NASHP

MARCH 22, 2024

It presents state examples and key considerations for state officials via an organizing framework broken down by major components of the delivery system (from primary care to community-based and home-based services and supports) and reflecting essential principles for a modern system.

Urgent Care 65

Urgent Care Integration Medicaid Primary Care 65

Healthcare It News

JUNE 29, 2022

Kerry Barker, RN, manager, Epic services, at consulting firm CereCore, and a former ICU nurse and nursing instructor at Brigham Young University, left the bedside for the IT side. We had to ensure seamless reporting to get results into the respective patient portals and out to their primary care physicians.

Telemedicine 222

Telemedicine Nursing Integration Hospitals 222

NCQA

OCTOBER 31, 2023

The GUIDE model is the first of its kind to address health care costs and target reductions in federal spending on long-term nursing home placement. 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

Health Dialog

FEBRUARY 2, 2016

This is the final post in my three-part series on the successful implementation of Population Care Managers (PCMs) within Accountable Care Organization (ACO) and Patient Centered Medical Home settings. The primary objective for any ACO or at-risk provider is to deliver value-based care and reduce wasteful spending.

Population Health 40

Population Health Primary Care Accountable Care Doctors 40

HIT Consultant

FEBRUARY 7, 2024

Empowering Individuals with Complex Needs The Cityblock Care Model from Cityblock University on Vimeo. Cityblock’s unique care model connects members to a dedicated team of healthcare professionals, including primary care providers, behavioral health specialists, community health partners, nurse care managers, and more.

Primary Care 52

Primary Care Medicaid Nursing Prevention 52

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

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 103

Nursing Integration Primary Care Home Care 103

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 258

Primary Care Prevention Urgent Care Nursing 258

Healthcare It News

SEPTEMBER 23, 2022

Population health management has become an important competency for hospitals and health systems. What are some of the challenges facing successful population health management programs today? More and more organizations are looking for ways to improve the health of the populations they serve.

Population Health 214

Population Health Primary Care Telemedicine Prevention 214

NCQA

JANUARY 25, 2024

Community health workers. Psychiatric nurse practitioners. For example, primary care providers are playing a larger role in mental health care. We’re also seeing what we call “ workforce extenders” provide behavioral health care. Payers funding integrated healthcare models.

Primary Care 52

Primary Care Quality Improvement Integration Population Health 52

Home Health Care

FEBRUARY 3, 2022

In tandem, Concerto also announced that it has acquired Crown Health, a home-based primary care provider that serves the Pacific Northwest. That move aligns well with Concerto’s merger with Perfect Health , a home-based primary care provider that was integrated into the company last year.

Primary Care 52

Primary Care Population Health Patient Experience Nursing 52

Health Dialog

NOVEMBER 17, 2015

As we know, Accountable Care Organizations (ACOs) are complex ecosystems and the implementation of new population health management programs can be daunting. Here are steps your organization can take in advance of new program integration to maximize success. How does your organization define Population Health?

Population Health 40

Population Health Accountable Care Accountability Primary Care 40

Health Dialog

JANUARY 17, 2017

Every day, our nurse health coaches receive calls like these from members with urgent health concerns. In these instances, a nurse line program becomes an extension of the member’s pediatrician, primary care physician, nurse, or other trusted health professional. Daily and monthly reporting.

Nursing 40

Nursing Urgent Care Primary Care Quality of Care 40

Home Health Care

DECEMBER 9, 2022

In order to stay ahead of the needs of consumers and payers, post-acute care leaders — including those in home-based care — are looking to innovate how care and services are delivered to seniors. A major part of this is moving their organizations toward more integrated, cross-continuum care.

Rehabilitation 98

Rehabilitation Primary Care Population Health Home Care 98

Home Health Care

JUNE 23, 2022

“Over the years, I’ve worked in a number of fields such as pay-for-performance, child obesity research for the White House and addiction medicine, but where I really found my niche was in population health.”. The Denver-based DispatchHealth was originally launched as an in-home, urgent care startup.

Urgent Care 122

Urgent Care Population Health Hospitals Nursing 122

HIT Consultant

NOVEMBER 10, 2022

They are all trying to tackle this issue of broader access by launching new primary care models and virtual services. Digital health is a critical enabler as we think about the new models of healthcare emerging to address access issues. First, mental health should not be seen as some adjunctive problem to solve.

Telemedicine 98

Telemedicine Population Health Integration Healthcare 98

Health Dialog

JANUARY 5, 2016

Our Population Care Management program places registered nurses, called Population Care Managers (“PCMs”), in primary care practices or within the administrative departments of Accountable Care Organizations (“ACOs”) and Patient Centered Medical Homes. Population Health Management.

Integration 40

Integration Population Health Primary Care Accountable Care 40

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

Home Health Care

JUNE 15, 2022

If you look at the Advocate Aurora journey, we’ve been adding services and programs as we’ve gotten deeper into population health management,” Denise Keefe, executive vice president of Continuing Health for Advocate Aurora Health, told Home Health Care News. “As That’s always evolving for us.”.

Outpatient Care Centers 98

Outpatient Care Centers Home Care Integration Population Health 98

Healthcare It News

JANUARY 24, 2022

The six health IT leaders discussing their plans for the next five years in this sixth and final installment in the series include: Cara Babachicos, senior vice president and CIO at South Shore Health, a health system based in Weymouth, Massachusetts. Click here to access all the features.

Prevention 270

Prevention Remote Care Hospitals Life Sciences 270

Health Populi

JUNE 8, 2021

What a difference a decade makes for clinicians’ embrace of electronic health records. In 2021, 4 in 5 providers and nurses see EHRs as important, and increasingly demand digital interactions with patients. population health burden.

Urgent Care 116

Urgent Care Doctors Healthcare Population Health 116

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 65

Primary Care Medicaid Accountability Quality Improvement 65

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 integrating?CHWs MHP Medicaid Health Plans. NIH National Institutes of Health. PCCM Primary Care Case Management.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

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

Home Health Care

NOVEMBER 12, 2021

We have folks looking at population health, cutting through diagnoses and understanding if it’s post-acute, pre-acute. This might include education, a field nurse visit, or collaboration with the primary care physician or the health plan if other services needed authorization.

Home Care 97

Home Care Medicaid Primary Care Hospitals 97

NASHP

NOVEMBER 29, 2021

This map highlights state activity to integrate CHWs into evolving health care systems in key areas such as financing, education and training, certification, and state definitions, roles and scope of practice. Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

HIT Consultant

APRIL 25, 2024

How an active engagement program benefits members Members who are more engaged in their healthcare journey take greater responsibility for making changes needed to improve their health. Conifer VBC is uniquely positioned as a partner to employers and unions, risk-bearing healthcare providers and health plans. About Mary Bacaj, Ph.D.

Nursing 91

Nursing Urgent Care Healthcare Finance Population Health 91

HIT Consultant

JANUARY 10, 2024

The main driver behind ER chaos and expense is a nationwide shortage of trained doctors and nurses. A single nurse often has to care for ten or more patients in the ED simultaneously, leading to treatment delays and deferred care. Sometimes chaos still occurs due to a major population health crisis.

Urgent Care 98

Urgent Care Nursing Hospitals Doctors 98

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

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.

Physical Therapy 52

Physical Therapy Primary Care Rehabilitation Medicare 52

Health Dialog

JANUARY 26, 2018

Even more challenging is managing a population based primarily in rural areas where members may have limited access to healthcare (whether it be for emergencies or even for regular primary care visits). One of Health Dialog’s clients is facing this uphill battle. Population Health Management.

Population Health 40

Population Health Primary Care Doctors Nursing 40