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
Medicare
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.
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
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
Study Shows Seniors Struggle to Pay for Healthcare
Healthcare costs continue to be a barrier for seniors. In fact, over one in four seniors in America face high out-of-pocket costs and lack emergency funds to pay for healthcare services, according to a MedicareGuide.com survey
ACOs Generated Billions in Shared Savings in 2020
ACOs participating in the Medicare Shared Savings Program (Shared Savings Program) in 2020 earned performance payments totaling nearly $2.3 billion while saving Medicare approximately $1.9 billion.
Chiquita Brooks-LaSure Confirmed as Next CMS Administrator
Chiquita Brooks-LaSure was confirmed by the Senate as the next CMS Administrator, making her the first Black woman to lead the agency.
New CMS Provision Lowers Maximum Out of Pocket Costs
The National Institutes of Health is funding $29 million in additional grants for the NIH Community Engagement Alliance (CEAL) Against COVID-19 Disparities.
CMS Issues Proposed Rule for Inpatient and Long-Term Care Hospitals in Rural and Underserved
The 2019 Medicare Current Beneficiary Survey’s (MCBS) preliminary report was released with data on quality of care, access to care, and cost of care, among other topics.