Topics
Displaying 1 - 14 of 14
Sustainable Financing Approaches for Medicaid Managed Care Organizations to Address Health-Related Social Needs
Jennifer Babcock of the Association of Community Affiliated Plans discusses state efforts to promote sustainable financing for Medicaid health plans to address health-related social needs and how these efforts can result in better outcomes for people with complex care needs.
Promoting High-Value Care through Telehealth
Features a conversation with Ateev Mehrotra, MD, MPH, professor of health care policy at Harvard Medical School, that explores opportunities to use value-based payment strategies to support telehealth for people with complex needs.
Health Plan Perspectives on Using Medicare Advantage Supplemental Benefits to Support Family Caregivers
Highlights the efforts of two Medicare Advantage plans ― UCare in Minnesota and UPMC Health Plan in Pennsylvania ― to provide supplemental benefits to family caregivers.
Understanding Provider Participation in Value-Based Payment
Explores study findings on why provider organizations decide to participate in a Medicare accountable care organization program, what factors impact successful value-based payment uptake, and what this means for complex care.
Special Supplemental Benefits for the Chronically Ill: An Opportunity to Provide Comprehensive Supports for Medicare Beneficiaries with Complex Needs
Explores the opportunity for Special Supplemental Benefits for the Chronically Ill to provide supports for Medicare beneficiaries with complex needs.
A Roadmap for Health Plans to Provide Special Supplemental Benefits to Medicare Advantage Members
Highlights action steps for Medicare Advantage plans to provide Special Supplemental Benefits for the Chronically Ill.
Medicare Advantage Plans have a Unique Opportunity to Provide Needed Non-Medical, Health-Related Services During COVID-19
Explores opportunities for Medicare Advantage plans to provide non-medical supplemental benefits during COVID-19 — including in-home supports, meal and grocery deliveries, home modifications, and transitional supports — to help Medicare beneficiaries shelter at home.
The New Post-Acute Care Management Solution for Complex Care Patients
Highlights how skilled nursing facilities are switching to the Patient Driven Payment Model — a payment system that removes therapy minutes as the basis for payment and enhances payment accuracy for services by making reimbursement dependent on a wide range of clinical characteristics.
Building Blocks of Primary Care, Part 2: Better Between-Visit Care with Chronic Care Management
Our ability to effectively treat the growing number of individuals who live with multiple chronic diseases will remain compromised unless health systems explore innovative approaches.
Expanded Flexibility in Medicare Advantage Supplemental Benefits
New flexibility for Medicare Advantage program represents a major turning point in Medicare policy and an opportunity for health insurers and providers to work together in new and more productive ways.
Your Role in Creating Stability and Quality for Patients in Post-Acute Care
For frail older adults with complex care needs, an inpatient hospital stay is destabilizing and often marks the beginning of a decline in functioning. For these older adults and their families, the post-hospital period is a risky, confusing, and stressful time.
Building Blocks of Robust Primary Care Delivery, Part 1: Moving from Reactive to Proactive Care with the Annual Wellness Visit
The time constraints of the typical primary care practice often do not allow providers to take a comprehensive look at all of their patients’ needs. Enabling office staff to assist in this work, presents a tremendous opportunity to create patient-centered and comprehensive care plans.
Special Needs Plans: A Primer on I-SNPs
Provides an overview on Special Needs Plans (SNPs), a type of Medicare Advantage plan for individuals with special needs, the types of SNPs serving different populations, and how SNPs serving institutionalized individuals are unique.
Defining the “Value” in Value-Based Care for Dual-Eligible Populations
For the past 20 years, the fundamentals of health care delivery have remained largely unchanged. Health plans rely on cost-shifting and utilization management to bend the cost curve, and doctors and hospitals accept lower prices in exchange for increased patient volumes.
Topics
Displaying 1 - 14 of 14
Sustainable Financing Approaches for Medicaid Managed Care Organizations to Address Health-Related Social Needs
Jennifer Babcock of the Association of Community Affiliated Plans discusses state efforts to promote sustainable financing for Medicaid health plans to address health-related social needs and how these efforts can result in better outcomes for people with complex care needs.
Promoting High-Value Care through Telehealth
Features a conversation with Ateev Mehrotra, MD, MPH, professor of health care policy at Harvard Medical School, that explores opportunities to use value-based payment strategies to support telehealth for people with complex needs.
Health Plan Perspectives on Using Medicare Advantage Supplemental Benefits to Support Family Caregivers
Highlights the efforts of two Medicare Advantage plans ― UCare in Minnesota and UPMC Health Plan in Pennsylvania ― to provide supplemental benefits to family caregivers.
Understanding Provider Participation in Value-Based Payment
Explores study findings on why provider organizations decide to participate in a Medicare accountable care organization program, what factors impact successful value-based payment uptake, and what this means for complex care.
Special Supplemental Benefits for the Chronically Ill: An Opportunity to Provide Comprehensive Supports for Medicare Beneficiaries with Complex Needs
Explores the opportunity for Special Supplemental Benefits for the Chronically Ill to provide supports for Medicare beneficiaries with complex needs.
A Roadmap for Health Plans to Provide Special Supplemental Benefits to Medicare Advantage Members
Highlights action steps for Medicare Advantage plans to provide Special Supplemental Benefits for the Chronically Ill.
Medicare Advantage Plans have a Unique Opportunity to Provide Needed Non-Medical, Health-Related Services During COVID-19
Explores opportunities for Medicare Advantage plans to provide non-medical supplemental benefits during COVID-19 — including in-home supports, meal and grocery deliveries, home modifications, and transitional supports — to help Medicare beneficiaries shelter at home.
The New Post-Acute Care Management Solution for Complex Care Patients
Highlights how skilled nursing facilities are switching to the Patient Driven Payment Model — a payment system that removes therapy minutes as the basis for payment and enhances payment accuracy for services by making reimbursement dependent on a wide range of clinical characteristics.
Building Blocks of Primary Care, Part 2: Better Between-Visit Care with Chronic Care Management
Our ability to effectively treat the growing number of individuals who live with multiple chronic diseases will remain compromised unless health systems explore innovative approaches.
Expanded Flexibility in Medicare Advantage Supplemental Benefits
New flexibility for Medicare Advantage program represents a major turning point in Medicare policy and an opportunity for health insurers and providers to work together in new and more productive ways.
Your Role in Creating Stability and Quality for Patients in Post-Acute Care
For frail older adults with complex care needs, an inpatient hospital stay is destabilizing and often marks the beginning of a decline in functioning. For these older adults and their families, the post-hospital period is a risky, confusing, and stressful time.
Building Blocks of Robust Primary Care Delivery, Part 1: Moving from Reactive to Proactive Care with the Annual Wellness Visit
The time constraints of the typical primary care practice often do not allow providers to take a comprehensive look at all of their patients’ needs. Enabling office staff to assist in this work, presents a tremendous opportunity to create patient-centered and comprehensive care plans.
Special Needs Plans: A Primer on I-SNPs
Provides an overview on Special Needs Plans (SNPs), a type of Medicare Advantage plan for individuals with special needs, the types of SNPs serving different populations, and how SNPs serving institutionalized individuals are unique.
Defining the “Value” in Value-Based Care for Dual-Eligible Populations
For the past 20 years, the fundamentals of health care delivery have remained largely unchanged. Health plans rely on cost-shifting and utilization management to bend the cost curve, and doctors and hospitals accept lower prices in exchange for increased patient volumes.