The Massachusetts Federally Qualified Health Center (FQHC) Telehealth Consortium’s 35 community health center members have conducted more than one million telemedicine visits since the start of coronavirus disease 2019 (COVID-19) in March of 2020. This achievement comes at the same […]
Resources
WellSpan Health & Gateway Health Launch Value-Based Partnership For Medicaid Members
On July 29, 2021, Gateway Health, a Pennsylvania Medicaid managed care plan, and WellSpan Health a health system in central Pennsylvania launched a value-based partnership focused on connecting Gateway Health members with primary care professionals. Gateway Health and WellSpan are […]
Four Keys To Success With Value-Based Reimbursement
By Monica M. Oss The move away from fee-for-service reimbursement—toward value-based arrangements with financial alignment between health plans and provider organizations—continues. A look at some of the reporting over the past quarter illustrates the continuing activity—Humana To Acquire One Homecare […]
If You Don’t Measure It, You Won’t Implement It: Setting Strategic Plan Metrics
By Carol Duncan Clayton, Ph.D., Senior Associate, OPEN MINDS As management guru Peter Drucker said, “What gets measures is what gets done.” The surest way to ensure implementation of the strategic plan is to translate the plan objectives into quantifiable […]
Qualifacts + Credible 2021 OPEN MINDS Management Best Practices Institute Session Attendance & Drawing Entry
By entering the prize drawing, you are giving your permission to receive future communications, educational information, invitations to events and promotional materials from Qualifacts + Credible. Your information is secure and will never be shared or sold to any other […]
CMS Proposes Expansion Of Home Health Value-Based Purchasing Program
On June 28, 2021, the Centers for Medicare & Medicaid Services (CMS) proposed to expand the nine-state Home Health Value-Based Purchasing (HHVBP) Model to all Medicare-certified home health agencies (HHAs) in the 50 States, territories, and District of Columbia beginning […]
Massachusetts Releases 1115 Waiver Extension Proposal With Changes To Ambulatory Behavioral Health System
On July 15, 2021, the Massachusetts Medicaid program, MassHealth, released details on its proposed MassHealth 1115 Demonstration waiver extension request with changes to the state’s ambulatory behavioral health system, based on outcomes from its delivery system restructuring for 2019. The […]
Four ‘Must Have’ Competencies For Post-Pandemic Competitive Advantage
By Monica E. Oss We’ve covered the “triple whammy” of the pandemic on next normal health care—shifting competition based on changing consumer expectations, payer expectations, and price points (see Post-Pandemic, Strategy Needs Technology). I got a better sense of the market factors driving these changes—and the new competencies required […]
Going Hybrid? Charge Your EVV
By Monica E. Oss If your organization is one of many that is thinking about moving to a hybrid service delivery model—virtual, in-clinic and in-home—your team will need to learn more about electronic visit verification (EVV). EVV was mandated for all […]
Don’t Leave Money On The Table: How The Right Technology Can Improve Your VBR Success
Originally presented on May 26th, 2021 Value-based care is here! If you haven’t started thinking about what it is you need to compete in a value-based environment, now is the time to start. With the rise in value-based care contracts […]