Blue Shield of California Launches New VBP Model
Blue Shield of California is launching a new value-based, shared savings payment model for specialty care physician practices
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.
Nebraska Interviewing RFP Respondents for New Managed Care Contracts
The Nebraska Department of Health and Human Services (DHHS) has announced its plan to interview five bidders who responded to the state’s RFP to provide Medicaid managed care services
California DHCS Announces Intent to Award Contracts to 3 Managed Care Plans
Humana finalized a deal to acquire Inclusa, a Wisconsin managed care plan in a bid to bulk up its Medicaid services. Inclusa partners with more than 6,000 service providers across about 40 service categories.
Medicaid Home Health Benefit Supports Children with Complex Medical Conditions
This new optional Medicaid health home benefit helps state Medicaid programs provide Medicaid-eligible children who have medically complex conditions with person-centered care management, care coordination, and patient and family support
Iowa DHS Awards Two Additional Managed Care Contracts
Of the five insurers that submitted bids to join Iowa’s $6 billion-plus Medicaid and Children’s Health Insurance Program, two were awarded managed care contracts
Collaboration and Operational Support Key for CalAIM Community Supports Success
CalAIM launched in January 2022 and in this blog, we will take a look at the Community Supports offering, its impact to date, and best practices for enhancing the value to beneficiaries.
Humana Finalizes Deal to Acquire Wisconsin Managed Care Plan
Humana finalized a deal to acquire Inclusa, a Wisconsin managed care plan in a bid to bulk up its Medicaid services. Inclusa partners with more than 6,000 service providers across about 40 service categories.
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.
PHI Releases Strategic Plan to Address Direct Care Workforce Challenges Through 2025
As the nation’s leading authority on the direct care workforce, PHI promotes quality direct care jobs as the foundation for quality care. Their new strategic plan responds to the challenges and opportunities facing the direct care workforce through 2025