Sedna Consulting Group’s Post

Are you familiar with how technology plays a huge role in Medicaid healthcare services? In this digital age, technology helps improve many aspects of our daily lives. In the case of Medicaid, there are a variety of ways that technology solutions can improve healthcare delivery and address the social needs of all that utilize it. Check out our new blog at sednacg.com/blog to learn more. #Medicaid #MESC2024 #Healthcare #HealthcareTechnology #HealthPolicy #TechnologySolutions #Innovation #Automation

We’re thrilled to announce that we have access to new data assets – Medicare Advantage Encounters, T-MSIS Medicaid data, Part D files, CMMI Model files, and Home Health Assessment Data – through the Virtual Data Research Center (VRDC) hosted by Centers for Medicare & Medicaid Services! We can’t wait to leverage these tools alongside our current data assets on Medicare beneficiaries and dual eligible individuals to solve the hardest problems in healthcare. Reach out to us to learn more! #MedicareAdvantage #Medicare #Medicaid #Healthcare #HealthcarePolicy #Data

Really excited to dive into the data and see what it can do.

Do you know of healthcare organizations that still operate on legacy systems? While these older systems may be more cost effective for those with financial constraints, they do not possess the functionality of newer systems. For the millions of patients enrolled in Medicaid, it is important that the systems they use and that store their data are efficient and accurate. Visit our new blog at sednacg.com/blog to learn more about the benefits and challenges of modernizing MES. We are happy to be attending the 2024 MESC conference August 12-15 to exchange information and ideas on Medicaid systems and policies. Let us know if you will be in attendance! #MESC2024 #Medicaid #MedicaidEnterpriseSystem #Healthcare #HealthTechnology #DigitalTechnology #InformationTechnology

Did you know that human-centered design plays a huge role in Medicaid Enterprise Systems (MES)? It helps build processes that are easy and efficient to use for Medicaid patients, providers, administrators, and other stakeholders. From easily making appointments to accessibility features, human-centered design is crucial for the success of MES. Check out our new blog to learn more at sednacg.com/blog. #MESC2024 #Medicaid #Healthcare #Technology #HealthPolicy #HumanCenteredDesign #InformationTechnology #Innovation

When it comes to billing, Medicare reimbursement is a vital revenue stream for most federally qualified health centers (FQHCs). Yet many centers are missing out on the additional revenue they're owed for Medicare Advantage patients. Altruis has expertise in Medicare Advantage billing for FQCHs. We're sharing our answers to top questions in this blog post: https://bit.ly/3M7C5MN #FQHC #MedicalBilling #Healthcare #BehavioralHealth #MedicalBilling #MedicalCoding #RCM #CommunityHealth #Medicaid #Medicare #HealthcareBilling #RCM #RevenueCycleManagement #DenialCodes

When it comes to billing, Medicare reimbursement is a vital revenue stream for most federally qualified health centers (FQHCs). Yet many centers are missing out on the additional revenue they're owed for Medicare Advantage patients. Altruis has expertise in Medicare Advantage billing for FQCHs. We're sharing our answers to top questions in this blog post: https://bit.ly/3Yriyhr #FQHC #MedicalBilling #Healthcare #BehavioralHealth #MedicalBilling #MedicalCoding #RCM #CommunityHealth #Medicaid #Medicare #HealthcareBilling #RCM #RevenueCycleManagement #DenialCodes

Did you know that #Medicaid #managedcare enrollment increased 9% from 2017 to 2022? Comprehensive Managed Care increased 13% during that same period. Learn more in the Medicaid Managed Care Market Share & The Largest Medicaid Health Plans: An OPEN MINDS Market Intelligence Report which includes: - Analysis of Medicaid managed care enrollment in comprehensive managed care and primary care case management over time. - Comparison of the top 10 largest #healthinsurance companies in Medicaid managed care, by market share and over time. - Details on the largest #healthplans in Medicaid managed care, including state of licensure, payer/plan type, estimated enrollment, and more. Download the report here: https://lnkd.in/gT_2xwrE Considering becoming a Managed Care Organization? Take the OPEN MINDS Managed Care Competencies Assessment (https://lnkd.in/gz6Pu49j), designed to evaluate 12 key management domains focused on the organizational and technical competencies needed for the transition and next-step recommendations. 

Reflecting on recent insights from KFF, it's evident that despite its challenges, Medicaid unwinding has catalyzed significant improvements in enrollment and administrative efficiency across states. The opportunity to retain waiver flexibilities—like automatic renewals and leveraging updated health plan data—is pivotal for health plans. These initiatives streamline processes and enhance transparency and accessibility, aligning with our goal of simplifying healthcare access for all. https://bit.ly/4bwhoEm via Healthcare Dive #Medicaid #healthcare

CMS Statement on Change Healthcare Cyberattack “At the Centers for Medicare & Medicaid Services (CMS), we recognize the impact that the cyberattack on UnitedHealth Group’s subsidiary Change Healthcare has had on physicians and other providers – and we are particularly concerned about small practices and community-based providers. We are actively examining our authority to help support these critical providers at this time and working with states to do the same. We are also in frequent communication with UnitedHealth Group and Optum and will continue to press them to communicate with the health care sector swiftly and to offer better options for interim payments to providers. We are also meeting with private healthcare plans and are encouraged by their efforts so far. And we continue to urge health plans to use their abilities to support providers and work with states to do the same. CMS’ continued priority is to help coordinate efforts across the health care system, and with HHS and other Federal partners, to avoid disruptions in care.” #cms #updates #cyberattack #healthcare #medicare #medicaid #healthcareproviders #fyi