CalAIM Community Supports Sees Slow Initial Roll Out
CalAIM launched in January 2022 and in this blog, we will take a look at the slow initial rollout of the Community Supports and how it is impacting individuals in need of service.
Value-Based Care
PHI Releases Strategic Plan to Address Direct Care Workforce Challenges Through 2025
As the nation’s leading authority on the direct care workforce, PHI promotes quality direct care jobs as the foundation for quality care. Their new strategic plan responds to the challenges and opportunities facing the direct care workforce through 2025
CMS Provides Roadmap to Connect Children With Complex Medical Conditions to Necessary Medicaid Services
The U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (CMS), today unveiled guidance on a new Medicaid health home benefit for children with medically complex conditions.
Delaware Department of Health and Social Services Announces Companies to Operate Medicaid Managed Care Program
The Department of Health and Social Services (DHSS) announced today that it has selected three companies to operate its Medicaid Managed Care Program.
OhioRISE Program Launched This Month to Provide Specialized Managed Care to Youth with Complex Needs
As part of Ohio Medicaid’s effort to launch the next generation of Medicaid, ODM has launched OhioRISE (Resilience through Integrated Systems and Excellence), a specialized managed care program for youth with complex behavioral health and multisystem needs.
CMS Proposed Physician Payment Role Designed to Expand Access to Quality Care
CMS issued the Calendar Year 2023 Physician Fee Schedule (PFS) proposed rule, which would significantly expand access to behavioral health services, ACOs, cancer screening, and dental care
CMS Issues Home Health Prospective Payment System Rate Update Proposed Rule
On June 17, 2022, CMS issued the calendar year 2023 Home Health Prospective Payment System Rate Update proposed rule, to update Medicare payment policies and rates for home health agencies.
Providers in Home Health VBP Model Outperformed Counterparts in 2020
CMS recently released the Fifth Annual Report evaluating the Home Health Value-Based
Purchasing (HHVBP) Model. Key findings show participating providers performed 7% better in 2020 than non-participating providers
HHS & CMS Providing Resources to States to Ensure Access to Quality Care
The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS) unveiled a suite of new resources to improve CMS and state oversight of Medicaid and Children’s Health Insurance Program (CHIP) managed care programs
Part II: Health Equity to Become Part of the VBP Future
The Center for Medicare and Medicaid Innovation (CMMI) Director Liz Fowler said that a future requirement for participating in a value-based payment model will be to create a health equity plan