Florida Starting Medicaid Managed Care Procurement Process
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.
Healthcare Providers
The CANS (Child and Adolescent Needs & Strengths) Assessment in Child Services: What it means for Value-Based Purchasing (VBP)
All across America, the Child and Adolescent Needs and Strengths (CANS) assessment is gaining major traction. As the CANS becomes increasingly popular at a rapid pace, it’s important to reflect upon how the implementation is impacting communities and the prospects it may serve for Value-Based Purchasing (VPB).
House Lawmakers Requesting Extension of Value-Based Payment Incentives
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.
Lessons Learned from CalAIM: Shared Savings and Shared Risk Model Can Improve Care and Reduce Costs
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
CalOptima Health Integrating Care Through School District Partnerships
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.
Lessons Learned: CalAIM Integrated Care Plans Can Be Replicated Across States
CalAIM fully integrates physical health, behavioral health, and oral health under one contracted managed care plan. How can this be replicated and beneficial to other states?
Pennsylvania Proposing New Profit-Sharing Agreement With Physical Health MCOs
Governor Tom Wolf announced that Pennsylvania is proposing a new profit-sharing agreement
with its Medical Assistance physical health (PH) managed care organizations (MCOs).
Iowa Takes a Second Crack at Managed Care – What is Different This Time?
The Iowa HHS issued a notice of intent to award Medicaid MCO contracts to Molina Healthcare and Amerigroup Iowa Inc. for managed care services for Medicaid members in Iowa. But what makes round two of Iowa’s MCO rollout any different than its failed first attempt?
Blue Shield of California Launches New VBP Model
Blue Shield of California is launching a new value-based, shared savings payment model for specialty care physician practices
CMS Approves ACOs for High Needs Track of the ACO REACH Model
CMS recently approved 20 Medicare accountable care organizations (ACOs) for the High Needs track of the new ACO REACH model. These provider organizations can serve small populations, including those with complex conditions or dual eligibility for Medicare and Medicaid.