Augusta Health’s Post

If you missed the CMS Health Equity Conference, here's a quick overview for you.

Our CEO, Sebastian Seiguer, JD, MBA, explains how the Cascade of Care framework helps spread the burden of care from the provider to the rest of the healthcare system so that member needs are met, outcomes are improved, and gaps in care are reduced during a Medicaid Health Plans of America (MHPA) webinar on how Medicaid can overcome a fragmented member experience and bridge care gaps.

AHEAD is a state total cost of care (TCOC) model that seeks to drive state and regional health care transformation and multi-payer alignment, with the goal of improving the total health of a state population and lowering costs. Under a TCOC approach, a participating state uses its authority to assume responsibility for managing health care quality and costs across all payers, including Medicare, Medicaid, and private coverage. Learn more from CMS on 9/18/23 from 3-4pm est. #accountablecare #compliance #federalpayer #valuebasedcare #healthequity

Attention Home Health providers! The Centers for Medicare & Medicaid Services (CMS) released an update today effective June 1, 2024, extending the Review Choice Demonstration for Home Health Services for an additional 5 years. The demonstration will be continuing in the current demonstration states of 𝗜𝗹𝗹𝗶𝗻𝗼𝗶𝘀, 𝗢𝗵𝗶𝗼, 𝗧𝗲𝘅𝗮𝘀, 𝗡𝗼𝗿𝘁𝗵 𝗖𝗮𝗿𝗼𝗹𝗶𝗻𝗮, 𝗙𝗹𝗼𝗿𝗶𝗱𝗮 and 𝗢𝗸𝗹𝗮𝗵𝗼𝗺𝗮. As part of the extension, CMS is removing Choice 3: Minimal Review with 25% Payment Reduction from the initial choice selections. Read the full update from CMS to learn how this will impact your agency: https://okt.to/s4cmyz

The CY 2024 Medicare Physician Fee Schedule (MPFS) final rule represents a significant advancement in health equity by the Centers for Medicare & Medicaid Services (CMS). Key updates include separate payments for Community Health Integration, social determinants of health (SDOH) Risk Assessment, and Principal Illness Navigation services, all aimed at improving access and affordability of care for Medicare beneficiaries. Additionally, CMS is focused on supporting primary care, advancing health equity, assisting family caregivers, and expanding access to behavioral and specific oral healthcare. Health Catalyst provides insights into the final rule's impact on Medicare beneficiaries and their providers. Learn more: https://lnkd.in/exqwT6Hv

The Centers for Medicare & Medicaid Services (CMS) is creating a Health Equity Index to address health equity gaps observed across the US. This is being done to promote equitable care by incentivizing Part C and Part D health plans to improve care for the most vulnerable patients, and promote Learn more about the details of the proposal and what you can do to prepare. #Health Equity #Health Equity Index https://hubs.li/Q02h8zMS0

What is the Centers for Medicare and Medicaid Services’ New AHEAD Model?: In September 2023, the Centers for Medicare and Medicaid Services (CMS) announced a new opportunity for states to leverage federal funding on health care: the Advancing All-Payer Health Equity Approaches and Development (AHEAD) model. With this model, CMS – under the auspices of the CMS Innovation Center, also known as CMMI -- aims to reduce the rate of growth in health care spending, improve people's health, and reduce disparities in health outcomes. This issue brief answers some key questions about the new model and explores considerations for potential state and private participants. #medicaid #mdrp #cms

Medicare and Medicaid cover 135 million Americans who spend $1.2 trillion annually. Of the 135 million Americans, 11 million (9%) have both Medicare and Medicaid (dually-eligible) benefits and yet consume 33% of all federal healthcare spending. That is $450 billion. Why? It is due to poor management of their chronic conditions in their homes. At CareRing Health, we are actively improving health equity while driving down the cost of care. Learn more here: https://bit.ly/3EupAH7 #CareRingHealth #AccessForAll #ANewVision

AHIP 2024 - Embrace Value-Based Care: The Future of Healthcare AHIP 2024 was nothing short of reassuring that VBC is an industry focus. Also confirmed is the agreement that we have been talking about it for decades and the time is now to figure out how to create, facilitate and implement VBC strategies that are meaningful for all stakeholders. Don Antonucci, CEO of Providence Health Plan, emphasized the urgent need for payers and providers to transition to value-based care. With Medicare and Medicaid aiming for this shift by 2030 and projected health expenditures hitting $4.8 trillion, the time is now. Mark Friedberg of Blue Cross Blue Shield of Massachusetts believes this goal is attainable, but progress is needed locally and statewide. It isn’t rocket science but it does require attention to detail. At Synergy 3C, THIS IS WHAT WE BUILD EVERYDAY! #AHIP2024 #valuebasedcare #VBCinitiatives

Health coverage is critical to achieving health equity. “People have never experienced anything like the Medicaid Unwinding before. If we can help them find alternative healthcare before they need a doctor, it’s a win on every single level,” says Jennifer Wilkes, EAP Training & Outreach Manager. In this real-world case story, read how we’re assisting Centers for Medicare & Medicaid Services on their Enrollment Assistance Program (EAP) with outreach and #CX solutions to help people access health coverage. https://lnkd.in/g8JVDeZi #HealthEquity #CustomerExperience