California DHCS Issues RFP for Medi-Cal Managed Care Plan Contracts
The California Department of Health Care Services released a Request for Proposal (RFP) for its commercial Medi-Cal managed care plan (MCP) contracts.
CalAIM and SDOH: The Crossroad for Complex Care Needs
CalAIM focuses on whole-person care and integrating social services through Enhanced Care Management and Community Supports
CalAIM and Whole Person Care – All right here
CMS approved a five-year extension of its Medicaid managed care section 1915(b) waiver, which was renamed California Advancing and Innovating Medi-Cal (CalAIM). The program focuses more on whole-person care and integrating social services.
Coalition of PA Providers and Associations Campaigning for Funds to Help Alleviate the Workforce Crisis
Leading associations and service providers in Pennsylvania have joined forces to advocate with the Pennsylvania legislators to increase funding for workers supporting the most vulnerable consumers with physical and intellectual disabilities and people requiring behavioral supports.
CMS Projects More Beneficiaries Being Served by ACOs in 2022
CMS released data showing that Accountable Care Organizations (ACOs) are serving a growing patient population, according to CMS’ annual summary of the Medicare Shared Savings Program.
Appeals Dropped in Lawsuit Challenging North Carolina’s Medicaid Managed Care Contract Award
On Jan. 19, 2022, the North Carolina Court of Appeals granted a request from two insurance providers to voluntarily dismiss appeals of their suit over contracts awarded for NC Medicaid Managed Care by the North Carolina Department of Health and Human Services.
Humana Announces Medicare Advantage Value-Based Payment Contract in Oregon
Humana partnered with Vancouver Clinic to extend access to value-based primary care to Medicare Advantage members in Oregon
Updating Value-Based Payments Basics and New Developments
What are value-based payments and what are the new VBP developments? Keep reading for an update on value-based payments to start the New Year
CMS Approves California Advancing and Innovating Medi-Cal (CalAIM) Proposal
Recently, CMS approved the California Advancing and Innovating Medi-Cal (CalAIM) proposal. CalAIM’s launch on January 1, 2022, is part of a commitment to make Medi-Cal more equitable, coordinated, and person-centered.
CMS Funding 1,000 Residency Slots of Hospitals in Rural & Underserved Communities
The Fiscal Year (FY) 2022 Inpatient Prospective Payment System (IPPS) final rule with comment period establishes policies to distribute 1,000 new Medicare-funded physician residency slots to qualifying hospitals