HIT Consultant

NOVEMBER 7, 2024

Jeff Geier, Cyber Security Leader at Pivotalogic California’s bold new CalAIM Medicaid transformation program is restructuring what partnership for health looks like across the state. This support not only improves overall health outcomes but also contributes to the stability and well-being of the community.

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HIT Consultant

NOVEMBER 9, 2023

Director of Healthcare Strategy, LexisNexis Risk Solutions During the peak of the Covid-19 pandemic, over 10 million Americans enrolled in Medicaid – nearly a 14% increase from the beginning of 2020. A month before the public health emergency ended on May 11, 2023, 87 million individuals were enrolled in Medicaid.

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HIT Consultant

JANUARY 9, 2024

What You Should Know: – Buckeye Health Plan and Cityblock are teaming up to provide integrated, community-based care to approximately 10,000 underserved Medicaid recipients in the Cleveland-Akron-Canton area.

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Medicaid Medicaid Health Outcomes 64

HIT Consultant

MAY 21, 2024

What You Should Know: – Cityblock , a value-based healthcare provider specializing in Medicaid, announced a new partnership with Sunshine Health , a Florida managed care plan. – The partnership expands Centene Corporation’s , Sunshine Health’s parent company, existing relationship with Cityblock. .

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HIT Consultant

OCTOBER 26, 2021

What You Should Know: – Brave Health , a Miami-based virtual behavioral health provider for Medicaid, today announced it has closed a $10M Series B round ($20.75M in total) led by City Light Capital, Union Square Ventures and Able Partners, bringing its total funding to $20.75M. Recent Traction/Milestones.

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HIT Consultant

JANUARY 16, 2024

These factors can significantly impact their ability to effectively manage their condition and achieve optimal health outcomes. As detailed in a recent brief from the Center for Health Care Strategies, HRSN are prevalent among Medicaid beneficiaries, particularly those living with chronic conditions like IRD.

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Medicaid Medicaid Health Outcomes 52

HIT Consultant

DECEMBER 18, 2023

What You Should Know: – Michigan is taking a major step forward in improving maternal and infant health by expanding access to the Philips Avent Pregnancy+ mobile app for Medicaid-eligible families. This success has led to: Over 1,000 Medicaid-eligible individuals connecting with home visiting programs.

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Healthcare IT Today

OCTOBER 21, 2022

Brave Health , the largest virtual mental health provider and engagement platform focused on serving Medicaid populations, today announced a $40M Series C funding round led by Town Hall Ventures, with existing investors Union Square Ventures, City Light Capital and others joining as well.

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Medicaid Medicaid Health Outcomes Public Health 107

HIT Consultant

AUGUST 15, 2023

The partnership brings yet another level of important care services into the home for health plans using MedArrive, especially those that serve Medicaid beneficiaries. spends more than $320 billion – or 15 percent of the total health expenditure – treating or managing cardiovascular disease (CVD).

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Medicaid Medicaid Health Outcomes 52

Healthcare It News

DECEMBER 16, 2022

The Medicaid and CHIP Access to Prescription Digital Therapeutics Act seeks to expand care options that can help improve health outcomes and quality of life for those facing barriers to healthcare. The act would also define "prescription digital therapeutic" in Medicaid and allow U.S. WHY IT MATTERS.

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Health Care Law Brief

FEBRUARY 2, 2024

While still subject to legislative approval, the Executive Budget incorporates the recently approved amendment (“Waiver Amendment”) to New York’s Medicaid Section 1115 Demonstration that includes $7.5 billion in Medicaid investments over the next three years. Services will be delivered via a two-tiered system.

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Healthcare Law Blog

APRIL 6, 2022

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). In states that have not expanded Medicaid, however, many postpartum women lose coverage.

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Healthcare IT Today

APRIL 26, 2023

The following is a guest article by Ashley Perry, MPH, Chief Strategy and Solutions Officer at Socially Determined When Congress passed the Consolidated Appropriations Act of 2023 , it decoupled the Public Health Emergency (PHE) from the Medicaid program’s continuous enrollment provision, which was implemented as part of the PHE in March 2020.

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Center for Health Insurance Reform

NOVEMBER 25, 2024

The Centers for Medicare & Medicaid Services (CMS) has introduced a new option for states to update their essential health benefits (EHB) benchmark plan to include routine adult dental coverage, aiming to address disparities in oral health outcomes, particularly for low-income and minority adults.

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Medicaid Medicaid Health Outcomes Medicare 52

HIT Consultant

SEPTEMBER 22, 2022

What You Should Know: – MDwise and Cityblock Health , the first tech-driven healthcare provider for communities with complex health and social needs announced that they will be collaborating to provide high-quality, comprehensive care to 10,000 Medicaid members at launch in select Indiana communities, including Indianapolis.

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Bill of Health

AUGUST 22, 2022

The additional steps needed for accessing lifesaving therapies by requiring prescribers to create and submit PAs are deterrents that can result in treatment delays, relapse, and worse health outcomes for patients who are already in a vulnerable state.

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Healthcare It News

DECEMBER 29, 2023

This past week, New York Governor Kathy Hochul signed Senate Bill 1196a/Assembly Bill 1673a into law directing all state-regulated health plans, including Medicaid, to cover comprehensive biomarker testing, clearing the path for more patients to access precision medicine treatments.

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C&M Health Law

JANUARY 18, 2023

On January 4, in its most recent effort to expand federal support for addressing health-related social needs (HRSNs), the Centers for Medicare & Medicaid Services (CMS) issued guidance to clarify an existing option for states to address HRSNs through the use of “in lieu of” services and settings policies in Medicaid managed care.

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HIT Consultant

SEPTEMBER 24, 2024

What You Should Know: – Wider Circle , which builds peer-driven communities nationwide to help people improve their health and quality of life through trusted connections, announced a partnership with CareFirst BlueCross BlueShield Community Health Plan Maryland (CareFirst CHPMD).

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HIT Consultant

JUNE 26, 2024

million members through contracts with leading regional and national Medicaid Managed Care Organizations, Medicare Advantage plans, commercial insurers, and over one thousand employers. Notably, members continue to improve their health outcomes even three years later. Currently, Foodsmart serves over 2.2

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Health Outcomes Medicaid Medicaid Medicare 105

Fierce Healthcare

AUGUST 3, 2023

Such programs have been shown to provide significant cost savings and be a cost-effective way to improve health outcomes and reduce disparities in underserved populations—particularly as Medicaid redeterminations threaten many individuals' access to care.

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Medicaid Medicaid Health Outcomes 98

Healthcare IT Today

NOVEMBER 12, 2024

Best Positioned to Deliver Transformative Technology that Accelerates the Industry’s Evolution and its Ability to Improve Health Outcomes HHAeXchange , a leader in homecare management solutions for providers, caregivers, managed care organizations (MCOs), and state Medicaid programs, today announced that it has acquired Sandata Technologies.

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Health Populi

JUNE 23, 2023

adults rate of uninsurance are highest in the states where Governors did not expand Medicaid, which are states indicated by the orange bars. This 2023 Scorecard of health system performance added a new metric to the analysis — Reproductive Care and Women’s Health. This domain encompasses health outcomes and access.

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COVID-19 Medicaid Medicaid Health Outcomes 133

HIT Consultant

FEBRUARY 28, 2023

Address Cardiometabolic Conditions and Maternal Health The three-year deal will leverage Walmart’s position as a retailer and provider of health and wellness services, and CareSource’s role in the administration and delivery of Medicaid, Medicare and other health plan benefits and services.

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Medicaid Medicaid Health Outcomes Medicare 98

Healthcare IT Today

JULY 5, 2024

Software that streamlines operations and enables agencies to achieve better health outcomes will play a key role in this projected growth, as home and community-based services (HCBS) providers increasingly turn to such tools to manage all aspects of their agency operations.

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Medicaid Medicaid Compliance Health Outcomes 69

Healthcare It News

OCTOBER 27, 2023

Expanding those successful screening practices across departments and practices, like family medicine, maternal and infant health, pediatrics and cardiology, etc. Gathering reliable data for research that can explore associations between positive screens and health outcomes, healthcare utilization and cost.

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HIT Consultant

OCTOBER 5, 2023

. – Ounce Community Health Workers (CHW) currently serve more than 2,000 D.C. residents, helping them enroll in Medicaid, apply for energy assistance, schedule PCP and pediatrician appointments, avoid eviction, and connect with community resources for transportation and nutritious food, among many other services.

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Medicaid Medicaid Health Outcomes Health Insurance 98

HIT Consultant

NOVEMBER 5, 2024

These successful projects evolved further into Medicaid demonstration programs and in 2005, the Deficit Reduction Act authorized two more avenues for states to offer a self-directed option. In 2010, the Affordable Care Act officially and broadly authorized self-directed services for Medicaid recipients. Today, more than 1.5

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Elder Care Medicaid Medicaid Health Outcomes 97

Healthcare IT Today

SEPTEMBER 26, 2024

The rollout of the Centers for Medicare & Medicaid Services (CMS) Health Equity Index (HEI) further underscores this shift by integrating several Star measures and Social Determinants of Health (SDOH) into its evaluation criteria.

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Health Outcomes Medicare Medicare Medicaid 69

NY Health Law

FEBRUARY 13, 2024

On January 9, 2024, the federal Centers for Medicare and Medicaid Services (CMS) finally approved New York State’s 1115 waiver amendment to establish the New York Health Equity Reform (NYHER) Program. Workforce: Workforce investments with a goal of equitable and sustainable access to care in Medicaid.

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HIT Consultant

OCTOBER 11, 2024

Neena Patel, MHA, CSM, VP of Client Success at Chordline As population health initiatives for Medicare and Medicaid members pick up steam, one of the biggest obstacles to care transformation remains a lack of trust among healthcare’s key stakeholders. That’s a risk that organizations can’t afford to take.

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Medicare Medicare Health Outcomes Medicaid 98

NEJM

APRIL 7, 2023

People who are dually enrolled in Medicare and Medicaid face issues related to fragmented care and poor health outcomes associated with inadequate coordination of benefits and services.

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Medicaid Medicaid Health Outcomes Medicare 53

Healthcare It News

JANUARY 18, 2022

Social determinants of health are major contributors to health inequity and rising healthcare costs in vulnerable populations such as Medicaid beneficiaries. How do care management interventions to mitigate SDOH as a risk for undesired health outcomes work?

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HIT Consultant

FEBRUARY 13, 2023

Tom Wriggins, Principal Industry Advisor at SAS John Maynard, CPA, CFE, AHFI Principal Solutions Architect at SAS In 2022, the Center for Medicare and Medicaid Services (CMS) established health equity as a pillar of its future work. Health outcomes and Medicaid program integrity Health outcomes are a function of the quality of care.

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Fraud Medicaid Medicaid Medicare 52

Healthcare It News

OCTOBER 31, 2022

"The ability to use and build from established standards in real-time and as part of screening practices that help identify specific needs related to insecurity is an important step in enabling more coordinated care and timely assistance or interventions needed to improve health outcomes," according to Argentieri, Meklir and Henry.

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HIT Consultant

SEPTEMBER 12, 2022

– Using Gainwell’s advanced research platform and de-identified Medicaid claims data from select clients, Stanford concluded that 30 percent of patients prescribed opioids for the first time developed a dependency. Stanford used 180,000 de-identified Medicaid claims from six states.

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Medicaid Medicaid Health Outcomes Governance 97

HIT Consultant

NOVEMBER 7, 2024

Often, their health needs are complex, influenced by significant trauma, and exacerbated by the systemic barriers they encounter. Despite these challenges, there is an immense opportunity for the healthcare system, particularly Medicaid, to play a transformative role in addressing health equity for this population.

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Medicaid Medicaid Health Outcomes State Policy 52