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 67

Primary Care Medicaid Medicare Hospitals 67

Healthcare It News

AUGUST 29, 2022

Regional and national health plans, employers, and Fortune 500 organizations use Galileo to help improve population health. Employees using Galileo avoid more expensive visits to in-person specialty, urgent or ER care 80% of the time. More than 85% of patients report improved health after receiving care from Galileo.

Telemedicine 253

Telemedicine Primary Care Medicaid Urgent Care 253

NASHP

MARCH 1, 2024

This project aims to assist states in progressing their unique health system transformation efforts toward the overarching goals of better health access and outcomes and minimized cost growth. Examples include moving toward capitated payments, prioritizing primary care, and focusing on broad population health goals.

Primary Care 57

Primary Care Population Health Hospitals Medicaid 57

NASHP

JANUARY 19, 2024

Applicant states must identify a lead agency, which may be the Medicaid, public health, state insurance, or other agency with rate setting or budget authority. The Medicaid agency does not have to be the lead agency, but if it is not, it must be identified as a sub-recipient as part of the application.

Primary Care 57

Primary Care Medicaid Population Health Hospitals 57

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

HIT Consultant

FEBRUARY 4, 2024

Nate Favini, Chief Medical Officer at Pair Team What You Should Know: – Pair Team , a leader in virtual and community-based care for high-risk Medicaid patients, announced today the appointment of its first-ever Chief Medical Officer, Dr. Nate Favini , alongside two other strategic leadership additions.

Population Health 52

Population Health Medicaid Primary Care Integration 52

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. Strategic Objective 2: Advance Health Equity.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

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 62

Urgent Care Integration Medicaid Primary Care 62

HIT Consultant

NOVEMBER 8, 2023

Reimbursement Barriers and Healthcare Inequality: – 44% of surveyed centers do not accept Medicaid, disproportionately affecting underserved communities. – Only 65% of practices accept commercial insurance, making it difficult for those unable to pay upfront costs to access care. We are failing our children as a nation.

Primary Care 106

Primary Care Medicaid Healthcare Population Health 106

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. Reimagining the New Frontier of Value-Based Care.

Primary Care 52

Primary Care Population Health Medicaid Medicare 52

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 87

Medicaid Quality of Care Integration Medicare 87

HIT Consultant

OCTOBER 5, 2023

. – Ounce Community Health Workers (CHW) currently serve more than 2,000 D.C. residents, helping them enroll in Medicaid, apply for energy assistance, schedule PCP and pediatrician appointments, avoid eviction, and connect with community resources for transportation and nutritious food, among many other services.

Medicaid 91

Medicaid Primary Care Healthcare Integration 91

HIT Consultant

FEBRUARY 7, 2024

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

Health Populi

FEBRUARY 4, 2024

The combination of Kaiser Permanente and Geisinger to form Risant Health will be a test of how Kaiser can build a national brand while embedding its approach to a regional health system that has been geographically boxed-in in central Pennsylvania. Re-building a community health system from an innovative blueprint.

Primary Care 85

Primary Care Medicare Prevention Medicaid 85

HIT Consultant

DECEMBER 14, 2023

What You Should Know: Pair Team, a virtual and community-based primary care solution connecting Medicaid’s highest-risk patients to high-quality care, today announced its expansion into seven new California markets: Fresno, Merced, Monterey, Los Angeles, Santa Cruz, San Joaquin, and Stanislaus counties.

Primary Care 52

Primary Care Urgent Care Medicaid Nursing 52

HIT Consultant

APRIL 20, 2022

The overarching goal of VBC is to improve the patient experience, improve population health, and reduce per capita health costs. As part of this VBC mode l, hospitals and health systems must store, track, and analyze a large amount of quality-related data for compliance and reimbursement purposes.

Integration 97

Integration Primary Care Telemedicine Patient Experience 97

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 ACO Accountable Care Organizations. MCO Managed Care Organizations. MCE Managed Care Entities. integrating?CHWs

Medicaid 120

Medicaid Primary Care Prevention Nursing 120

Home Health Care

DECEMBER 20, 2023

It also has a number of care-at-home programs under its roof, including home health care, primary care, hospital at home and more. Patient care is provided through a partnership with Castell, Intermountain’s population health entity. “We The program’s readmission rate is roughly 7%.

Hospitals 68

Hospitals Nursing Primary Care Population Health 68

HIT Consultant

JUNE 13, 2023

The first-of-its-kind platform will simplify and enhance the entire patient journey—from getting to a primary care appointment to accessing critical prescriptions and groceries. Providers and payers, including Medicare and Medicaid, lack the visibility and infrastructure to execute on these programs effectively.

Patient Experience 92

Patient Experience Primary Care Population Health Medicaid 92

NASHP

FEBRUARY 27, 2024

This report is one section of State Strategies to Leverage Medicaid Managed Care Contracting for Investments in Health and Housing Alignment. For more information on financing housing-related services, please visit our Medicaid and Housing toolkit. See the full resource guide. 109 of ACC contract ).

Medicaid 52

Medicaid Primary Care Population Health Hospitals 52

Health Populi

JUNE 22, 2022

The last chart from the Commonwealth Fund 2022 State Scorecard talks about the rate of uninsurance by state — think ZIP code or personal GPS — calling out the fact that a dozen Governors did not expand Medicaid to accommodate ACA health plan enrollment for their health citizens. The Fund’s bottom line.

Primary Care 112

Primary Care Medicaid Integration Population Health 112

Home Health Care

AUGUST 8, 2022

CVS Health has been overt about its efforts to reach further into the home; it has been targeting traditional home health agencies, and it was reportedly interested in primary care provider One Medical (Nasdaq: ONEM). Walgreens, however, is CVS Health’s most similar peer based on the services and products it offers.

Primary Care 81

Primary Care Medicare Accountable Care Population Health 81

NASHP

AUGUST 31, 2023

Figure 1 displays a consolidated overview of the “Framework for Public Health-Health Care System Collaboration.” Specific examples taken from a variety of states will be examined in greater detail throughout the toolkit. One example is Live Well San Diego.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

HIT Consultant

FEBRUARY 3, 2022

The funding announcement comes on the heels of ConcertoCare acquiring home-based primary care practice Crown Health. Seniors and other adults with unmet health and social needs, like unstable housing, food insecurity, and lack of transportation, are often overlooked by the health care system.

Home Care 52

Home Care Primary Care Population Health Medicare 52

Health Populi

MARCH 26, 2018

News’ Chairman, believes that this project will give, “citizens, community leaders and policy-makers the tools to assess health in their communities and develop a blueprint for positive change” with learnings that can translate to less-healthy communities. In addition, lower stress in the workplace also improves health status.

Primary Care 63

Primary Care Population Health Medicaid Hospitals 63

Home Health Care

FEBRUARY 10, 2022

The company partners with both health plans and health systems to deliver various types of care to patients in their homes. Currently, Signify has partnerships with roughly 2,500 post-acute care facilities. The organization didn’t have a solution for these payers to go beyond episodes of care, according to De Brantes.

Accountable Care 57

Accountable Care Medicare Accountability Medicaid 57

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. This shift to hybrid care could ameliorate some of the major problems in the U.S. healthcare system. For instance, the U.S. About Larry English.

Healthcare 99

Healthcare Patient Experience Urgent Care Population Health 99

HIT Consultant

FEBRUARY 10, 2022

. – Together, Signify Health and Caravan Health will be better positioned to enable organizations to manage larger populations covered by value-based arrangements and to drive more coordinated clinical and social care across the healthcare continuum. Post-Acquisition Impact.

Accountable Care 52

Accountable Care Primary Care Accountability Medicare 52

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

NASHP

NOVEMBER 29, 2021

Development and ongoing updates of the State Community Health Worker Models Map would not be possible without the generous support of the Robert Wood Johnson Foundation and the National Center for Healthy Housing. Medicaid Reimbursement. Medicaid Reimbursement.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

Health Blawg

FEBRUARY 19, 2018

Four years in, the company is seeing positive results in terms of gaps in care closed, across the domains of both behavioral health and physical medicine. Health Care Law and Consulting. Join the conversation on Twitter at #HarlowOnHC. David Harlow. The Harlow Group LLC. You should follow me on Twitter: @healthblawg.

Healthcare 113

Healthcare Population Health Healthcare Innovation Accountability 113

Home Health Care

APRIL 7, 2022

This step will make it simpler for clients to connect with the broad expertise and innovative capabilities across our businesses, so we can help them improve population health, reduce the cost of care and make health care work better for everyone.”. Mike Mikan, Optum’s first CEO, said at the time.

Population Health 91

Population Health Medicaid Medicare Integration 91

Cloud Blogs

FEBRUARY 28, 2022

Passed in 2016, The Cures Act requires that electronic health record (EHR) systems provide patient-facing application programming interfaces (APIs) to maintain federal certifications. Shortage of primary care professionals, unequal access to care. Thus, VBC sits at a pivotal juncture. Heightened cybersecurity threats.

Integration 140

Integration Healthcare Quality of Care Regulations 140

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.

Prevention 121

Prevention Primary Care Medicaid Medical Services 121

NASHP

OCTOBER 20, 2022

This substandard access to quality care can lead to poor health outcomes.[6]. have a special health care need, and an estimated 44 percent of CYSHCN are enrolled in Medicaid.[7] In June 2022, NASHP convened a national forum with state health officials (e.g., Nearly 20 percent of children in the U.S.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

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 83

Nursing Integration Primary Care Home Care 83