Structural racism and poverty are correlated with a higher incidence of obesity among Black Americans (49%). Social drivers of health, which impact a disproportionate number of non-white Americans who live below the poverty line, account for as much as 90% of individuals’ health outcomes.
These are just two examples of data that highlight the need for equity.
Health plans are well-aware that shifting this dynamic and boosting clinical outcomes is possible through better,
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Medicaid | Medicaid Patients | Medicaid Reform | Regulation, Policy, Analysis, Insights - HIT Consultant
CareCloud Adds Chronic Care Management Service to its Digital Health Portfolio
What You Should Know:
- CareCloud, Inc., a healthcare technology solutions provider for medical practices and health systems nationwide, has announced its new offering, CareCloud Wellness for chronic care management as part of its growing suite of digital health solutions that help providers enhance patient care and revenue streams.
- CareCloud Wellness gives practices the means to easily participate in the government’s
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What the New CMS Staff Turnover Data Means for Nursing Homes
To make it easier for families and caregivers to evaluate the quality of nursing homes, the Center for Medicare & Medicaid Services (CMS) regularly publishes data on its “Care Compare” website. Anyone can go to the site and search for a facility to find COVID updates, quarterly quality scores, and information on inspections, penalties, ownership, and more.
Last month, CMS added additional metrics to how it scores the quality of nursing homes. The information is now available
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Analysis: CMS Data Underestimates Hospital Labor Spending
What You Should Know:
- Centers for Medicare & Medicaid Services’ (CMS) payment adjustments did not adequately address hospitals increased costs for FY 2021, according to new data from Premier.
- The data reveals this discrepancy has resulted in hospitals receiving only a 2.4 percent rate increase, compared to a 6.5 percent increase in hospital labor rates, which account for 76 percent of hospital costs.
- The data CMS uses to account for real
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Why a Focus on Behavioral Health is Key to Improving Quality Measures
Since the passage of the Medicare Improvements for Patients & Providers Act in 2008, the U.S. healthcare system has been moving towards value-based care (VBC) which encourages health providers to improve care quality by reimbursing them based on successful outcomes rather than individual medical services. The overarching goal of VBC is to improve the patient experience, improve population health, and reduce per capita health costs.
As part of this VBC model, hospitals and health systems
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Next Generation of Risk Adjustment: Uniting Health Plans and Providers
Up until now, risk adjustment has been addressed as a mechanism to accurately represent the overall risk profile of a health plan’s membership. A function that will still facilitate a health plan’s payment for taking on at-risk populations is about to go through its first major transformation – the use of risk adjustment data to drive value-based program initiatives.
Now that the functional aspects
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DUOS Secures $15M for Senior Assistance Platform for Older Adults
What You Should Know:
- DUOS, a digital health company on a mission to increase the longevity and independence of older adults, announced today a $15 million Series A funding led by Imaginary Ventures, along with participation from existing investors Forerunner Ventures, Declaration Partners, and new investor Optum Ventures.
- DUOS focuses on members' social needs and maximizes their independence by building long-term, high trust 1:1 relationships, coordinating community resources, and
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What The Finance Industry Can Teach Healthcare About Digital Transformation
The COVID-19 pandemic feels like a once-in-a-lifetime event for those of us involved in healthcare, but the patterns of how the crisis affected our industry feel familiar.
Stop me if you have heard this before: incumbent players in a broad industry made very slow and fragmented technological advances for years with no real threat to their business. Then, a sudden and transformational event catapulted direct-to-consumer technologies, forcing the incumbents to fundamentally alter their business
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Cityblock Health Names Co-Founder Dr. Toyin Ajayi as CEO
What You Should Know:
- Cityblock Health, a value-based healthcare provider for Medicaid, dually-eligible and lower-income Medicare beneficiaries appoints co-founder Dr. Toyin Ajayi to CEO. Co-founder Iyah Romm is stepping down as CEO but will continue serving as a member of the board.
- Dr. Ajayi most recently served as president, where she oversaw the company's growth and clinical model. As CEO, Toyin will help lead the next stage of Cityblock’s growth and further its vision of an
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Why The End of the Public Health Emergency is Everyone’s Problem
The COVID-19 pandemic led to sweeping healthcare policy changes that enable vulnerable Americans to receive affordable health coverage and access essential safety net benefits. The steep incline in unemployment and fears that millions of people would lose their health coverage drove the declaration of the national public health emergency (PHE) on January 31, 2020. Under the PHE, states must keep Medicaid enrollees continuously covered, irrespective of their circumstances.
With the PHE set
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