CMS Announces AHEAD Model to Promote Health Equity and Value-Based Payments
Dive deep into the CMS’s AHEAD Model, exploring its foundations, potential benefits, and the challenges it faces as it aims to reshape the American healthcare landscape.
SDoH
CMS & HHS Working to Improve Medicaid’s Social Determinants of Health Endeavors
The Department of Health and Human Services (HHS) and CMS recently announced guidance for state Medicaid programs ILOS to boost the quality of Medicaid social determinants of health initiatives.
Despite New Programs, Major Payers Still Spending Less Than 1% on Income on Social Determinants of Health
A study from the Journal of General Internal Medicine found that the six payers with the largest market shares may have spent on average 0.67% of their income in 2021 on social determinants of health.
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).
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.
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.
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.