CMS recently announced that three innovative accountable care initiatives will grow and provide higher quality care to more than 13.2 million people with Medicare in 2023
The Department of Health and Human Services (HHS) and CMS recently announced guidance for state Medicaid programs ILOS to boost the quality of Medicaid social determinants of health initiatives.
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.
Senators John Barrasso and Sheldon Whitehouse introduced a bipartisan bill that would extend value-based payment incentives for healthcare providers participating in Medicare’s alternative payment models APMs.
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.
A study from the Journal of General Internal Medicine found that the six payers with the largest market shares may have spent on average 0.67% of their income in 2021 on social determinants of health.
More than 40 House lawmakers signed a letter asking congressional leaders to support value-based payment incentives and extend the 5% bonus for Alternative Payment Model (APM) participation.
CalOptima says managed care plan partnerships with school districts across Orange County will increase behavioral health care access for children and youth and increase preventative and early intervention behavioral health care.