In 2010, the Affordable Care Act ushered in a new era for Medicaid Modularity, an approach anchored by breaking down large, monolith systems into smaller, more nimble and self-contained modules that can de-risk healthcare delivery and unlock innovation. More broadly, Medicaid Modularity is about improving states’ Medicaid Management Information Systems (MMIS).
In 2016, the Centers for Medicare and Medicaid Services (CMS) followed by issuing guidance on how states should move forward with
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Medicaid | Medicaid Patients | Medicaid Reform | Regulation, Policy, Analysis, Insights - HIT Consultant
Brave Health Raises $10M for Virtual Behavioral Health for Medicaid
What You Should Know:
- Brave Health, a Miami-based virtual behavioral health provider for Medicaid, today announced it has closed a $10M Series B round ($20.75M in total) led by City Light Capital, Union Square Ventures and Able Partners, bringing its total funding to $20.75M.
- Today, access to basic behavioral health services for the nation’s most vulnerable populations is a public health crisis. The percentage of psychiatrists accepting
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Emtiro Health Taps Innovaccer to Build a Population Health Analytics Platform for NC Managed Medicaid Care Launch
What You Should Know:
- Emtiro Health, LLC, a North Carolina-based population health company, announced its partnership with leading healthcare technology company, Innovaccer Inc. to prepare for the North Carolina Managed Medicaid Care launch and deliver the best care to the Medicaid population.
- Together, they have developed a platform to support North Carolina’s transition to Managed Care, specifically Advanced Medical Homes (AMH) and providers that participate in value-based payment
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Humana Taps NowPow to Address Social Needs for Medicare & Medicaid Members in Chicago
What You Should Know:
- Humana Inc., today announced it is partnering with NowPow to improve the health of communities across Chicago by identifying and addressing root causes of poor health.
- As part of the partnership, Humana will leverage NowPow’s personalized community referral platform to help extend the digital infrastructure for its population health strategy supporting Humana Medicaid and Medicare members in Chicago. This effort aims to improve members’ health by meeting needs
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What Will It Take for Hospitals to Survive the Pandemic?
On New Years Eve, just as the Covid-19 outbreak in Los Angeles was at its worst, all 451 of Olympia Medical Center’s exhausted employees learned they would soon lose their jobs. After 74 years, the hospital closed for good on March 31st, leaving residents of the surrounding community — poor and mostly people of color — without a place to see a doctor.
And it isn’t the only hospital closing.
At least 47 hospitals have closed or filed for bankruptcy in the last year, and there will
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Time and Goals Should Drive Your Post-COVID-19 Care Management Strategy
COVID-19 forced many health systems to reassess and reconfigure their care management processes and staffing models so that clinicians could better manage more of their acute, complex, and otherwise healthy patients remotely to limit in-person care.
During this time, health systems likely learned quite a bit about remote care management and discovered that they could still deliver high-quality care without their patients needing to visit their providers in-person as often. With two
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Could ‘Hospitals Without Walls’ Be the New Normal for Telehealth and Remote Patient Monitoring?
The statistics surrounding the COVID-19 pandemic continue to be startling, despite the ever-growing mental and physical fatigue that we’ve all experienced living through this frightening, intimidating and unprecedented era. More than 125 million cases worldwide have resulted in a death toll closing in on three million, while in the United States alone, 30 million reported infections have resulted in a death toll that reached 550,000. (1) One thing that can be said for certain about
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Boost Operational, Clinical and Financial Performance with Good Data
There’s an old adage that every challenge is merely an opportunity in disguise. COVID-19 highlighted the healthcare industry’s ongoing challenge with producing clean, standardized data. As the industry looks to rebound from the severe financial impact of the pandemic, there’s a renewed urgency among hospitals and health networks to improve operational efficiency.
The push toward greater operational efficiency – in a time of constrained budgets and resources – has accelerated
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How the Pandemic is Accelerating the Shift to Alternative Care Delivery Models
The COVID-19 pandemic has transformed how we interact with one another, with businesses, and with the world around us. From social distancing to hand sanitation to remote working, its impact on society is immense. And among the various industries that are experiencing significant change as a result of the pandemic, healthcare tops the list. Supply chain disruptions, crowded ICUs and exhausted medical staff has taken a toll on hospitals and clinics — and they’ve had to pivot rapidly to new
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Unite Us Nabs $150M, Reaching $1.6B Valuation to Address Social Determinants of Health
What You Should Know:
- Unite Us, the tech company creating coordinated care networks nationwide, has just announced a $150M Series C round of funding led by ICONIQ Capital, bringing its valuation at $1.65 billion.
- Unite Us is leading the care transformation movement towards whole-person health with its core product, Unite Us Platform, an outcome-focused coordination software sconnecting community-based organizations with health care providers, health plans,
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