Top VBP Blogs from 2022 and What’s New for 2023!
We are launching 2023 off by taking a look at what our readers loved in 2022. Check out the top 3 blogs from 2022 as well as what we have in store for 2023!
Healthcare Providers
CMS Announces Changes That Will Improve Quality of Care for Medicare Beneficiaries in 2023
CMS recently announced that three innovative accountable care initiatives will grow and provide higher quality care to more than 13.2 million people with Medicare in 2023
CMS & HHS Working to Improve Medicaid’s Social Determinants of Health Endeavors
The Department of Health and Human Services (HHS) and CMS recently announced guidance for state Medicaid programs ILOS to boost the quality of Medicaid social determinants of health initiatives.
VBP Blog Year in Review: CalAIM is Making Waves
As we wrap up 2022, the VBP Blog is walking down memory lane and recapping the CalAIM blog series. Whether you missed them the first time, or want a refresher, keep reading for more!
The Connection Between Physical and Behavioral Health – And How Value-Based Payments Can Incentivize Integrated Care Plans That Address Both
Physical health problems significantly increase our risk of developing behavioral health problems and vice versa. That is why integrated care plans that provide whole-person care are necessary to achieve optimal health outcomes.
CalOptima Health Integrating Care Through School District Partnerships
CalOptima says managed care plan partnerships with school districts across Orange County will increase behavioral health care access for children and youth and increase preventative and early intervention behavioral health care.
Pennsylvania Proposing New Profit-Sharing Agreement With Physical Health MCOs
Governor Tom Wolf announced that Pennsylvania is proposing a new profit-sharing agreement
with its Medical Assistance physical health (PH) managed care organizations (MCOs).
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