Home Care – The Next Frontier for Value-Based Payments
As home care costs increase and the industry faces staffing shortages that may affect quality of care, is the home care industry the next frontier for value-based payments?
VBP
Does the Expanded HHVBP Model Effect All Home Health Consumers?
The Expanded Home Health VBP model is meant to transform the home health industry. But who does the model actually provide coverage for? Keep reading to learn more about the limits of the HHVBP model and the challenges that the home health care industry is facing.
We’re in Year One for the Expanded Home Health VBP Model – What Does That Mean for Home Health Services?
We are in Performance Year 1 of the Expanded Home Health VBP model, which is meant to transform the home health industry. Will we see an improvement in care and reduction in healthcare costs as CMS predicts?
IDD Managed Care Plans – What has changed in 2023?
IDD Managed Care plans are constantly changing, growing and expanding. We take a look at what is working and who had to go back to the drawing board. Additionally, we dive into Oklahoma’s new program.
Top VBP Blogs from 2022 and What’s New for 2023!
We are launching 2023 off by taking a look at what our readers loved in 2022. Check out the top 3 blogs from 2022 as well as what we have in store for 2023!
Lessons Learned: CalAIM Integrated Care Plans Can Be Replicated Across States
CalAIM fully integrates physical health, behavioral health, and oral health under one contracted managed care plan. How can this be replicated and beneficial to other states?
Iowa Takes a Second Crack at Managed Care – What is Different This Time?
The Iowa HHS issued a notice of intent to award Medicaid MCO contracts to Molina Healthcare and Amerigroup Iowa Inc. for managed care services for Medicaid members in Iowa. But what makes round two of Iowa’s MCO rollout any different than its failed first attempt?
CMS Approves ACOs for High Needs Track of the ACO REACH Model
CMS recently approved 20 Medicare accountable care organizations (ACOs) for the High Needs track of the new ACO REACH model. These provider organizations can serve small populations, including those with complex conditions or dual eligibility for Medicare and Medicaid.
Anthem Closes on Acquisition of Integra Managed Care
Anthem, Inc. has finalized its acquisition of Integra Managed Care. The long-term care plan will bring 40,000 Medicaid members into the Anthem fold
Florida Medicaid Managed Care Re-procurement RFI Released
The Agency for Health Care Administration released an RFI in preparation for the upcoming Statewide Medicaid Managed Care re-procurement process later this year