More than 40 House lawmakers signed a letter asking congressional leaders to support value-based payment incentives and extend the 5% bonus for Alternative Payment Model (APM) participation.
In this blog, we are looking at lessons learned from CalAIM, specifically how shared savings/shared risk models can improve the quality of care and lower healthcare costs by providing the right incentives
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.
CalAIM fully integrates physical health, behavioral health, and oral health under one contracted managed care plan. How can this be replicated and beneficial to other states?
Governor Tom Wolf announced that Pennsylvania is proposing a new profit-sharing agreement
with its Medical Assistance physical health (PH) managed care organizations (MCOs).
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?
Blue Shield of California is launching a new value-based, shared savings payment model for specialty care physician practices
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.
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
Humana finalized a deal to acquire Inclusa, a Wisconsin managed care plan in a bid to bulk up its Medicaid services. Inclusa partners with more than 6,000 service providers across about 40 service categories.