Charles Gabrial’s Post

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 new Centers for Medicare & Medicaid Services’ Health Equity Index for Medicare Advantage? Hear from Nate Lucena, Chief Strategy Officer at Rex Wallace Consulting, LLC, who shared his expertise during our Virtual Care and Health Equity Webinar. 👇 “CMS will create a reward factor that is only focused on performance in members with social risk factors … It will fundamentally change the performance and bonus landscape of Medicare Advantage.” Learn how our Everly Health Solutions remote care and monitoring can help close care gaps: https://bit.ly/4dzIzzt #Medicare #CMS #HealthEquity

On November 15, 2023, the Centers for Medicare and Medicaid Services (CMS) unveiled proposed rules for Medicare Advantage plan sponsors, addressing various aspects such as agent and broker compensation, behavioral health care access, supplementary benefit notifications, and health equity. 🌐 Implications: These proposed rules aim to address issues of market consolidation, enhance behavioral health access, improve communication on supplemental benefits, and introduce measures to ensure health equity in Medicare Advantage utilization management. Learn more: https://hubs.ly/Q029vw1-0 #CMS #MedicareAdvantage

14 years ago today, the Affordable Care Act was signed into law by President Barack Obama, making health care more accessible and ensuring that people receive the services they need to live healthy lives. It wasn’t long ago that insurers could cancel your coverage if you became sick or injured. Thanks to the ACA, those with pre-existing conditions cannot be denied coverage and essential health benefits are more comprehensively covered. As we celebrate record ACA marketplace numbers (21.3 million!), we know that there’s still room for ACA benefits and Medicaid to expand coverage for more Americans. But for now, let’s celebrate! 🎉 #ACA14

More than half of all eligible people with Medicare are enrolled in private Medicare Advantage (MA) plans. This increased reliance on MA creates additional strain and unique challenges for health plans and providers working towards value-based care. Read our latest blog to learn how proactive tools can address these challenges and help health plans and providers better navigate the transition to MA plans. https://bit.ly/4eEE7Ri #WeAreBambooHealth #VBC #CareCollaboration

On January 17, 2024, the Centers for Medicare & Medicaid Services (CMS) released the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F). The finalization of this rule represents a substantial step forward in improving interoperability and patient care, and while the final rule largely mirrors the proposed rule, there are some important changes health plans should be aware of. In case you missed it, here are a few key differences. Availity offers a comprehensive set of solutions to significantly reduce time to mandate compliance and propel health plan's interoperability strategies forward. For more information, reach out to us at https://lnkd.in/gZPKi6Je #finalrule #movingforward #interoperability

Thursday, January 25, 2024 - 10:00 AM - 12:00 PM ET The Future of Healthcare Delivery, Medicare, and Medicaid Thomas Bane, LMSW 2 Contact Hours | SW NASW-NYC Members: FREE | Other Chapter Members: $48 | Non-Members: $57 REGISTER BY 1/23/2024: https://lnkd.in/gwBhdmUi DESCRIPTION: With this workshop, participants will be able to: - Better understand current health policy related to Medicare, Medicaid, and the Marketplace - Learn new policy updates related to the Inflation Reduction Act - Increase their knowledge about potential post- COVID-19 Public Health Emergency policies and programs - Become more familiar with data they can use data for effective actions and impact on behavioral health

The Centers for Medicare & Medicaid Services (CMS) has released the 2025 Medicare Advantage Star Ratings. In a new article by Cory Busse, we break down the rising challenges for health plans, including higher cut points, evolving Health Equity Index requirements, and a shrinking pool of 4.0+ Star plans. Read the full article here for key insights and strategies: https://lnkd.in/gWuFMkz5 #Medicare #MedicareAdvantage #StarRatings

This text explores the impacts of the Great Recession on health, the loneliness epidemic, Medicaid's strain on state budgets, a 3.4% decline in physician reimbursement, and concerns about children's excessive participation in enrichment activities. For more information, visit the provided link. via Healthcare Economist https://ift.tt/g7SAyQJ February 17, 2024 at 01:34AM #healthpolicy, #healthsystems, #policy

The move towards #valuebased models will only increase, not only because they ultimately lower costs, but because they give physicians more freedom to focus on the many factors that contribute to patients’ #health outcomes. One of the most telling trend lines highlighted by the Centers for Medicare & Medicaid Services is the significant increase in the number of providers participating in ACOs this year, with 817,000 providers taking part this year versus 700,000 last year. That is progress. Axios - https://bit.ly/3SEhUtE