Wellcare teams up with technology firm Pearl Health to elevate value-based primary care, offering Medicare Advantage beneficiaries improved care quality and cost-efficiency through data-driven insights and collaborative risk management.
The Centers for Medicare & Medicaid Services mandates early quality measure reporting for states under the Money Follows the Person program, aiming to bolster Medicaid Home and Community-Based Services.
A recent study by the University of Washington’s Department of Rehabilitation Medicine exposes significant disparities in home health care between Medicare Advantage and traditional Medicare patients, shedding light on potential impacts on patient independence and caregiver burden.
Discover the innovative strategies proposed by healthcare associations to facilitate greater participation of long-term and post-acute care providers in Accountable Care Organizations (ACOs), aiming to improve patient care and system efficiency.
Starting July 1, North Carolina introduces specialized Medicaid managed care plans aimed at providing comprehensive care for individuals with mental illnesses, developmental disabilities, substance use disorders, and traumatic brain injuries.
Florida Medicaid announces a tentative decision to award Florida Community Care a contract to test managed care for individuals with intellectual and developmental disabilities, marking a potential shift in care delivery.
Explore the transformation of Medicaid in Oklahoma as SoonerCare transitions to SoonerSelect, introducing managed care to enhance health outcomes and streamline services for recipients.
Discover how CMS’s new Medicaid payment model, the IBH Model, aims to enhance care coordination and improve health outcomes for Medicare and Medicaid beneficiaries with mental health conditions and SUDs.
Discover how CMS’s new Medicaid payment model, the IBH Model, aims to enhance care coordination and improve health outcomes for Medicare and Medicaid beneficiaries with mental health conditions and SUDs.
Explore the implications of Medicare’s Hospital Value-Based Purchasing Program on racial health disparities, particularly among Black adults, and the need for a more equitable healthcare model.