CalAIM Community Supports Sees Slow Initial Roll Out
CalAIM launched in January 2022 and in this blog, we will take a look at the slow initial rollout of the Community Supports and how it is impacting individuals in need of service.
value based payments
OhioRISE Program Launched This Month to Provide Specialized Managed Care to Youth with Complex Needs
As part of Ohio Medicaid’s effort to launch the next generation of Medicaid, ODM has launched OhioRISE (Resilience through Integrated Systems and Excellence), a specialized managed care program for youth with complex behavioral health and multisystem needs.
Providers in Home Health VBP Model Outperformed Counterparts in 2020
CMS recently released the Fifth Annual Report evaluating the Home Health Value-Based
Purchasing (HHVBP) Model. Key findings show participating providers performed 7% better in 2020 than non-participating providers
HHS & CMS Providing Resources to States to Ensure Access to Quality Care
The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS) unveiled a suite of new resources to improve CMS and state oversight of Medicaid and Children’s Health Insurance Program (CHIP) managed care programs
Part II: Health Equity to Become Part of the VBP Future
The Center for Medicare and Medicaid Innovation (CMMI) Director Liz Fowler said that a future requirement for participating in a value-based payment model will be to create a health equity plan
Health Equity is Shifting to the Forefront
Health inequities result from race, ethnicity, disability, sexual orientation, socioeconomic status, geography, and other factors. In this blog, we will take a deeper dive into health equity, what it is and how it has come to the forefront of the industry.
Several States Extend Medicaid Postpartum Coverage to 12 Months
CMS approved actions in Maine, Minnesota, New Mexico, and Washington, D.C., to extend Medicaid and CHIP coverage for 12 months after pregnancy.
Humana Expanding Value-Based Home Care Subsidiary to Virginia
Humana Inc. announced that it will bring its onehome value-based home care model to Virginia. The expansion will support Medicare beneficiaries healing at home and create employment opportunities in Virginia.
HHS And CMS Announce Extension of Spending Deadline for American Rescue Plan Funding
HHS & CMS notified states that they now have an additional year — through March 31, 2025, to use ARP funds to enhance, expand, and strengthen home- and community-based services (HCBS) for people with Medicaid who need long-term services and supports
Redesigned ACO REACH Model Strives to Provide Better, Whole-Person Care
MS announced a redesigned Accountable Care Organization (ACO) model that better reflects the agency’s vision of creating a health system that achieves equitable outcomes through high quality, affordable, person-centered care