Jukebox Health’s Post

MedImpact recently conducted a study into #GLP1 utilization and adherence among #Medicaid beneficiaries with type 2 #diabetes. Learn what we uncovered by stopping by poster E36 at #AMCP2024 on April 17th between 11:30am-1pm. Karen Tseng, PharmD Carrie Armstrong, PharmD., MBA. AMCP #wearemedimpact #atruepartner #governmentprograms #healthcare

Do you know which of your patients are eligible for enhanced services? A daily list would sure help! We've just completed the 1st 4 weeks of a state-wide hospital-based cross continuum team collaborative in #California focused on increasing the # patients linked to enhanced care in the community (#ECM). The participants in this collaborative are awesome! Showing up, examining their processes, making adjustments week to week. There is nothing I love more than designing and leading large-scale practice transformation collaboratives. You never know where the good ideas will come from, but they are always out there to be found! Daily lists are a win - win - win for patients, hospital teams and community care teams. Create an #MVP list today! #antiunimpactable #MVPMethod #ASPIREMethod #medicaid #highutilizer #multivisitpatient #CMCS #CMMI #CMS

California’s Whole Person Care Pilot program (#WPC) was a #Medicaid Section 1115 waiver demonstration program focused on the provision of #carecoordination and other services to address eligible beneficiaries’ health-related social needs (HRSN). #managedcareplans Systems for Action researchers Emmeline Chuang, Nadereh Pourat and team recognized evidence of the implementation and impact of #HRSN interventions is limited. Their mixed-methods S4A study examines pilot-level variation in impact on acute care utilization and identifies program implementation strategies. #EDvisits #hospitalizations #systemsalignment Read their findings in 𝘔𝘦𝘥𝘪𝘤𝘢𝘭 𝘊𝘢𝘳𝘦 𝘙𝘦𝘴𝘦𝘢𝘳𝘤𝘩 𝘢𝘯𝘥 𝘙𝘦𝘷𝘪𝘦𝘸: https://lnkd.in/gdDB5_8B

📢 Attention Hospital Administrators: Is your site ready for the CMS IQR Mandate? The goal of this measure is to quantify pain and functional improvements with validated patient-reported outcome measures (#PROMs) to improve patient lives. Starting July 1, 2024, compliance with this CMS regulation is crucial. The American Joint Replacement Registry (#AJRR) can assist participating hospitals with the necessary data fields, tracking mechanisms, and reporting structures tailored precisely for this measure. Learn more: https://bit.ly/3V7f4yS #CMSIQR #HealthcareCompliance #PROMs #Medicare #Medicaid #OrthoRegistries

Indiana's Pathways for Aging program empowers seniors with choice and control over their long-term care. But with multiple MCEs (Anthem, Humana, and United Healthcare) available, how do you choose the one that best suits your needs? #Pathwaysforaging #Indiana #Medicaid #aginginplace #agingwell

Updates running a virtual-first clinic: Main goal for the week was to continue to move the ball forward on our payer applications. I am happy to report we made solid progress: we have all our applications almost all the way ready for submission, have a tracking excel for all our applications, and got squared away with our online application portals. Other: We got access to our Lenox Hill portal. So now we can easily order imaging for our patients. #primarycare #insurancereimbursement #medicare #medicaid

January marked International #QualityofLife Month, 🌎 which commemorates living our best selves as we age. As we or those we love get older, it often requires additional care and resources to ensure the well-being, fulfillment, safety, and happiness of elderly family members. Discover our insights blog about how #PACE programs help enhance quality of life and Myers and Stauffer works alongside state #Medicaid professionals to effectively implement PACE plans and comprehensive services: https://okt.to/CqH1aE

Our comments on CMS’ 2025 #MedicareAdvantage and Part D proposed rule focused on key implications for dually eligible beneficiaries, including how the aligned enrollment provisions may impact enrollee choice, partial-benefit dually eligible enrollees, state #Medicaid #MLTSS market dynamics, enrollment processes, enrollee transitions, and overall state capacity. Read our comments: https://lnkd.in/gWVkHEt9

CMS' price transparency rule, which took effect in 2021, requires hospitals to publicly post their rates for various services and procedures, as well as a consumer-friendly display of shoppable services. According to CMS, 70% of hospitals are now in compliance with both parts of the rule, up from 27% in 2021. This is a significant improvement, but there is still room for more progress. Hospitals have until July 1, 2024 to to adopt the CMS-required template and encode standard charge information for services and procedures. CMS also announced that they will be increasing oversight and enforcement, as well as considering further policy changes to enhance price transparency. We built Price Transparency with a specific focus on aiding hospitals that may not be compliant, helping them steer clear of substantial fines. Explore our solution with a free demo today! Link: https://lnkd.in/e3g28SdR #heathcare #hospital #cms #medicare #medicaid #medical #medicalbills

Are you at AHIP's 2024 Medicare, Medicaid, Duals & Commercial Markets Forum? Don't miss Vida Health's Lunch & Learn session in the Key Ballroom 11-12 from 12:30 pm – 1:15 pm. Jordan Taggart and Gretchen Zimmermann, RD, CDCES, CSOWM will be discussing how GLP-1s and other anti-obesity medications are changing the treatment landscape for patients and providers. Still, they're not universally accessible, including to #Medicare and #Medicaid beneficiaries. They'll explore how a managed solution combining behavior change and pharmacotherapy can achieve high-quality outcomes, improve #cardiometabolic care, offset near-term Rx costs, and produce long-term #medicalcostsavings. Don't miss it!