The Commonwealth Fund study indicates that while the U.S. excels in certain aspects of healthcare, there is still much work to be done in terms of access, efficiency, and equity. Value-based payments are a potential solution to reducing healthcare costs and improving health outcomes for consumers.
CareFirst BlueCross BlueShield formed a strategic alliance with Aledade, Inc. They will jointly offer independent primary care physicians the tools and resources necessary to help them achieve value-based care goals.
CareFirst BlueCross BlueShield formed a strategic alliance with Aledade, Inc. They will jointly offer independent primary care physicians the tools and resources necessary to help them achieve value-based care goals.
Federally qualified health centers (FQHCs) and rural providers participating in ACOs using the Signify Health platform will receive advanced incentive payments when they join the Medicare Shared Savings Program.
The Ohio Department of Medicaid recently launched its Next Generation managed care plans, following an overhauling process that began in 2019.
The New Mexico Human Services Department announced it will cancel the procurement process for the selection of managed care organizations to deliver services to Medicaid Centennial Care members in the state.
HHA announced that Affordable Care Act Marketplace enrollment continues to outpace previous years, with nearly 11.5 million people selecting a health plan nationwide in 2022.
Aetna’s Medicaid plan in West Virginia has granted $9.3 million to 10 community-based organizations in a bid to support the behavioral health and social care needs for children in foster care.
On December 1, 2022, Oklahoma reissued an RFP to implement the Medicaid managed care for a program to be called SoonerSelect and the SoonerSelect Children’s Specialty Program.
Florida recently released the Medicaid data book, which must be published at least 90 days before issuing the invitation to negotiate for the statewide Medicaid managed care program.