Arine’s Post

Adherence to medications for cholesterol, hypertension and diabetes helped Medicare beneficiaries avoid up to $29.2 billion dollars in health care costs over a six-year period according to the 2024 CMS National Impact report. At Drips we help plans improve member medication adherence.Learn more @ drips.com #CMS #medicationadherence #memberengagement

Where can the Medicare Star Rating System be improved? Does formulary compliance mean better health outcomes? What if there is a better therapy or a better price for the patient? RxLink offers solutions that help now, and in the future. #StarRatings #MedicationAdherence #MedicationAffordability

Strive Health, Medical Mutual Partner to Bring Value-Based Kidney Care to Ohioans - HIT Consultant #StriveHealth #MedicalMutual #ValueBasedCare #KidneyCare #Ohioans Strive Health and Medical Mutual have partnered to bring value-based kidney care to Ohioans. This collaboration aims to improve outcomes and reduce costs for patients with kidney disease. By focusing on value-based care, both organizations are committed to delivering high-quality, cost-effective services to their members. This partnership will leverage data-driven insights and personalized care plans to optimize patient outcomes and enhance the overall healthcare experience for individuals with kidney disease in Ohio. #HealthcarePartnership #DataDrivenInsights #PersonalizedCarePlans #PatientOutcomes #HealthcareExperience #OhioHealthcareITProfessionals ai.mediformatica.com #health #kidneycare #medical #partnership #kidneydisease #this #strivehealth #busine #chronickidneydisease #collaboration #diagnosis #healthinsurance #digitalhealth #healthit #healthtech #healthcaretechnology @MediFormatica (https://buff.ly/49kyhBK)

This article highlights the importance of the 340b program and its, "vital role in allowing health centers to stretch their scarce resources and ensuring that vulnerable populations have access to affordable medications." This is one of MPCA's Policy Priorities that we'll discuss at our 2024 Legislative Forum. Read the full article here: https://bit.ly/3TiDjb0

AccendoWave - A Pain #Data Company A recommendation on the 2024 Measures Under Consideration list, brought forward by the Federation of American Hospitals (FAH), would add a quality measure in the Medicare Advantage (MA) star ratings system that mandates health plans to report certain prior authorization denial rates. A Top 4 Global Health Equity Solution and Top 15 Global Remote Monitoring Company, AccendoWave, benchmarks objective brain wave pain data (specialty, gender, age) and has nine #pain databases: Emergency Department, Maternal Health, Oncology, MSK, Medical Surgical, ICU, Women, Adults, Seniors to eliminate bias, improve outcomes and reduce health care costs. If desired, AccendoWave can also create customized pain databases for partners that can be accessed on the Datavant platform.

🌟 Exciting News in Healthcare! 🌟 AHIP, AMA, and NAACOS have teamed up to release a comprehensive playbook on best practices for value-based care arrangements. This collaborative effort draws on the real-world experiences of physicians, health plans, and value-based care entities, covering key topics like patient attribution, risk adjustment, and effective payment models. Released as part of the Future of Value Initiative, this playbook is a vital tool for improving patient experiences, advancing population health, and reducing costs. It’s a step forward in our journey towards a more efficient, value-based healthcare system. #HealthcareInnovation #ValueBasedCare #AHIP #AMA #NAACOS https://lnkd.in/evap8Y-8

Care coordination is defined as the deliberate organization of patient care activities between 2 or more participants involved in a patient’s care to facilitate the appropriate delivery of health care services, which is often managed by the exchange of information among participants within a health services organization or among several health services organizations. Continuity of care consists of 3 types of continuity: informational, management, and relational.

Here are five strategies for how health care providers can use claims, clinical data and benchmarking services to maximize their potential with payers from Sg2’s Tawnya Bosko, PhD, DHA.

🔔 Important Reminder for Employers: The CMS Non-Credible Coverage Disclosure deadline is approaching fast! Make sure your organization submits the required disclosure by October 15th to remain in compliance. This disclosure is essential for employers offering prescription drug coverage to Medicare-eligible individuals. If your plan doesn’t meet the “creditable” standard, it’s crucial to file the non-credible coverage report. If you’re unsure about your status or need guidance on the process, don’t hesitate to reach out to a trusted advisor. Stay compliant and avoid potential penalties! #CMS #HealthcareCompliance #Medicare #Employers #OctoberDeadline

Insurers expand coverage of prescriptions written by pharmacists As of June 2024, pharmacists in Illinois can test, screen, and then prescribe for influenza, COVID-19, strep throat, and other specific health conditions. As the "test to treat" trend ripples across the nation, health insurers doing business in jurisdictions with such laws in place are pivoting to cover and reimburse prescriptions written by pharmacists. The nationwide trend toward expanded scope of practice is largely viewed as a means of improving access to care. "Pharmacists can be a front door to basic health care for many people who might otherwise go without it, especially in areas where communities are experiencing shortages of primary care doctors," noted Cigna Healthcare, which recently began covering prescriptions written by pharmacists. Both small community pharmacies and large retail chains endorse prescribing authority for pharmacists at a time when medications are becoming more specialized and the pool of primary care doctors and other health care workers is shrinking. https://buff.ly/4dmRlQW