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

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 91

Primary Care Medicaid Quality of Care Prevention 91

Home Health Care

APRIL 5, 2023

“Expanding access to healthcare: Humana integrated CenterWell home health, pharmacy and primary care services throughout 2021 and 2022, which has allowed the company to lower care costs and increase the value of care,” the company wrote in its report. For Humana, that roughly means 1.3 million beneficiaries.

Primary Care 91

Primary Care Medicare Quality of Care Integration 91

NASHP

MAY 17, 2022

How State Medicaid Programs Serve Children and Youth in Foster Care May 17, 2022 / Veronnica Thompson. Children and youth in foster care (CYFC) often benefit from targeted services and supports. Yet, many receive fragmented or limited access to care, contributing to higher rates of unmet health needs. [1]

Medicaid 62

Medicaid Integration Medicare Primary Care 62

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

Home Health Care

JULY 5, 2022

Hospital readmissions are regularly viewed as an indicator of the quality of care patients receive. The Centers for Medicare & Medicaid Services (CMS) calculates annual readmission rates, and if those rates are higher than national averages, hospitals are financially penalized.

Hospitals 97

Hospitals Primary Care Nursing Quality of Care 97

Home Health Care

APRIL 15, 2024

Last week, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced a new proposed model that will undoubtedly affect home health providers, and also allow them the opportunity to get more involved in value-based care initiatives.

Accountability 64

Accountability Medicare Home Care Quality of Care 64

Sheppard Health Law

DECEMBER 12, 2022

The Centers for Medicare & Medicaid Services (CMS) Innovation Center continues to move forward with its “strategic refresh” initiative. Through this shift, CMS aims to examine and enhance payments for specialty care provided to Medicare beneficiaries. Value-Based Care and ACOs.

Accountable Care 52

Accountable Care Accountability Primary Care Medicare 52

Home Health Care

JANUARY 2, 2024

In a health care system that isn’t always accessible or easy to navigate, we at Devoted Health are profoundly honored to provide each member with the same quality of care and service we’d want for our own families,” Ed Park, co-founder and CEO of Devoted Health, said in a statement.

Medicare 61

Medicare Home Care Primary Care Quality of Care 61

NASHP

MARCH 22, 2024

Integrated Primary and Behavioral Health Care A modern behavioral health system of care is fully integrated into the continuum of health care services, including primary and specialty care settings, and extends into homes and communities to ensure holistic and coordinated support.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

NASHP

MARCH 15, 2023

Opportunities for State Policymakers State health reform efforts increasingly focus on providing comprehensive and well-coordinated care to people with serious illness to improve quality of care and drive down costs. Palliative care can be an important component of these strategies.

Medicaid 52

Medicaid Primary Care Integration Nursing 52

NASHP

SEPTEMBER 25, 2023

Postpartum care can also include counseling on nutrition, breastfeeding, and other preventive health topics that support maternal and neonatal health. Research shows that coverage after pregnancy facilitates access to care, supporting positive maternal and infant health outcomes after childbirth.

Medicaid 78

Medicaid Performance improvement Prevention Health Data 78

HIT Consultant

FEBRUARY 20, 2024

Over the last decade, private equity firms have invested nearly $1 trillion in approximately 8,000 healthcare deals, encompassing a wide spectrum of medical services, from fertility clinics to neonatal care, primary care to cardiology, hospices, and everything in between. The consequence?

Private Practices 52

Private Practices Quality of Care Primary Care Healthcare 52

Home Health Care

JANUARY 31, 2023

This is because most of the biggest issues have already been addressed by Congress and the Centers for Medicare & Medicaid Services (CMS). It will give patients the options for care in the home,” she said.

Nursing 86

Nursing Primary Care Medicare Home Care 86

Healthcare It News

APRIL 28, 2022

The hospitalists, care navigators and primary care providers worked together to roll out a three-step approach to better understand the impact of having drug costs available to physicians and patients at the point of care. MEETING THE CHALLENGE.

Hospitals 222

Hospitals Medicare Primary Care Quality of Care 222

Home Health Care

AUGUST 15, 2021

Centers for Medicare & Medicaid Services (CMS) are again touting the Home Health Value-Based Purchasing (HHVBP) Model as one of the agency’s most successful programs ever. CMMI was created through the Affordable Care Act in 2010. Broadly, HHVBP is a Medicare demonstration that aims to tie reimbursement to quality of care.

Medicare 84

Medicare Medicaid Quality of Care Primary Care 84

Home Health Care

JULY 7, 2023

Harris: I’m a primary care physician — I did the med school, business school combo. I ran the Medicaid program in Massachusetts and also led the health care team in the White House Office of Management and Budget. What are some of the care delivery advantages of the PACE model? I spent some time doing consulting.

Hospitals 83

Hospitals Primary Care Quality of Care Medicaid 83

Healthcare It News

JULY 17, 2023

CCA specializes in managing complex care for individuals dually eligible for Medicare and Medicaid, as well as those who narrowly miss the threshold for Medicaid. This matters not only for urgent care issues, but also when a patient is motivated and wants to secure a visit quickly.

Telemedicine 183

Telemedicine Urgent Care Medicaid Integration 183

Etactics

JANUARY 26, 2024

Quality of care. These include capitation, value-based reimbursement, and episodes of care/bundled payments. Send your bills to your payer, which might include private insurance companies or government programs (Medicare or Medicaid). Patients can receive a range of primary care services by paying a monthly or annual fee.

Healthcare 52

Healthcare Primary Care Medicare Healthcare Providers 52

Sheppard Health Law

MARCH 2, 2022

On February 24, 2022, the Centers for Medicare & Medicaid Services (CMS) announced its redesign of the Global and Professional Direct Contracting Model (GPDC), which now will be called the Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) Model.

Accountable Care 52

Accountable Care Primary Care Medicare Accountability 52

NASHP

AUGUST 24, 2023

State health reform efforts increasingly focus on providing comprehensive and well-coordinated care to people with serious illness to improve quality of care and drive down costs. Target Populations That Could Benefit from Palliative Care Services Use data to identify Medicaid enrollees with serious illness.

Medicaid 52

Medicaid Quality Assurance Quality of Care Hospitals 52

HIT Consultant

JUNE 22, 2022

Hospitals are increasingly turning to value-based care initiatives to transform care delivery, lower the total cost of care, and improve patient outcomes. the number of patient visits), providers are reimbursed based on the quality of care delivered in value-based care. Reduce hospital admissions.

Hospitals 98

Hospitals Medicare Primary Care Care Transition 98

NASHP

AUGUST 29, 2022

Without question, the relaxation of previous telehealth restrictions at the federal and state level expanded access to virtual health services – including primary care, chronic disease, prescription drug management, and more. Will losing independent providers ultimately hurt access to affordable primary care for patients?

Primary Care 82

Primary Care Urgent Care Patient Experience Doctors 82

HIT Consultant

JANUARY 29, 2024

To start, our health system is divided into different sectors — primary care, specialty care, mental health, and public health, to name a few — each with its own set of providers, protocols, and data systems. Why is it that our system focuses on just part of what is needed to secure good health outcomes for our nation?

Quality of Care 88

Quality of Care Integration Healthcare Providers Hospitals 88

Cloud Blogs

FEBRUARY 28, 2022

These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care. In 2020, the Centers for Medicaid and Medicare Services (CMS) issued additional rules requiring that payors and providers who receive CMS funds make health information more accessible.

Integration 140

Integration Healthcare Quality of Care Regulations 140

Health Populi

JULY 13, 2020

health care financing regime of volume-based payment didn’t fare well as millions of patients postponed or cancelled procedures and visits for fear of contracting the virus in the halls, offices and clinics of hospitals and doctor’s offices. gross domestic product in 2020, the Centers for Medicare and Medicaid Services calculated.

Primary Care 106

Primary Care Medicare Accountability Hospitals 106

NASHP

OCTOBER 8, 2021

This focus also led the state to view maternity care through a holistic lens, including policy interventions that address social and health systems that serve people who are pregnant and their families.

Medicaid 62

Medicaid Clinical Practice Primary Care Quality Improvement 62

NASHP

AUGUST 31, 2023

Interviewees shared a range of perspectives, including those of local health departments, the state’s sheriff’s association, the state medical society, community health centers, hospital and primary care associations, funders, a CBO, aging and assisted living partners, consumer advocacy groups, and legislators.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

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] public health, Medicaid, mental health) and other stakeholders (e.g., Training CHWs in core components of care coordination.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

Cloud Blogs

FEBRUARY 28, 2022

These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care. In 2020, the Centers for Medicaid and Medicare Services (CMS) issued additional rules requiring that payors and providers who receive CMS funds make health information more accessible.

Integration 88

Integration Healthcare Quality of Care Regulations 88

Sheppard Health Law

MAY 2, 2023

On April 12, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released a final rule updating key regulations pertaining to Programs of All-Inclusive Care for the Elderly (“PACE”) (the “ Final Rule ”). Overall, these changes, summarized below, will offer significant administrative and operational flexibilities.

Regulations 52

Regulations Medicaid Primary Care Medicare 52

Home Health Care

DECEMBER 14, 2021

Landmark was originally founded by Rubicon Founders CEO Adam Boehler, who eventually left to head the Center for Medicare and Medicaid Innovation (CMMI). Johnson succeeds Nick Loporcaro, who held the role of CEO for the past three years. Contextually, Johnson takes over as CEO during a time of change for Landmark.

Urgent Care 52

Urgent Care Medicare Quality of Care Medicaid 52

NASHP

JUNE 22, 2022

Care Coordination Workforce. Care Transitions. public health, Medicaid, mental health) and other stakeholders (e.g., health plans, providers, families of CYSHCN) in using, adapting, and implementing the National Care Coordination Standards for CYSHCN to develop or improve care coordination systems.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52

Home Health Care

DECEMBER 21, 2021

“It has really helped us to expand the number of patients that have access to this type of service, and do so in a way that really creates density for our local medical groups, which just enhances the quality of care that we can provide,” Johnson said in December. Also at the end of February, Brookdale Senior Living Inc.

Home Care 81

Home Care Nursing Quality of Care Hospitals 81

HIT Consultant

OCTOBER 14, 2021

That means virtualized end-to-end processes that integrate every step in patient care from scheduling, intake, waiting rooms and patient queuing to interpretation services, e-prescribe, billing and analytics, referral management and more. So, high quality, accurate data will be an imperative for member satisfaction.

Urgent Care 94

Urgent Care Healthcare Medicare Integration 94

Icanotes

SEPTEMBER 30, 2021

Boost to reputation: The process for insurance credentialing is rigorous, and many people see it as an indicator of the quality of care. In comparison, only 7% of people did so for medical specialists, and just 3% needed to go out of network for primary care. Considering about 10.3%

Primary Care 52

Primary Care Quality of Care Medicaid Healthcare 52

Vie Healthcare

JULY 26, 2023

I’ve become a bit of a cynic because I see my father in a nursing home, and my mom is paying $12,000 a month for his care, and the person in the bed next to him is on Medicaid and paying nothing. The manner in which I have to communicate with my mom’s primary care provider is woefully behind. Jim (16:09): Yep.

Hospitals 52

Hospitals Nursing Doctors Healthcare 52