CalAIM and SDOH: The Crossroad for Complex Care Needs
CalAIM focuses on whole-person care and integrating social services through Enhanced Care Management and Community Supports
Healthcare Payers
CalAIM and Whole Person Care – All right here
CMS approved a five-year extension of its Medicaid managed care section 1915(b) waiver, which was renamed California Advancing and Innovating Medi-Cal (CalAIM). The program focuses more on whole-person care and integrating social services.
CMS Projects More Beneficiaries Being Served by ACOs in 2022
CMS released data showing that Accountable Care Organizations (ACOs) are serving a growing patient population, according to CMS’ annual summary of the Medicare Shared Savings Program.
Appeals Dropped in Lawsuit Challenging North Carolina’s Medicaid Managed Care Contract Award
On Jan. 19, 2022, the North Carolina Court of Appeals granted a request from two insurance providers to voluntarily dismiss appeals of their suit over contracts awarded for NC Medicaid Managed Care by the North Carolina Department of Health and Human Services.
Humana Announces Medicare Advantage Value-Based Payment Contract in Oregon
Humana partnered with Vancouver Clinic to extend access to value-based primary care to Medicare Advantage members in Oregon
Updating Value-Based Payments Basics and New Developments
What are value-based payments and what are the new VBP developments? Keep reading for an update on value-based payments to start the New Year
CMS Approves California Advancing and Innovating Medi-Cal (CalAIM) Proposal
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.
CMS Funding 1,000 Residency Slots of Hospitals in Rural & Underserved Communities
The Fiscal Year (FY) 2022 Inpatient Prospective Payment System (IPPS) final rule with comment period establishes policies to distribute 1,000 new Medicare-funded physician residency slots to qualifying hospitals
NY State Of Health Marketplace Announces New ‘Care At Home’ Pilot Program
NY State of Health, the state’s official health plan Marketplace, today announced it has launched a new pilot program called NY State of Health, Care at Home to help New Yorkers shop for safe and reliable home care services
Healthcare at Home Blog Series: 2021 Recap
Throughout our Healthcare at Home blog series, we took a deep dive into the transformative healthcare industry shift of utilizing the home as a healthcare hub