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This means there is a pretty good overlap of SDOH with population health. So today we are diving into this topic to see just how social determinants of health impact population healthoutcomes and what initiatives are being implemented to address these factors and reduce health disparities within communities.
Medicaid enrollees are more likely to understand and be satisfied with their plans, despite reporting poorer healthoutcomes, according to a new report from KFF.
When a new member joins, MA plans usually lack insights into beneficiaries claim history, morbidity risk, and health behaviors. Without that data, understanding social risk becomes difficult for identifying beneficiary needs, guiding interventions, and ultimately improving healthoutcomes.
Policy Solution #1: State Medicaid Expansion Expanding Medicaid in Alabama could bolster the finances of rural hospitals, which currently bear the substantial costs of uncompensated care for uninsured patients. However, Alabama’s political leadership remains resistant to Medicaid expansion. Senator Katie Britt (R-AL).
When the PHE ultimately expires, this will also trigger the end of the Medicaid continuous enrollment requirement, under which states must provide continuous Medicaid coverage for enrollees through the end of the last month of the PHE in order to receive enhanced federal funding. Continuity of Coverage.
The Medicaid and CHIP Access to Prescription Digital Therapeutics Act seeks to expand care options that can help improve healthoutcomes 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.
These challenges are particularly acute in Georgia, where Medicaid covers nearly 50% of all births and the state ranks 31st out of 40 in maternal mortality. Pregnant women with maternal hypertension or diabetes who are covered by Medicaid can opt into the program and receive appropriate RPM devices.
Best Positioned to Deliver Transformative Technology that Accelerates the Industry’s Evolution and its Ability to Improve HealthOutcomes 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.
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.
Anish Sebastian, CEO and Co-founder, Babyscripts A discussion of technology and the Medicaid population inevitably raises the topic of the digital divide — that is, the gap between people who have access to modern information and communications technology (ICTs) and those who don’t. “We But there’s a lot of reasons to be optimistic.
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.
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
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 healthoutcomes work?
"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 healthoutcomes," according to Argentieri, Meklir and Henry.
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 healthoutcomes, healthcare utilization and cost.
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.
The virtual care services will be delivered without copays, out-of-pocket costs or deductibles for families with active insurance or Medicaid coverage. WHY IT MATTERS. "As pediatric primary care providers, we know the short- and long-term medical and neurodevelopmental advantages of breastfeeding," said Dr.
The early identification and management of HDP are essential to improving maternal healthoutcomes. By investing in RPM for HDP, we can improve patient outcomes and also create a more efficient, equitable healthcare system that addresses one of the most pressing challenges in maternal health.
My name is Vatsala Kapur, and I’m the Vice President of External Affairs at Bamboo Health. My career spans over three decades in health information technology, health policy and public health, including roles at the Centers for Medicare and Medicaid Innovation and in state government.
The payer mix of health insurance is typical, with 35% of patients representing government insurance such as Medicare or Medicaid, 60% commercial insurance, and 6% self-pay patients. Virtual-first primary care has been shown to improve healthoutcomes by increasing access, he reported.
Authorize the Centers for Medicare and Medicaid Service to continue reimbursement for telehealth for 90 days beyond the end of the public health emergency. Make permanent the disaster waiver authority, enabling Health and Human Service to expand telehealth in Medicare during all future emergencies and disasters.
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.
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.
His previous experience includes various CMO leadership roles at Humana, where he led regional MA plans and the launch of the Humana Healthy Horizons Medicaid plan. Optimizing Clover Healths Medicare Advantage Clinical Ops At Clover Health, Dr.
Following in their footsteps, I am privileged to serve patients and families as a physician, and I have also become all too familiar with the undeniable truth about the impact of health inequities on specific populations. The health care industry has made strides in addressing health inequities but there is plenty of work to be done.
This approach facilitates data collection, providing health plan partners with valuable insights and enabling them to improve healthoutcomes among historically hard-to-reach populations. Data-Driven Insights: Collects critical data to inform health plans and improve population healthoutcomes.
They will adopt workflows and technologies that recognize the profound influence of culture, values, and lived experiences on healthoutcomes. Michael Poku, MD, MBA, Chief Clinical Officer at Equality Health In 2025, Value-Based Care will reach a pivotal crossroads, especially for Medicaid populations.
What You Should Know: – Alliance Health , a managed care organization serving over 137,000 Medicaid beneficiaries in North Carolina, announced a new partnership with Cityblock , a value-based healthcare provider for Medicaid and dually eligible individuals. ”
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.
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).
What You Should Know: – PointClickCare , a healthcare technology platform, and MassHealth, the Massachusetts Medicaid program launches a new Behavioral Health Treatment and Referral Platform.
The Centers for Medicare and Medicaid Services just released data on its Acute Hospital Care at Home initiative , which thus far has admitted 11,159 patients suffering from respiratory infections, heart failure and severe sepsis. Where is this data going to come from and what must hospital and health system IT executives do here?
The acquisition brings Humbi AI’s deep actuarial expertise and robust Medicare and Medicaid data, covering over 200 million lives, to Innovaccer’s Healthcare Intelligence Cloud. Improve patient outcomes: Leverage data-driven insights to enhance care delivery and achieve better healthoutcomes.
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. .
These improvements span internal and customer-facing operations at payers, care delivery organizations, and government entities such as the Centers for Medicare & Medicaid Services and public hospitals. According to McKinsey , advancements in AI, GenAI, could transform the healthcare industry by boosting operational efficiencies.
The Fundraise Will Enable Soda Health to Broaden its Offering of Data Products and Services, and Expand its Support to New Benefit Categories Soda Health , a health tech company enhancing the use of benefit dollars to improve healthoutcomes and reduce inequities, today announced a $50M Series B financing.
"Timely availability of clinical information during health care transitions, in a setting with robust telemedicine access, can shift the method of care delivery without adversely affecting patient healthoutcomes," wrote the researchers. WHY IT MATTERS.
The acquisition combines Humbi AIs expertise in Medicare and Medicaid data, spanning over 200 million lives, with Innovaccers Intelligence Cloud. This integration will enhance Innovaccers ability to help healthcare organizations improve healthoutcomes and manage risk and performance more effectively.
Such programs have been shown to provide significant cost savings and be a cost-effective way to improve healthoutcomes and reduce disparities in underserved populations—particularly as Medicaid redeterminations threaten many individuals' access to care.
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 healthoutcomes even three years later. Currently, Foodsmart serves over 2.2
American seniors are already comfortable with video call technology, the survey found, revealing 45% have used FaceTime, Skype or Google Hangout, and a quarter are already using a mobile phone health app.
By emphasizing precise, evidence-based care supported by a patented, proven technology platform, Deacon Health empowers providers to deliver patient-centered, value-driven interventions that optimize healthoutcomes and system efficiency. As evidenced by recent outcomessuch as Humanas report showing a 32.1%
These factors can significantly impact their ability to effectively manage their condition and achieve optimal healthoutcomes. 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.
From this experience, she and her team were driven to redesign the care pathway to improve access to high quality care, reduce costs, and improve maternal and baby healthoutcomes. SimpliFed provides inclusive support no matter how parents feed their babies. Recent Partnerships.
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