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.
Social Determinants of Health
Navigating the Next Frontier of Value-Based Payments – Home Care
An exploration of the emerging intersection of home care and value-based payments, with a spotlight on the Expanded Home Health VBP Model and its impact on health outcomes and the industry.
Category: value-based payment models
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.
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).
Humana Issues Brief Detailing Social Determinants of Health Initiatives
According to an Urban Institute issue brief, the uninsured population may increase by more than 3 million if premium tax credits under the American Rescue Plan are not extended.
Provider and Payer Partnerships Making a Positive Impact on Health Outcomes
In this blog, we will look at some of the recent partnerships that have sprung up in the healthcare world and how these partnerships are helping to improve health outcomes.
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.
Using Federal Funds to Address Social Determinants of Health
Social determinants of health impact health outcomes. In this blog, we will take a deeper look at how federal funds are being used to encourage incorporation of social determinants of health into care plans.