Value-based Care Startup Powering In-Home and Virtual Care for Seniors
Value-based care platform Vytalize Health has landed $53 million in series B funding to power its virtual and in-home primary care offerings for seniors.
Medicaid
2023 Medicare Advantage Part D Rate Gets 8.5% Revenue Hike
North Carolina is providing $650 million in funding for the launch of a new Medicaid pilot program, Healthy Opportunities, which will reimburse social service provider organizations for interventions that address social determinants of health.
Healthy Opportunities Pilot Program in North Carolina Receives $650 Million in Funds
North Carolina is providing $650 million in funding for the launch of a new Medicaid pilot program, Healthy Opportunities, which will reimburse social service provider organizations for interventions that address social determinants of health.
California DHCS Issues RFP for Medi-Cal Managed Care Plans, But Some Deals Have Already Been Made
The California Department of Health Care Services (DHCS) released Request for Proposal, for the Medi-Cal Managed Care Plans (MCP) procurement, but some deals have already been worked out.
California DHCS Issues RFP for Medi-Cal Managed Care Plan Contracts
The California Department of Health Care Services released a Request for Proposal (RFP) for its commercial Medi-Cal managed care plan (MCP) contracts.
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
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.
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.
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.
HHS to Help Expand Access and Coverage for High-Quality Maternal Healthcare
As part of Vice President Kamala Harris’s Call to Action to Reduce Maternal Mortality and Morbidity, HHS, through CMS, is taking steps to improve maternal health and support the delivery of equitable, high-quality care for pregnancy and postpartum care