Healthcare It News

NOVEMBER 29, 2023

million in savings across multiple Medicare and Medicare Advantage plans, according to an announcement Wednesday. The Franciscan health system leveraged the Innovaccer platform to reduce readmissions, automate emergency department workflows and improve the patient experience, the company said.

Medicare 203

Medicare Population Health Patient Experience Nursing 203

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. The AHEAD Model could do the same. It is worth noting, however, that the U.S.

Primary Care 114

Primary Care Population Health Medicare Medicaid 114

NASHP

APRIL 29, 2024

By the fourth performance year of the model, 30 percent of Medicare fee-for-service (FFS) revenue of the state (or subregion of a state tied to the model) must be tied to a Medicare hospital global budget. This means there will be three hospital global budgets: Medicare, Medicaid, and commercial.

Hospitals 77

Hospitals Medicaid Medicare Primary Care 77

Healthcare It News

OCTOBER 13, 2023

Social determinants of health – the food, shelter and security attributes of patients that exist outside of care settings – contribute disproportionate risks for disease, hospital readmissions and a lack of access to quality healthcare among vulnerable populations, including people on Medicare.

Accountability 222

Accountability Population Health Regulations Medicare 222

Healthcare It News

JULY 6, 2023

"We did not know what we would learn, but were willing to try, as we did not have a solution to increase our advance care planning for a growing Medicare population," Andrieni noted. "With limited staffing, we also wanted to use a tool that would be both efficient and effective," she continued.

Nursing 205

Nursing Primary Care Medicare Population Health 205

Healthcare It News

OCTOBER 19, 2022

The new company will be led by CEO Dave Kerwar, who has previously served as chief product officer at Mount Sinai Health System, where he developed IT-driven direct-to-consumer, direct-to-employer and population health programs focused on quality improvement and cost efficiencies. ON THE RECORD.

Hospitals 289

Hospitals Home Care Population Health Quality Improvement 289

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.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Healthcare It News

OCTOBER 31, 2022

Through the secure collection, documentation, reporting, access and use of data across provider types, ONC aims to address health inequities that have their root causes in poverty and racism. Andrea Fox is senior editor of Healthcare IT News. Email: afox@himss.org. Healthcare IT News is a HIMSS publication.

Private Healthcare 263

Private Healthcare Population Health Medicaid Medicare 263

HIT Consultant

NOVEMBER 30, 2022

Participation in commercial plans, Medicare Advantage, and Medicare Shared Savings Programs will continue to be high, while Medicaid plans—which have the potential to impact a significant number of lives—will see the biggest growth. VP of population health. The product would be a replacement.

Population Health 98

Population Health Medicaid Medicare Integration 98

HIT Consultant

MARCH 6, 2023

What You Should Know: – Signify Health announced a partnership with Cardinal Health , a medical device and pharmaceuticals supplier, to provide in-home medication therapy management to Medicare members.

Pharmaceuticals 52

Pharmaceuticals Population Health Medicare 52

HIT Consultant

NOVEMBER 2, 2023

Collaboration aims to drive coordinated care and improve quality while reducing costs NS-EEH will strengthen its clinically integrated network (CIN) by incorporating Lumeris’ population health data platform into its value-based care strategy.

Accountable Care 52

Accountable Care Population Health Accountability Medicaid 52

Healthcare It News

JANUARY 7, 2022

ThedaCare is a seven-hospital health system in Wisconsin with 180 locations and 7,000 employees. To succeed in its mission, ThedaCare is on a path to population health – aiming to go above and beyond treating a particular condition to make care easy and accessible to help achieve better health for life. THE PROBLEM.

Population Health 301

Population Health Prevention Integration Patient Experience 301

Home Health Care

JANUARY 24, 2024

The rise in acuity for patients and the staffing shortage have encouraged a sophisticated approach to care delivery with more emphasis on analytics and population health insights.” Home health care was the top area where respondents saw room for growth, with joint ventures and new partnerships as potential means for that growth.

Population Health 113

Population Health Medicare 113

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 68

Primary Care Medicaid Medicare Hospitals 68

Healthcare It News

JUNE 13, 2023

The company says that 3,000 healthcare organizations are already using Uber Health for transportation to primary care appointments and accessing critical prescriptions. Uber Health launched its HIPAA-enabled API and dashboard in 2018 to offer logistics services to population health management programs.

Medicaid 189

Medicaid Primary Care Population Health Hospitals 189

Healthcare ECONOMIST

APRIL 3, 2024

Pharmacy plan quality is vital since approximately 85% of the US population has prescription drug coverage through public (e.g., Medicare , Medicaid) or commercial (e.g., aligns with key plan/population health priorities, usability (i.e., aligns with key plan/population health priorities, usability (i.e.,

Medicaid 69

Medicaid Population Health Prevention Medicare 69

HIT Consultant

MAY 10, 2024

Partnership Aligns with Industry Standards Rimidi’s platform is designed to meet the requirements of Medicare’s reimbursable remote patient monitoring telehealth programs. It also integrates seamlessly with existing EHR systems, ensuring a smooth workflow for healthcare providers.

Integration 52

Integration Healthcare Providers Population Health Prevention 52

HIT Consultant

OCTOBER 18, 2021

– Papa and Uber are working together to mitigate social isolation and negative health outcomes among Medicare and Medicaid recipients as well as those with employer health plans. The partnership advances Papa’s and Uber Health’s shared missions to support population health among vulnerable communities.

Population Health 95

Population Health Medicaid Medicare 95

NASHP

MAY 10, 2024

Medicaid is required to participate by performance year one, and CMS encourages commercial payer participation and Medicare Advantage alignment. A core aspect is a focus on alignment between payers.

Primary Care 52

Primary Care Medicaid Medicare Integration 52

Health Blawg

DECEMBER 11, 2017

He provides strategic insights in product development and marketing as BaseHealth works to bring to market a predictive, evidence-based and data-driven population health management platform. BaseHealth predictions based on the old data closely tracked actual experience in the same cohort of patients.

Healthcare 137

Healthcare Population Health Healthcare Innovation Medicare 137

p3care

JANUARY 19, 2023

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) has shared an authorized program for providers in the US. Each year the Centre for Medicare and Medicaid Services gives a final rule with little modifications for implementation. This program is not other than the Merit-based Incentive Payment System.

Medicare 130

Medicare Population Health Medicaid Healthcare 130

p3care

OCTOBER 30, 2020

CMS (The Centers for Medicare and Medicaid Services) released the proposed rule for QPP MIPS 2021 via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM). How to report MIPS data is what add to your revenue year after year, especially for clinicians associated with Medicare. QPP MIPS Program Updates.

Medicare 243

Medicare Measurable Quality Medicaid Accountable Care 243

HIT Consultant

SEPTEMBER 7, 2022

Artificial intelligence (AI) has emerged as a powerful tool for making population health analytics more accurate and interventions more effective. Sensitivity to a wider range of factors that can impact population health, including SDOH, cultural and community issues, is key to minimizing both coding and data-driven bias.

Population Health 98

Population Health Health Analytics Quality Assurance Medicaid 98

Home Health Care

OCTOBER 13, 2023

The home health agencies that have historically been focused on Medicare-only patients can no longer survive. With the continued Medicare reimbursement cuts, and more Medicare beneficiaries enrolling in Medicare Advantage plans, home health providers need to get creative with their business models.

Medicare 94

Medicare Hospice Care Population Health Home Care 94

NASHP

MARCH 1, 2024

Many states are looking to move away from the health system’s current reliance on fee-for-service, utilization-driven payment and are pursuing reforms that incentivize improving population health and provide predictable funding to providers in ways that also contain costs.

Primary Care 58

Primary Care Population Health Hospitals Medicaid 58

HIT Consultant

JANUARY 31, 2023

Their clinically integrated network, inVio , is one of the largest in the Southeast with more than 5,000 employed and independent network providers delivering high quality, value-based care (VBC) to more than 377,000 patients spanning Medicare, Medicaid, and commercial agreements.

Population Health 52

Population Health Medicaid Integration Patient Experience 52

HIT Consultant

OCTOBER 20, 2023

Curana has achieved this through a provider-led medical group, Medicare Advantage health plans, a Medicare Shared Savings Program (MSSP), and a newly formed ACO REACH organization. This expansion has provided over 750 healthcare providers with the opportunity to excel in value-based care delivery.

Population Health 59

Population Health Nursing Medicare Integration 59

Healthcare It News

AUGUST 29, 2022

Regional and national health plans, employers, and Fortune 500 organizations use Galileo to help improve population health. More than 85% of patients report improved health after receiving care from Galileo. His goal is to help remove language as a barrier for access to healthcare for the 53 million U.S. Spanish speakers.

Telemedicine 252

Telemedicine Primary Care Medicaid Urgent Care 252

Health Blawg

DECEMBER 11, 2017

He provides strategic insights in product development and marketing as BaseHealth works to bring to market a predictive, evidence-based and data-driven population health management platform. BaseHealth predictions based on the old data closely tracked actual experience in the same cohort of patients.

Healthcare 113

Healthcare Population Health Healthcare Innovation Medicare 113

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

APRIL 3, 2023

These risk-based care models are designed to encourage proactive care, better population health and reduced spending across the healthcare spectrum.

Accountable Care 98

Accountable Care Accountability Integration Private Practices 98

p3care

MAY 14, 2023

They may vary from clinical enhancement to patient involvement to population health management. New Improvement Activities: 4 Deploy certified health information technology for electronic health record data security tags. Application of QCDR for feedback reports that include population health.

Quality Improvement 130

Quality Improvement Population Health Medicare Healthcare 130

HIT Consultant

AUGUST 15, 2022

Approximately 42% of Medicare beneficiaries are enrolled in Medicare Advantage plans—a segment projected to reach 46% by 2025. Due to rapid growth of the 65-and-older portion of the population, Medicare expenditures are forecast to reach $1,559.4 – Continued increase in overall Medicare costs.

Medicare 52

Medicare Population Health Medicaid Healthcare 52

HIT Consultant

NOVEMBER 23, 2021

What You Should Know: – Community Care Physician Network (CCPN) deploys Innovaccer Health Cloud to help its providers deliver exceptional consumer experiences, support high-quality care, and manage costs across its Medicare and Commercial contracts. Population Health Analytics. Today Innovaccer Inc. ,

Health Analytics 52

Health Analytics Population Health Primary Care Medicare 52

HIT Consultant

JULY 19, 2022

the Health Cloud company, announced that Curana Health is partnering with Innovaccer to build a leading edge value-based care solution to support delivery of exceptional care quality at the lowest possible cost for one of healthcare’s highest risk populations: residents in senior living communities across the country.

Accountable Care 52

Accountable Care Population Health Medicare Accountability 52

HIT Consultant

OCTOBER 27, 2022

What You Should Know: – Color Health acquires Mood Lifters , a leading group-based mental health company and launches a new behavioral health product. The new solution will expand access to mental healthcare for organizations tackling public and population health.

Medicaid 52

Medicaid Population Health Medicare Integration 52

HIT Consultant

NOVEMBER 2, 2022

. – HealthTap completed a successful beta period for Eval360 for over 15,000 seniors through its partnership with a leading Medicare Advantage (MA) plan, and now intends to expand Eval360’s reach to plans nationwide of all types, from Medicare Advantage to commercial plans.

Primary Care 52

Primary Care Doctors Medicare Population Health 52