New “Making Care Primary Model” Takes Value-Based Payments to Primary Care
A detailed exploration of the Making Care Primary Model, an innovative value-based initiative by CMS aimed at transforming primary care.
Medicaid managed care
CMS Launches New Value-Based Primary Care Pilot in 8 States
CMS aims to advance value-based primary care, especially in rural areas and among underserved populations, with a new pilot project called the Making Care Primary Model.
Oklahoma Awards Managed Care Contracts to Three Provider Led Entities in Partnership with Three National MCOs
Oklahoma Health Care Authority (OHCA) awarded managed care contracts to Aetna Better Health of Oklahoma, Humana Healthy Horizons of Oklahoma and Oklahoma Complete Health, a subsidiary of Centene Corporation.
Oklahoma Greenlights Medicaid Managed Care Contracts Worth $3.75B
Oklahoma’s Health Agency bestows $3.75 billion in Medicaid managed care contracts to three managed care organizations.
Sunshine Health Enters Value-Based Care Agreement with Johns Hopkins All Children’s Care Network
Sunshine Health and Johns Hopkins All Children’s Hospital team up in a two-year venture to boost pediatric primary care access for Florida Medicaid beneficiaries.
Nevada Lawmakers Approve Funding for Statewide Medicaid Managed Care
Nevada’s lawmakers step up to approve funding for a statewide Medicaid Managed Care program, paving the way for improved healthcare services across the state.
How States Are Utilizing Managed Care to Address Social Determinants of Health
Dive into how states can utilize managed care to address health-related social needs and social determinants of health, promoting health equity and community well-being.
Value-Based Care Platform Joining CMS Advance Investment Payments (AIP) Incentive Program
Federally qualified health centers (FQHCs) and rural providers participating in ACOs using the Signify Health platform will receive advanced incentive payments when they join the Medicare Shared Savings Program.
Ohio Launches Nest Generation Managed Care Plans
The Ohio Department of Medicaid recently launched its Next Generation managed care plans, following an overhauling process that began in 2019.
Oklahoma Reissues Medicaid Managed Care RFP After OK Supreme Court Blocked First Attempt
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.
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