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

NCQA

OCTOBER 31, 2023

“ It’s a marathon, not a sprint ,” said Liz Fowler, Director at the Center of Medicare and Medicaid Innovation (CMMI), during a recent Fireside Chat with NCQA Executive Vice President Eric Schneider. 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

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

Home Health Care

MARCH 29, 2022

The plan is to pair LHC Group – one of the largest home health providers in the U.S. with Optum Health, which is already integrated into UnitedHealth’s network. The deal is one of the largest of its kind over the last five years in home-based care. Meanwhile, Optum is a population health care provider.

Primary Care 130

Primary Care Population Health Home Care Medicare 130

HIT Consultant

FEBRUARY 23, 2024

What You Should Know: Bridges Health Partners LLC (Bridges) , a Clinically Integrated Network, and Highmark Blue Cross Blue Shield (Highmark) entered into a multi-year Value-Based Agreement for Highmark’s Commercial membership in Western Pennsylvania. Established in 2017 through a collaboration between Independence Health System, St.

Urgent Care 52

Urgent Care Hospice Care Integration Primary Care 52

Healthcare It News

JUNE 9, 2022

Primary care in the U.S. On one hand, the value of primary care physicians has never been higher. The evidence of that is in the tens of billions of dollars of investment in healthcare – more than $39 billion invested in the sector last year alone, with a notable focus on primary care.

Primary Care 261

Primary Care Prevention Urgent Care Nursing 261

Healthcare It News

DECEMBER 7, 2023

For example, AI is increasingly being used by provider organizations to develop personalized risk profiles for certain diseases based on family history, genetic and biomarker mapping, social influences, as well as activities and behaviors that may have emerged since the interaction with the care team/provider.

Patient Experience 278

Patient Experience Prevention Hospitals Primary Care 278

HIT Consultant

NOVEMBER 10, 2021

Although many companies had plans on the books to advance telemedicine, the crisis revealed that virtual care is not only possible but in many cases is also preferred by patients. With virtual care, you are providing that care continuum, and therefore providing better outcomes. And that’s the future – this is what patients want.

Healthcare 105

Healthcare Patient Experience Urgent Care Population Health 105

Health Populi

AUGUST 24, 2021

As an important example, the COVID-19 pandemic has demonstrated that, for instance, despite widespread availability of free vaccines, there are continued inequities in vaccine coverage, which perpetuates COVID-19–related health inequities. This research looked at enrollment in Medicare Advantage plans compared with traditional Medicare.

Ambulatory Care 133

Ambulatory Care Primary Care Medicare Prevention 133

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

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 102

Nursing Integration Primary Care Home Care 102

Home Health Care

APRIL 7, 2022

Optum is a diversified health services company housed within UnitedHealth Group, the parent of UnitedHealthcare, the largest health insurance organization in the U.S., The business emerged in 2011, when UnitedHealth Group consolidated its care delivery, pharmacy benefits and analytics lines into a vertically integrated one-stop shop.

Population Health 111

Population Health Medicaid Medicare Integration 111

Health Populi

JUNE 27, 2022

Health Populi’s Hot Points: Castlight examined the commercial medical claims even more granularly, looking into differences between higher-income workers compared with lower-income communities. The report offered 26 recommendations to address health equity and prevention, one of which integrated new models and systems of care delivery.

Prevention 121

Prevention Primary Care Medicaid Medical Services 121

NASHP

OCTOBER 20, 2022

The “National Forum on Advancing High-Quality, Equitable Care Coordination for Children and Youth with Special Health Care Needs” centered on two key topics for improving care coordination systems for CYSHCN: integrated care coordination and the care coordination workforce.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

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 64

Primary Care Medicaid Accountability Quality Improvement 64

Health Populi

JULY 29, 2022

DG has been exploring its health-and-wellness offerings and has enlisted four physicians to advise the company’s strategy. One of the advisors, Dr. Von Nguyen, is the Clinical Lead of Public and Population Health at Google… tying back to yesterday’s post on Tech Giants in Healthcare. billion in 2018.

Telemedicine 81

Telemedicine Doctors Primary Care Healthcare 81

Bill Of Health

JULY 26, 2022

Iora Health was acquired by ONEM in September 2021 for approximately $2.1 Amazon now has an important foothold in the Medicare market. This is not meant to be a victory lap as the stars of the Iora Health story were squarely the management team, particularly the founding CEO, Rushika Fernandopulle.

Primary Care 67

Primary Care Population Health Regulations Accountability 67

Home Health Care

NOVEMBER 12, 2021

Most of the pilots and initiatives I’ll speak about today are in the New York market, specifically when we talk about incorporating home care in the broader sense and addressing the social determinants of health for our population. We are working with a large, regional health plan in the city.

Home Care 97

Home Care Medicaid Primary Care Hospitals 97

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

Healthcare It News

JUNE 30, 2022

For well over a decade, we've seen this challenge progressively worsen partially because we have had a relatively fixed number of graduates from medical programs since 1997, when Medicare started limiting the funding for these programs. In addition to the limited number of professionals, our population is aging and living longer.

Telemedicine 268

Telemedicine Health Data Prevention Integration 268

NASHP

AUGUST 31, 2023

Figure 1 displays a consolidated overview of the “Framework for Public Health-Health Care System Collaboration.” In many states, SHIPs serve as the driving mechanism for engaging health care systems and communities in statewide planning, implementation, and evaluation efforts. One example is Live Well San Diego.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

Health Populi

JANUARY 31, 2018

. “As more patients and clinicians become familiar with fitness trackers, these devices could play a larger role in health care… Like mobile phones, these devices may one day become an integral part of society and health care,” they envisioned.

Doctors 81

Doctors Prevention Healthcare Accountability 81

HIT Consultant

DECEMBER 20, 2021

Equality Health Logo. What You Should Know: Equality Health receives an infusion of capital from Governor Jeb Bush-led firm to accelerate its national expansion of the company’s value-based primary care platform.

Primary Care 52

Primary Care Population Health Medicaid Medicare 52

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. devices paired with Samsung displays.

Physical Therapy 52

Physical Therapy Primary Care Rehabilitation Medicare 52

Sheppard Health Law

JANUARY 12, 2022

Cordani made the same point we heard yesterday – technology and virtual care present tremendous opportunities to address chronic condition management, mental health and physical health needs. Dan Mendelson, CEO of Morgan Health (a J.P. Morgan employees in the Columbus market.

Healthcare 52

Healthcare Primary Care Biotechnology Doctors 52

Health Populi

OCTOBER 12, 2018

Previously in Health Populi, I’ve talked about the value of vertical integration for CVS to bring together the building blocks of retail pharmacy and pharmacist care, retail clinics, the PBM (Caremark), along with Aetna’s health plan member base and business. as the first chart shows.

Healthcare 58

Healthcare Pharmaceuticals Medicare Integration 58