Ohio Launches Nest Generation Managed Care Plans
The Ohio Department of Medicaid recently launched its Next Generation managed care plans, following an overhauling process that began in 2019.
CMS
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!
New Mexico Human Services Department Cancels Procurement for Medicaid MCOs
The New Mexico Human Services Department announced it will cancel the procurement process for the selection of managed care organizations to deliver services to Medicaid Centennial Care members in the state.
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.
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.
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
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.
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.
CMS Provides Roadmap to Connect Children With Complex Medical Conditions to Necessary Medicaid Services
The U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (CMS), today unveiled guidance on a new Medicaid health home benefit for children with medically complex conditions.