Explore CMS’s new proposals to regulate agent compensation in Medicare Advantage and improve access to behavioral healthcare, aiming for a more equitable healthcare environment.
Recent findings spotlight the link between recovery settings and hospital readmission rates following hip replacement procedures.
Discover how states are bolstering Medicaid payment rates and education programs to mitigate home healthcare staff shortages and improve service delivery.
Discover how a new bill is pushing to provide more funds to states to widen home- and community-based services, addressing a longstanding care need.
Dive deep into the CMS’s AHEAD Model, exploring its foundations, potential benefits, and the challenges it faces as it aims to reshape the American healthcare landscape.
In this blog, we are looking at lessons learned from CalAIM, specifically how shared savings/shared risk models can improve the quality of care and lower healthcare costs by providing the right incentives
Recently, CMS approved the California Advancing and Innovating Medi-Cal (CalAIM) proposal. CalAIM’s launch on January 1, 2022, is part of a commitment to make Medi-Cal more equitable, coordinated, and person-centered.
Break Through Value-Based Payments Pay for Performance – An Opportunity for Self-Direction in HCBS THE VBP Blog Roughly a year ago we did a blog on Payment for Performance that took a look at the second step in the Value-Based Continuum. Pay for Performance (P4P) is the model that sets metrics to incentivize providers to achieve, advance, and exceed through their quality of care. We talked about the pros – sustainable metrics can lead to higher quality care – and the cons – lower social-economic status areas will have inevitable bad outcomes and thus receive less funding. The P4P model is undoubtedly the longest standing and fastest growing above its counterparts in shared savings, bundling, and shared risk models. In… Read More »Pay for Performance – An Opportunity for Self-Direction in HCBS