Healthcare It News

JANUARY 10, 2023

The virtual care services will be delivered without copays, out-of-pocket costs or deductibles for families with active insurance or Medicaid coverage. The collaborative says IBCLCs are the gold standard of care. WHY IT MATTERS.

Primary Care 273

Primary Care Quality of Care Telemedicine Prevention 273

NASHP

DECEMBER 7, 2022

State Approaches to Community Health Worker Financing through Medicaid State Plan Amendments December 7, 2022 / by Carl Rush, Elinor Higgins , and Sandra Wilkniss. Recent discussions have centered around Medicaid’s role. This brief provides an overview of recent developments in Medicaid State Plan Amendments (SPAs). California.

Medicaid 52

Medicaid Primary Care Prevention Regulations 52

NASHP

APRIL 17, 2023

1],[2] Nearly all state Medicaid programs are working to improve maternal health through early identification of depression during well-child visits and connecting mothers to follow-up services, as depicted in NASHP’s updated Medicaid Policies for Caregiver Depression Screening during Well-Child Visits by State.

Medicaid 52

Medicaid Prevention Primary Care Accountability 52

NASHP

APRIL 29, 2024

The model also requires Medicaid to establish a hospital global budget for participating hospitals for the first performance year of the model. This means there will be three hospital global budgets: Medicare, Medicaid, and commercial.

Hospitals 67

Hospitals Medicaid Medicare Primary Care 67

Home Health Care

SEPTEMBER 6, 2023

The Centers for Medicare & Medicaid Services (CMS) unveiled a new state-focused demonstration model Tuesday. One of the model’s primary objectives is to shift health care spending and utilization more toward primary and community-based care.

Primary Care 106

Primary Care Population Health Medicare Medicaid 106

HIT Consultant

AUGUST 23, 2022

What You Should Know: – Oak Street Health , a network of value-based primary care centers for adults on Medicare and the only primary care provider to carry the AARP name, is now welcoming patients at the new Rolling Hills Square center at 7040 East Golf Links Road in Tucson. Oak Street Health Background.

Primary Care 98

Primary Care Medicare Medicaid Prevention 98

HIT Consultant

MARCH 16, 2023

What You Should Know: – HHAeXchange , a provider of homecare management solutions for state Medicaid programs, managed care organizations, and providers has added six new solutions providers to its Partner Connect program. An online occupational health solution that provides primary care health benefits for employees.

Primary Care 98

Primary Care Medicaid Quality of Care Prevention 98

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

Healthcare It News

SEPTEMBER 25, 2023

" Healthy lifestyle habits, such as not smoking, exercising and eating well, can help prevent and improve hypertension. In addition, the Centers for Medicare & Medicaid Services has selected hypertension as one of three quality measures to be submitted electronically in the future.

Primary Care 334

Primary Care Medicaid Prevention Medicare 334

HIT Consultant

FEBRUARY 21, 2023

The acquisition will enhance Aledade’s ability to extract valuable insights from disparate data sources, provide more accurate predictions using past data, and optimize primary care workflows through cutting-edge AI algorithms.

Primary Care 52

Primary Care Medicare Medicaid Prevention 52

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. Social care: Assistance with housing, food security, and other social determinants of health.

Primary Care 52

Primary Care Medicaid Nursing Prevention 52

NASHP

SEPTEMBER 28, 2022

As states are not required to include dental services for adults in their Medicaid programs, the ability for low-income individuals to access dental care is often a factor of where they live. Other state Medicaid programs are adding requirements for primary care medical providers to offer similar services.

Integration 62

Integration Primary Care Medicaid Prevention 62

Health Populi

FEBRUARY 4, 2024

Health plans are designed to provide a range of medical services, preventive care, and financial protection against the costs of healthcare. Geisinger plans to open more clinics for primary care, senior care, and convenient/retail care. Virtual first and direct primary care for faster on-ramps to care.

Primary Care 85

Primary Care Medicare Prevention Medicaid 85

HIT Consultant

MARCH 8, 2022

Under the PHE, states must keep Medicaid enrollees continuously covered, irrespective of their circumstances. . The goal of the PHE was to help low-income people receive appropriate preventive and primary care during the pandemic without disruptions in coverage.

Medicaid 98

Medicaid Primary Care Care Transition Federal Healthcare 98

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 1: Drive Accountable Care.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Bill Of Health

FEBRUARY 28, 2024

By Hannah Rahim Food is Medicine interventions aim to prevent and treat diet-related chronic health conditions and reduce food insecurity by providing food to individuals and communities, in connection with the health care system. While Food is Medicine has been gaining prominence in recent years, it has also received some criticism.

Prevention 92

Prevention Medicaid Primary Care Integration 92

HIT Consultant

OCTOBER 31, 2023

What You Shoud Know: – Medicaid prospective payment rate for Michigan’s federally qualified health centers (FQHCs) has not kept pace with the actual costs incurred to provide healthcare, resulting in a substantial reimbursement gap of $97.95

Medicaid 52

Medicaid Primary Care Prevention Medicare 52

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. ACO Accountable Care Organizations. CBCM Community Based Care Management Program.

Medicaid 120

Medicaid Primary Care Prevention Nursing 120

HIT Consultant

AUGUST 8, 2022

The data represent the privately insured population, including Medicare Advantage and excluding Medicare Fee-for-Service and Medicaid. – The rise in telehealth utilization in May could have been due to the growth in the number of COVID-19 cases as reported by the Centers for Disease Control and Prevention.

Primary Care 98

Primary Care Medicare Medicaid Prevention 98

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

Home Health Care

DECEMBER 15, 2022

One of the largest Medicaid health plans in the country is teaming up with one of the most successful home-based care startups to serve around 40,000 members in Texas. Unfortunately, there are many folks in Texas – and beyond – who utilize the ED as their primary care physician, essentially.”.

Medicaid 96

Medicaid Telemedicine Primary Care Home Care 96

HIT Consultant

DECEMBER 9, 2022

– Juno’s products and services are designed for the family’s “Chief Caregiver” by bringing the best of primary care, pediatrics, women’s health, same-day care, and virtual care into one thoughtfully designed experience.

Healthcare 98

Healthcare Primary Care Medicaid Medicare 98

HIT Consultant

MAY 30, 2023

As much as we would like to go back to normal, it seems that simply turning the page on the PHE without carrying forward what we learned during Covid will leave millions of Americans scrambling for healthcare and disengaging from essential preventive health services. I know too well about the heavy price of late detection.

Prevention 98

Prevention Pharmaceuticals Primary Care Doctors 98

NASHP

MARCH 22, 2024

Invest in prevention and early intervention. Enhance and streamline system of care for children with complex needs and their families. In addition to expanding Medicaid, North Carolina’s FY2024 budget allocates over $835 million for mental health and substance abuse investments under Medicaid.

Medicaid 52

Medicaid Urgent Care Primary Care Hospitals 52

p3care

NOVEMBER 1, 2022

However, those with life-threatening conditions require intensive care and on-time treatment. Therefore, the Centers for Medicare and Medicaid took an initiative in 2003 and dedicated POS – 20 (Place of Service – 20) as a designation for an urgent care facility. How to Submit Claims via Urgent Care Billing Process.

Urgent Care 113

Urgent Care Primary Care Doctors Medicaid 113

NASHP

APRIL 18, 2022

This case study highlights New Mexico’s Medicaid midwifery benefit under its BOP which has strengthened access to high-quality midwifery care among pregnant people, providing ideas and experience for other states seeking to reimagine maternity care by better integrating midwifery into their health care systems.

Medicaid 123

Medicaid Nursing Prevention Integration 123

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. million Medicaid participants. Executive Summary.

Primary Care 62

Primary Care Medicaid Accountability Quality Improvement 62

HIT Consultant

APRIL 20, 2022

Hospitals report the data to the Centers for Medicare & Medicaid Services (CMS), which uses that data to create the Overall Hospital Quality Star rating for each hospital. Rating is based on five areas: mortality, safety of care, readmission, patient experience, and timely/effective care.

Integration 98

Integration Primary Care Telemedicine Patient Experience 98

Home Health Care

JULY 20, 2023

The organization includes 8,000 primary care and specialist physicians providing care to more than 175,000 members enrolled in commercial insurance plans, as well as Medicare and Medicaid. On its end, HealthCare Partners NY is an independent physician association (IPA) that operates in the Northeast.

Healthcare 77

Healthcare Primary Care Doctors Medicaid 77

HIT Consultant

SEPTEMBER 6, 2022

Unfortunately, most providers don’t have the proper infrastructure or resources to maintain consistent insight into their patient’s life and health outside of clinical interactions, leaving a gaping hole in the healthcare industry’s primary care delivery model.

Healthcare 52

Healthcare Primary Care Medicare Prevention 52

Sheppard Health Law

NOVEMBER 2, 2023

According to the Congressional Research Service, which analyzed data from the Centers for Medicare & Medicaid Services (“CMS”) National Health Expenditure Accounts (“NHEA”) on the personal health expenditures for LTSS by payer, in 2021, an estimated $467.4 trillion spent on personal health care. [3] billion was spent on LTSS.

Medicaid 52

Medicaid Medicare Accountability Nursing 52

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 98

Patient Experience Primary Care Population Health Medicaid 98

Health Populi

MARCH 8, 2018

Amazon is planning to extend Prime subscriptions to people enrolled in Medicaid for the discount price of $5.99 Medicaid enrollees who want to take advantage of the deal must provide Amazon with a scan or image of the card they use for their benefit (either Medicaid or EBT). a month instead of the recent price increase to $12.99/month

Medicaid 48

Medicaid Healthcare Patient Experience Primary Care 48

Healthcare It News

APRIL 28, 2022

"Physicians commonly prescribe antithrombotic or anticoagulants for these patients to prevent cardiac events such as heart attack and stroke, which may result in hospitalizations and readmissions if patients don't adhere to their medication regimen," said Brian Davis, CIO at Magnolia Regional Health Center.

Hospitals 234

Hospitals Medicare Primary Care Quality of Care 234

NASHP

APRIL 24, 2023

States play an essential role in providing and overseeing behavioral health care, and many states have longstanding strategies to increase access to high quality, behavioral health interventions. But the system remains fragmented and strained under the twin crises of mental illness and escalating overdose deaths.

Medicaid 52

Medicaid Integration Prevention Urgent Care 52

NASHP

NOVEMBER 29, 2021

Medicaid Reimbursement. Medicaid Reimbursement. Alabama does not reimburse for CHW services through its Medicaid program. Alaska Medicaid reimburses for CHW services through MCOs as authorized under the state plan. Arizona does not currently reimburse for CHW services through its Medicaid program.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

Health Populi

OCTOBER 11, 2021

As WHO notes, “the gap between demand for mental health services and supply remains substantial,” resulting from chronic under-investment over decades in mental health promotion, prevention, care, and continued stigma and discrimination.

Primary Care 77

Primary Care Prevention Medicaid Integration 77