DHCS Quarterly Enhanced Care Management and Community Supports Report: Insights and Future Directions
The Department of Health Care Services' Q3 2023 Enhanced Care Management (ECM) and Community Supports (CS) Quarterly Implementation Report illuminates the progressive rollout of these crucial healthcare initiatives under CalAIM. Notably, the report highlights the expansion of provider participation and the diversification of services offered, reflecting a positive growth trend in state-wide healthcare enhancements.
Pioneering Progress: CareNodes' Strategy for Advancing Health Equity through Data, Partnerships, and CalAIM
At CareNodes, our commitment to transforming healthcare centers on four strategic pillars crucial for achieving health equity: building robust data capacity, fostering cross-sector partnerships, leveraging opportunities through California's Advancing and Innovating Medi-Cal (CalAIM), and promoting equitable health access.
Value-Based Payment Models in Behavioral Health: State Innovations and Outcomes
Discover how states are revolutionizing mental health care with Value-Based Payment (VBP) models tailored for behavioral health providers. Learn about the innovative approaches, including capitated payments, care coordination programs, and quality-focused incentives in states like New Hampshire, Tennessee, Vermont, and through the Certified Community Behavioral Health Clinics initiative. These models aim to improve patient outcomes, enhance care efficiency, and ensure sustainable financing for mental health and substance use disorder services.
Strategies for Funding School Mental Health Services: Braided and Blended Funding
Explore effective strategies for funding school mental health services through our guide on navigating braided and blended funding. Learn how to leverage multiple funding streams to create a sustainable financial foundation for comprehensive mental health support in schools, ensuring services remain accessible and impactful. Discover the benefits of braided and blended funding, including tips for successful implementation and stakeholder engagement.
Navigating the Landscape of Youth Mental Health Hospitalizations in California
In 2019, California reported a concerning trend of 5.3 hospitalizations for mental health issues per 1,000 youths aged 5-19, with rates varying significantly across counties. This highlights the urgent need for improved mental health services and early intervention strategies. Addressing these challenges requires a multifaceted approach, focusing on enhancing access to care, increasing education, and addressing socio-economic disparities to support the well-being of California's younger generation.
Bridging Healthcare and Education: A New Frontier for Mental Health Services
In recent years, the dialogue surrounding mental health and substance use disorders among students has gained unprecedented momentum, spotlighting the urgent need for accessible and effective interventions. Historically, the challenge of accessing timely mental health services has posed significant barriers to students, affecting not only their academic performance but also their social and emotional development. The introduction of services within school settings aims to dismantle these barriers, offering a more inclusive and immediate support system.
Managed Care Business Models 101 - Digital Therapeutics & Health Technology
This post provides an in-depth discussion on healthcare business models, focusing on managed care, and is aimed at healthcare entrepreneurs, especially those new to the sector.
Exploring the Impact of Enhanced Care Management and Community Support Services in California
Explore the impact of California's ECM and Community Support Services in 2022. Our blog dives into their statewide implementation, member services, and demographic insights
Historic Pay Raise for Medi-Cal Providers (California Medicaid)
What makes these increases noteworthy is their scale. For each eligible code, rates are set to be at least 87.5% of the lowest Medicare rates in California. This significant financial boost is aimed at encouraging more providers to participate in the Medi-Cal program, thereby expanding access to healthcare services for enrollees.
A Managed Care Resource: Navigating Legal Complexities in Healthcare
The Managed Care Legal Database is a resource identifying how state and federal statutes and regulations address many issues that may occur between private payers and physicians, such as prior authorization, credentialing, network adequacy, out-of-network payment, and contract termination.
Understanding “Any Willing Provider”: Kentucky Statutes
The implementation of the 'Any Willing Provider' (AWP) statutes in Kentucky represents a significant and ambitious step towards reshaping healthcare access. These statutes challenge the traditional exclusivity associated with health maintenance organizations (HMOs) and their provider networks.
Financial Benefits of Doulas for Hospitals with Capitated Contracts
Doulas, with their specialized training in providing emotional, physical, and educational support during childbirth, are becoming increasingly integral in modern maternity care. For hospitals navigating the intricacies of capitated contracts—where fixed payments are made irrespective of services rendered—the role of a doula presents a compelling financial argument. Evidence suggests that doula-assisted births may lead to fewer medical interventions, shorter labor durations, and reduced postpartum complications. These reductions not only enhance the childbirth experience for mothers but also translate into tangible cost savings for hospitals. In an era where patient satisfaction is paramount and efficiency is sought, the integration of doulas in the childbirth process is both a qualitative and quantitative win for healthcare.
Embracing a New Era in Senior Care: Insights from Alex Yarijanian
In an era where healthcare is undergoing rapid transformation, Alex Yarijanian, CEO of Carenodes, illuminated the audience at Health 2.0, with his insights on the future of senior care. His speech, rich with experiences from managing healthcare facilities to pioneering digital health initiatives, highlighted a crucial turning point in in-home care for seniors.
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