The Iowa HHS issued a notice of intent to award Medicaid MCO contracts to Molina Healthcare and Amerigroup Iowa Inc. for managed care services for Medicaid members in Iowa. But what makes round two of Iowa’s MCO rollout any different than its failed first attempt?
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.
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
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.
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.
As part of Ohio Medicaid’s effort to launch the next generation of Medicaid, ODM has launched OhioRISE (Resilience through Integrated Systems and Excellence), a specialized managed care program for youth with complex behavioral health and multisystem needs.
CMS recently released the Fifth Annual Report evaluating the Home Health Value-Based
Purchasing (HHVBP) Model. Key findings show participating providers performed 7% better in 2020 than non-participating providers
The Center for Medicare and Medicaid Innovation (CMMI) Director Liz Fowler said that a future requirement for participating in a value-based payment model will be to create a health equity plan
Health inequities result from race, ethnicity, disability, sexual orientation, socioeconomic status, geography, and other factors. In this blog, we will take a deeper dive into health equity, what it is and how it has come to the forefront of the industry.
MS announced a redesigned Accountable Care Organization (ACO) model that better reflects the agency’s vision of creating a health system that achieves equitable outcomes through high quality, affordable, person-centered care