Health Business Group

NOVEMBER 30, 2021

I’m most bullish on Walgreens with its recent VillageMD and CareCentrix investments , which take the company directly into primary care and care at home. If big primary care providers like Walgreens’ Village MD learn how to manage this opportunity well, Medicare Advantage and commercial risk will follow quickly.

Healthcare 98

Healthcare Primary Care Hospitals Health Data 98

NASHP

APRIL 24, 2023

Additionally, the alarming rise in mental health challenges among children and youth underscores the need to integrate prevention and early intervention approaches across our child-serving systems. Provide guidance defining integrated care for pediatric populations and data sharing approaches to guide and evaluate integrated care models.

Medicaid 52

Medicaid Integration Prevention Urgent Care 52

NASHP

AUGUST 23, 2022

In late June 2022, the Centers for Medicare & Medicaid Services (CMS) approved Colorado’s Section 1332 waiver to implement the Colorado Option, moving the state closer to implementing the standardized health plan for individual and small group markets – aimed at lowering premiums and improving the affordability of health care in Colorado.

Medicare 52

Medicare Hospitals Primary Care Regulations 52

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

MARCH 22, 2024

As major purchasers, administrators, and regulators of behavioral health treatment and supports, states play a critical role in system transformation. In addition, through its new 1115 demonstration extension and “Roadmap for Behavioral Health Reform,” the state is phasing in a new integrated primary care payment and reimbursement structure.

Medicaid 52

Medicaid Urgent Care Primary Care Hospitals 52

NASHP

SEPTEMBER 13, 2021

Montana revised their CON requirements to only apply to long-term facilities and services, and Michigan exempted positron emission tomography (PET) scanner services from CON regulations. Other states – including California, Connecticut, and Rhode Island – introduced bills to create or codify health care cost benchmark or target programs.

Regulations 52

Regulations Medicaid Medicare Primary Care 52

Bill Of Health

JULY 26, 2022

Amazon now has an important foothold in the Medicare market. That same day Amazon offered concessions to European Union regulators in an antitrust case alleging that the company was using non-public information from retailers on the platform to compete against them. billion and is an important part of the ONEM story going forward.

Primary Care 67

Primary Care Population Health Regulations Accountability 67

Health Populi

MAY 20, 2020

Payors, both commercial and public sector (Medicare, Medicaid), have relaxed rules and regulations for telehealth across platforms (from purpose-built telemedicine programs to HIPAA-relaxed approvals for using FaceTime, Zoom, and other commercial channels), and have various plans to pay for virtual care visits between clinicians and patients.

Telemedicine 73

Telemedicine Hospitals Doctors Prevention 73

NASHP

MARCH 22, 2024

It includes examples from various states organized by the framework buckets: integrated primary and behavioral health care, crisis continuum of care, in-home and in-community based, and out-of-home and community.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

NASHP

OCTOBER 29, 2021

This provision of the Social Security Act allows states to provide home and community-based services (HCBS) under the Medicaid state plan by obtaining approval from the Centers for Medicare & Medicaid Services (CMS) of a state plan amendment (SPA). Then we implemented what we could within CMS regulations.”. Program administrator.

Medicaid 97

Medicaid Regulations Primary Care Accountability 97

Home Health Care

OCTOBER 10, 2023

As the president and CEO of Androscoggin Home Healthcare + Hospice in Maine, a state that has seen some of the highest Medicare Advantage (MA) penetration rates in the country, Ken Albert has had to learn what it takes to be successful working with managed care partners. Primary care offices were essentially closed.

Healthcare 98

Healthcare Medicare Medicaid Integration 98

Etactics

AUGUST 19, 2021

More than half experience dissatisfaction with work-life integration (Mayo Clinic) In 2017, only 42.7% of medical professionals with symptoms of burnout reported satisfaction with their work-life integration. The most recent findings were similar to 2016 with 79% of primary care professionals reporting burnout.

Doctors 52

Doctors Nursing Primary Care Healthcare 52

HIT Consultant

JANUARY 5, 2022

To cement telehealth into the treatment paradigm, the Centers for Medicare and Medicaid Services (CMS) also needs to outline clear policy that mandates public and private insurers reimburse fully for telehealth services, otherwise providers will have no choice but to discontinue using it.

Telemedicine 98

Telemedicine Regulations Primary Care Patient Experience 98

NASHP

MARCH 11, 2022

State officials viewed their efforts as part of broader efforts to improve behavioral health and better integrate it with primary care. " > Why Use Payment to Improve Delivery of SUD Services. State officials viewed their efforts as part of broader efforts to improve behavioral health and better integrate it with primary care.

Medicaid 58

Medicaid Integration Quality Improvement Primary Care 58

NASHP

DECEMBER 20, 2022

These coordinated state efforts, often formalized in governor’s task forces, cross-agency workgroups, and legislative commissions, are predicated on an ideological shift away from solely punitive responses and toward integrating treatment into the criminal legal system. Integrate peers into crisis response teams.

Medicaid 52

Medicaid Prevention Integration Hospitals 52

Health Populi

JANUARY 18, 2021

Even before the COVID-19 pandemic, more hospitals were piloting and planning to move inpatient acute care to certain patients’ home when that made clinical and economic sense. The public health crisis, combined with Medicare Advantage and other payors’ regimes, supported an economic model for the hospital-to-home movement.

Hospitals 73

Hospitals Doctors Patient Experience Health Technology 73

Sheppard Health Law

JANUARY 5, 2023

Just in time for the holidays, the Centers for Medicare and Medicaid Services (“CMS”) issued the Contract Year 2024 Proposed Rule for Medicare Advantage organizations (“MAOs”) and Part D sponsors (the “Proposed Rule”). This requirement would also apply to individualized plans of care for special needs plans.

Medicare 52

Medicare Primary Care Medicaid Integration 52

Home Health Care

JULY 15, 2022

This article is sponsored by Integrated Home Care Services. In this Voices interview, Home Health Care News sits down with Integrated Home Care Services (IHCS) co-founder Paul Pino to learn the top challenges in the home-based care space, and how the IHCS model addresses those challenge s. million lives.

Home Care 52

Home Care Integration Medicare Accountability 52

Health Populi

OCTOBER 12, 2018

Federal regulators after months of scrutinizing the antitrust-size-market control implications of the deal. Since the CVS+Aetna announcement last December, the Kaiser Family Foundation ran some numbers on how the merged organization could impact Medicare — a key payor for both health insurance and prescription drugs under Part D.

Healthcare 58

Healthcare Pharmaceuticals Medicare Integration 58

Health Populi

DECEMBER 25, 2018

Employers will endeavor to artfully design consumer-directed benefit plans (CDHPs) that nudge insured workers toward healthier habits, while integrating a broader definition of wellness. This list, and other names we’ll see creating on-ramps to primary care and self-care to the consumer, will expand in 2019.

Primary Care 104

Primary Care Pharmaceuticals Hospitals Urgent Care 104