strengthening Care for People with Serious Illness Seven Steps for Building a Community-Based Palliative Care Benefit Within Medicaid. To build a continuum of care for people with serious illness, state health policymakers can support palliative care within Medicaid programs. March 14, 2022.

Medicaid 94

Medicaid Rehabilitation Quality Assurance Patient Experience 94

NASHP

OCTOBER 22, 2021

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care October 25, 2021 / by Salom Teshale, Kitty Purington, Wendy Fox-Grage, and Mia Antezzo. Delivery system transformation: Leading states such as Minnesota have long used Medicaid MCO contracts to address the needs of complex populations and those with serious illness.

Medicaid 100

Medicaid Hospice Care Integration Regulations 100

NASHP

APRIL 17, 2023

In addition, starting in 2024, federal rules will require states to report performance on some measures, including some behavioral health measures, to the Centers for Medicare & Medicaid Services (CMS). 1] All but one of these Medicaid agencies collected at least one measure of behavioral health performance.

Medicaid 52

Medicaid Quality Assurance Quality Improvement Quality Review 52

NASHP

APRIL 20, 2023

State Medicaid agencies are taking proactive steps to ensure quality of care and access to behavioral health services. Four of these 29 states have also integrated this approach into their contracts with prepaid inpatient health plans (PIHPs) that solely deliver behavioral health services.

Medicaid 96

Medicaid Quality Improvement Quality of Care Integration 96

NASHP

SEPTEMBER 28, 2022

Through Integration and Workforce Development: Lessons from State and Federal Health Officials September 27, 2022 / by Allie Atkeson and Megan D’Alessandro. Topics included integrating oral health across physical and behavioral health sectors, workforce innovations, and opportunities for federal-state collaboration.

Integration 62

Integration Primary Care Medicaid Prevention 62

HIT Consultant

OCTOBER 6, 2022

What You Should Know: – Emcara Health and Aetna Better Health , which announced that the two companies will be partnering to deliver primary care in the home to more than 240,000 Medicaid patients in the Miami/Dade and Tampa, Florida regions. Partnership Details.

Primary Care 52

Primary Care Medicaid Nursing Integration 52

Healthcare It News

OCTOBER 27, 2023

EHRs "often lack the capability to easily integrate or exchange data with diverse sources, even among EHRs from the same vendor," Humaidi told Healthcare IT News in June. In previous years, the USDA has funded food equity programs through Medicare and Medicaid. "We need a paradigm change," he said.

Medicaid 228

Medicaid Integration Prevention Healthcare 228

Sheppard Health Law

MAY 16, 2022

More than 13 million people were enrolled in Medi-Cal in California in September 2021, making it the largest Medicaid program in the nation. It envisions enhanced coordination, integration, and information exchange among managed care plans (MCPs); physical, behavioral, community-based, and social service providers; and county agencies.

Medicaid 59

Medicaid Accountability Nursing Population Health 59

NASHP

JUNE 17, 2022

Community Health Workers and Oral Health: Creating an Integrated Curriculum in Kansas June 17, 2022/ by Ella Roth and Allie Atkeson. Many states are integrating community health workers and other community-based workforce into their health care system. Table 1: Examples of Curriculum Changes to Integrate Oral Health.

Integration 52

Integration Medicaid Prevention Nursing 52

NASHP

AUGUST 19, 2022

Emerging State Innovations in Developing a Medicaid Community-Based Palliative Care Benefit August 19, 2022 / by Salom Teshale and Wendy Fox-Grage. Research has found relationships between palliative care consultation and lower hospital costs for Medicaid beneficiaries, indicating that palliative care can contain costs.

Medicaid 57

Medicaid Regulations Medicare Integration 57

Healthcare It News

JUNE 13, 2023

THE LARGER TREND Food as medicine programs from Medicaid are being tested under the supervision of the Centers for Medicare and Medicaid Services through a framework for Health-Related Social Needs services under Section 1115s.

Medicaid 185

Medicaid Primary Care Population Health Hospitals 185

Cloud Blogs

FEBRUARY 28, 2022

In 2020, the Centers for Medicaid and Medicare Services (CMS) issued additional rules requiring that payors and providers who receive CMS funds make health information more accessible. It empowers users to take a giant leap towards continuous, integrated care. These goals require increasingly data-driven approaches to care.

Integration 88

Integration Healthcare Quality of Care Regulations 88

Home Health Care

NOVEMBER 4, 2021

As a company, Connected Home Care mainly serves Medicaid dual-eligible and private-pay clients. The deal will allow HouseWorks to enter the Medicaid personal care sector. They were primarily a Medicaid business servicing what are called ‘ASAPs,’ or Aging Services Access Points. The acquisition is slated to close in December.

Home Care 58

Home Care Medicaid Integration 58

Healthcare It News

DECEMBER 29, 2023

This past week, New York Governor Kathy Hochul signed Senate Bill 1196a/Assembly Bill 1673a into law directing all state-regulated health plans, including Medicaid, to cover comprehensive biomarker testing, clearing the path for more patients to access precision medicine treatments.

Medicaid 242

Medicaid Regulations Integration Healthcare 242

Home Health Care

JANUARY 17, 2022

Centers for Medicare & Medicaid Services (CMS) and Occupational Safety and Health Administration (OSHA) mandates on Jan. But if they have no Medicare or Medicaid patients, they don’t qualify. The last administration expressed that, “Well, we need the Medicare/Medicaid connection in order to manage that.”

Integration 98

Integration Home Care Medicare Medicaid 98

HIT Consultant

FEBRUARY 1, 2022

Further encouraging this long-term growth, the 2022 physician fee schedule from the Centers for Medicare and Medicaid Services extended parity reimbursement for telehealth services through December 31, 2023 – but indicates that changes may be made permanent. Shift to the Cloud Eases Integration.

Integration 52

Integration Healthcare Patient Experience Accountability 52