HIT Consultant

OCTOBER 6, 2022

What You Should Know: – Emcara Health and Aetna Better Health , which announced that the two companies will be partnering to deliver primary care in the home to more than 240,000 Medicaid patients in the Miami/Dade and Tampa, Florida regions. Partnership Details. Partnership Details.

Primary Care 52

Primary Care Medicaid Nursing Integration 52

NCQA

SEPTEMBER 7, 2023

Integrating behavioral health care into primary care settings is one way to increase access to important behavioral health services. But are we ready to measure the quality of that care? Behavioral Health Care Integration: Challenges and Opportunities for Quality Measurement , is our newest issue brief.

Primary Care 59

Primary Care Integration Medicaid Health Data 59

HIT Consultant

NOVEMBER 30, 2023

What You Should Know: – Anthem Blue Cross and Blue Shield in Virginia and Aledade , the nation’s largest network of independent primary care, today announced an expansion of their collaboration to provide more Virginians with access to high-quality primary care.

Primary Care 52

Primary Care Medicare Medicaid Healthcare 52

Sheppard Health Law

FEBRUARY 12, 2024

HRSN Initiatives : In the interest of increasing the accessibility and quality of care to address HRSN, the Demonstration Amendment seeks to improve integration between primary care providers and community-based organizations. Medicaid Hospital Global Budget Initiative CMS authorized up to $2.2

Medicaid 52

Medicaid Primary Care Hospitals Integration 52

HIT Consultant

JANUARY 9, 2024

What You Should Know: – Buckeye Health Plan and Cityblock are teaming up to provide integrated, community-based care to approximately 10,000 underserved Medicaid recipients in the Cleveland-Akron-Canton area.

Medicaid 64

Medicaid Primary Care Integration Prevention 64

HIT Consultant

OCTOBER 3, 2023

What You Should Know: Concert Health , a leading behavioral health medical group, today announced a collaboration with Mass General Brigham , an integrated academic health care system, to expand behavioral health services delivered through primary care.

Primary Care 52

Primary Care Integration Medicaid Medicare 52

HIT Consultant

OCTOBER 18, 2023

What You Should Know: – Waymark , a San Francisco, CA-based Medicaid provider enablement company raises $42M in new financing to scale technology-enabled, community-based care for primary care providers and their patients enrolled in Medicaid programs.

Medicaid 52

Medicaid Primary Care Quality of Care Hospitals 52

Home Health Care

JUNE 28, 2022

Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) are taking steps to improve oncology care and primary care this week. While both are not directly related to home-based care, the federal government pushing this should pique providers’ interest.

Primary Care 89

Primary Care Medicaid Medicare Quality of Care 89

NASHP

SEPTEMBER 25, 2023

However, some states and Tribes, working together, are leveraging Medicaid to deliver better care to AI/AN and address health disparities. Arizona’s Medicaid agency established its American Indian Medical Home (AIMH) program in partnership with tribal leadership. Friday, October 20, 2023 1:00–2:15 p.m.

Medicaid 64

Medicaid Primary Care Hospitals 64

NASHP

MAY 1, 2023

States use public and private funds to support home visiting programs, including state general revenue, Medicaid, Children’s Health Insurance Program (CHIP), and federal funding, such as the Maternal and Infant Early Childhood Home Visiting (MIECHV) program.

Medicaid 98

Medicaid Nursing Prevention Hospitals 98

HIT Consultant

NOVEMBER 9, 2023

Director of Healthcare Strategy, LexisNexis Risk Solutions During the peak of the Covid-19 pandemic, over 10 million Americans enrolled in Medicaid – nearly a 14% increase from the beginning of 2020. A month before the public health emergency ended on May 11, 2023, 87 million individuals were enrolled in Medicaid.

Medicaid 64

Medicaid Prevention Primary Care Process improvement 64

NASHP

JANUARY 24, 2022

To help build this capacity, the American Rescue Plan Act, among other resources to states, authorized a new Medicaid payment mechanism for Medicaid mobile crisis services, and awarded planning grants to twenty states to prepare for implementation. hospitals, criminal justice, and specialty mental health providers).

Medicaid 122

Medicaid Primary Care Medical Services Hospitals 122

NASHP

FEBRUARY 27, 2023

As states are seeking sustainable financing models and partnerships that offer continued support for the CHW services beyond the COVID-19 pandemic, many are exploring Medicaid reimbursement models. The goal of the PCPlus initiative is to provide primary care practices with more flexibility in care delivery while reducing inefficiencies.

Primary Care 52

Primary Care Medicaid Care Transition Medicare 52

HIT Consultant

OCTOBER 26, 2021

What You Should Know: – Brave Health , a Miami-based virtual behavioral health provider for Medicaid, today announced it has closed a $10M Series B round ($20.75M in total) led by City Light Capital, Union Square Ventures and Able Partners, bringing its total funding to $20.75M. Recent Traction/Milestones. ”

Medicaid 97

Medicaid Primary Care Hospitals 97

NASHP

DECEMBER 7, 2022

State Strategies to Support the Future of the Primary Care Physician and Nursing Workforce December 7, 2022 / by Elaine Chhean , Anita Cardwell , Lauren Block (Aurrera Health Group), and Sarah Tocher (Aurrera Health Group). High-quality primary care is foundational to a healthy society and well-functioning health care systems.

Primary Care 72

Primary Care Nursing Prevention Hospitals 72

Healthcare ECONOMIST

MARCH 17, 2022

Commercial payers reimburse physicians at 129% of Medicare rates overall ( 144% of Medicare rates for specialty services but only 117% of Medicare rates for primary care services.). Medicaid vs. Medicare rates. 2021 found that Medicaid reimbursement was 72 % of Medicare rates on average across that nation.

Medicaid 83

Medicaid Medicare Hospitals Primary Care 83

Healthcare It News

FEBRUARY 28, 2023

The increase in telehealth adoption by physicians and patients alike continues to allow UPMC to develop new digital health tools that offer greater access to high-quality care from the comfort of their own home. UPMC launched a virtual-first, full-service primary care clinic offering a complete spectrum of care to patients aged 18 and above.

Primary Care 223

Primary Care Healthcare Telemedicine Urgent Care 223

Healthcare It News

JUNE 13, 2023

Uber Health says delivery is especially necessary for homebound patients or those with limited transportation or access to food and healthcare resources – social determinants of health that influence chronic conditions affected by nutrition, like diabetes, and impede value-based care.

Medicaid 185

Medicaid Primary Care Population Health Hospitals 185

HIT Consultant

APRIL 16, 2024

This initiative is especially timely, coinciding with the Centers for Medicare & Medicaid Services’ (CMS) upcoming launch of the Transforming Maternal Health Model (TMaH). It provides a conduit to reach more communities of color by offering a tech-enabled care model that extends beyond traditional brick-and-mortar limitations.

Primary Care 105

Primary Care Integration Healthcare Quality Medicaid 105

Home Health Care

MARCH 27, 2024

Kang is the former CMO of the Centers for Medicare & Medicaid Services (CMS). The Chicago-based WellBe offers home-based medical care services to patients who are facing multiple complex health challenges. When I look at home care, or personal care, that largely hasn’t changed. We can fill that role for the consumer.

Primary Care 97

Primary Care Medicare Medicaid Nursing 97

NASHP

MARCH 14, 2022

Strengthening Care for People with Serious Illness Seven Steps for Building a Community-Based Palliative Care Benefit Within Medicaid. People with complex or life-threatening conditions often need extra support to manage symptoms and make critical decisions about their care and quality of life. March 14, 2022.

Medicaid 94

Medicaid Rehabilitation Quality Assurance Patient Experience 94

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

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

NASHP

APRIL 15, 2022

Midwife Medicaid Reimbursement Policies by State April 15, 2022. Access to maternity care is key to addressing the maternal mortality crisis. Midwife services can bridge gaps in health care, reduce health disparities, and support maternal and neonatal wellbeing. Certified Nurse-Midwife State Medicaid Reimbursement Policy.

Medicaid 64

Medicaid Nursing Medical Practitioners Regulations 64

HIT Consultant

MAY 8, 2023

What You Should Know: A new report released by TytoCare , a virtual care company enabling accessible, high-quality primary care from home, revealed insights into how health plans and organizations can drive virtual care engagement. Clinician involvement is critical for both Medicaid and private insurance carriers.

Urgent Care 98

Urgent Care Primary Care Medicaid Doctors 98

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 105

Primary Care Population Health Medicare Medicaid 105

HIT Consultant

APRIL 11, 2023

What You Should Know: Audio-only telehealth visits for both primary care and mental health services remained common at safety net clinics in California since the start of the COVID-19 pandemic, according to a new RAND Corporation study. Key findings of the report include: The number of primary care visits increased by 8.5%

Primary Care 96

Primary Care Medicaid Quality of Care Accountability 96

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

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 69

Primary Care Medicaid Medicare Hospitals 69

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

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. "As pediatric primary care providers, we know the short- and long-term medical and neurodevelopmental advantages of breastfeeding," said Dr. WHY IT MATTERS.

Primary Care 238

Primary Care Quality of Care Telemedicine Prevention 238

Healthcare It News

AUGUST 29, 2022

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. From there, we established partnerships with both regional and national health plans to offer virtual-first care to their members.

Telemedicine 251

Telemedicine Primary Care Medicaid Urgent Care 251

Home Health Care

AUGUST 5, 2022

The Centers for Medicare & Medicaid Services’s (CMS) Independence at Home demonstration aims to find out if delivering comprehensive, home-based primary care can lead to positive outcomes and lowered costs. . One demonstration participant, Northwell Health, has been able to realize this goal.

Primary Care 93

Primary Care Medicare Medicaid 93

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

NCQA

APRIL 4, 2024

Funding comes from state grants, SAMHSA planning grants and Prospective Payment System (PPS) Medicaid Demonstration programs. CCBHCs provide a full range of mental health and substance use condition services, including 24-hour crisis care, outpatient treatment and care coordination. Limited Comprehensive Programs.

Medicaid 52

Medicaid Primary Care Healthcare Medicare 52

Home Health Care

SEPTEMBER 6, 2023

NYSE: HUM) – despite looming cuts and potential clawbacks from the Centers for Medicare & Medicaid Services (CMS) – still sees Medicare Advantage (MA) as a major growth opportunity. Additionally, Humana’s provider arm – CenterWell – includes home health care, pharmacy and primary care services. Humana Inc.

Medicaid 104

Medicaid Medicare Primary Care Healthcare 104

HIT Consultant

OCTOBER 20, 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 it has raised $9 million in Series A funding. This is the future of Medicaid laid out by CMS, and other states like New York are following suit.

Medicaid 52

Medicaid Primary Care Integration Healthcare 52