Clinical Management & Clinical Performance

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How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

By Monica E. Oss There is a lot of investment money going into the mental health field—in fact, $14.7 billion in the first half of this year (see Why Are Digital First Mental Health Companies So Popular?). Much of that investment is focused on digital behavioral health systems and tools for both professional and self-care. However,…

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Addressing Social Determinants As A Path To Revenue Growth

By Monica E. Oss Over the last 15 years, there have been many pilot projects by payers, health plans, and public and private entities to address social determinants of health (SDOH). In the past couple years, we’ve heard from several health plan executives about their SDOH initiatives (see Mind, Body, Community: Kaiser Permanente’s Unique Approach, Innovation: Tag,…

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Four ‘Must Have’ Competencies For Post-Pandemic Competitive Advantage

By Monica E. Oss We’ve covered the “triple whammy” of the pandemic on next normal health care—shifting competition based on changing consumer expectations, payer expectations, and price points (see Post-Pandemic, Strategy Needs Technology). I got a better sense of the market factors driving these changes—and the new competencies required for success—in a recent article, How Digital Is Changing The Pharma & Healthcare Industry, by Nikki…

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Value-Based Reimbursement Models Help SPARC Get A Leg Up In Medicaid Managed Care Contracting

By Meena Dayak SPARC Services & Programs (SPARC) is a behavioral health provider organization in North Carolina that has been providing home and community-based services since 2015. They serve 425 consumers monthly and employ 70 full-time staff. They focus on complex consumers—children and adults with severe and persistent mental illnesses (SPMI) who have not been…

Continue Reading Value-Based Reimbursement Models Help SPARC Get A Leg Up In Medicaid Managed Care Contracting

Top EHR Trends In 2021: Results Of The Annual Behavioral Health EHR Survey

We’re bombarded with stories about electronic health records (EHR) evolving to become more flexible and use more services like blockchain, cryptocurrencies, and artificial intelligence, but what do your peers report firsthand? We recently concluded the sixth annual National Behavioral Health EHR Survey and found that only 19% of provider organizations report their clinical, scheduling, billing,…

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Maximize Your Organizational Effectiveness With Analytics & Reporting

Improving value, competitive advantage, and sustainability are top of mind for executives of most behavioral health and human services provider organizations. None of these improvements are possible without consistent, high-quality reporting and analytics. Implementing analytics and reporting is much easier than you may believe. Join Christy Winter, Senior Product Manager, Analytics, of Qualifacts + Credible…

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How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

By Monica E. Oss There is a lot of investment money going into the mental health field—in fact, $14.7 billion in the first half of this year (see Why Are Digital First Mental Health Companies So Popular?). Much of that investment is focused on digital behavioral health systems and tools for both professional and self-care. However,…

Continue Reading How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

Addressing Social Determinants As A Path To Revenue Growth

By Monica E. Oss Over the last 15 years, there have been many pilot projects by payers, health plans, and public and private entities to address social determinants of health (SDOH). In the past couple years, we’ve heard from several health plan executives about their SDOH initiatives (see Mind, Body, Community: Kaiser Permanente’s Unique Approach, Innovation: Tag,…

Continue Reading Addressing Social Determinants As A Path To Revenue Growth

Four ‘Must Have’ Competencies For Post-Pandemic Competitive Advantage

By Monica E. Oss We’ve covered the “triple whammy” of the pandemic on next normal health care—shifting competition based on changing consumer expectations, payer expectations, and price points (see Post-Pandemic, Strategy Needs Technology). I got a better sense of the market factors driving these changes—and the new competencies required for success—in a recent article, How Digital Is Changing The Pharma & Healthcare Industry, by Nikki…

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Qualifacts + Credible Named 2022 Best In Klas: Software & Services

GETTYSBURG, Pa. (February 20, 2022) — Qualifacts + Credible, a leading provider of electronic health record (EHR) platforms for behavioral health and human services organizations, today announced the Credible platform has ranked No. 1 in the 2022 Best in KLAS: Software and Services report. Additionally, Qualifacts + Credible’s CareLogic EHR platform is ranked No. 2 in the 2022 Best in KLAS: Software…

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Qualifacts + Credible Acquires InSync Healthcare Solutions

GETTYSBURG, Pa. (January 9, 2022) – Qualifacts + Credible, a leading provider of electronic health record platforms for behavioral health and human services organizations, today announced it has acquired InSync Healthcare Solutions. InSync Healthcare Solutions is a leading provider of EHR and practice management software plus revenue cycle management services for behavioral, medical and rehabilitative professionals. Qualifacts + Credible is adding InSync’s highly configurable, clean and intuitive platform…

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CMS Designates Connecticut Health Plan’s Episodes-Of-Care Payment Model As One Of TheFirst Commercial Plan Other Payer Advanced Alternative Payment Model

On October 7, 2021, the Centers for Medicare & Medicaid Services (CMS) approved a new payment model—the Episodes of Care program—between the State of Connecticut Health Plan for state employees and several provider organizations as an Other Payer Advanced Alternative Payment Model (A-APM). This Other Payer A-APM designation is one of the first earned by…

Continue Reading CMS Designates Connecticut Health Plan’s Episodes-Of-Care Payment Model As One Of TheFirst Commercial Plan Other Payer Advanced Alternative Payment Model

How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

By Monica E. Oss There is a lot of investment money going into the mental health field—in fact, $14.7 billion in the first half of this year (see Why Are Digital First Mental Health Companies So Popular?). Much of that investment is focused on digital behavioral health systems and tools for both professional and self-care. However,…

Continue Reading How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

Addressing Social Determinants As A Path To Revenue Growth

By Monica E. Oss Over the last 15 years, there have been many pilot projects by payers, health plans, and public and private entities to address social determinants of health (SDOH). In the past couple years, we’ve heard from several health plan executives about their SDOH initiatives (see Mind, Body, Community: Kaiser Permanente’s Unique Approach, Innovation: Tag,…

Continue Reading Addressing Social Determinants As A Path To Revenue Growth

Massachusetts FQHC Centers Surpass One Million Telehealth Visits

The Massachusetts Federally Qualified Health Center (FQHC) Telehealth Consortium’s 35 community health center members have conducted more than one million telemedicine visits since the start of coronavirus disease 2019 (COVID-19) in March of 2020. This achievement comes at the same time the Consortium has passed the halfway mark of its Phase II $12 million fundraising…

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How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

By Monica E. Oss There is a lot of investment money going into the mental health field—in fact, $14.7 billion in the first half of this year (see Why Are Digital First Mental Health Companies So Popular?). Much of that investment is focused on digital behavioral health systems and tools for both professional and self-care. However,…

Continue Reading How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

Addressing Social Determinants As A Path To Revenue Growth

By Monica E. Oss Over the last 15 years, there have been many pilot projects by payers, health plans, and public and private entities to address social determinants of health (SDOH). In the past couple years, we’ve heard from several health plan executives about their SDOH initiatives (see Mind, Body, Community: Kaiser Permanente’s Unique Approach, Innovation: Tag,…

Continue Reading Addressing Social Determinants As A Path To Revenue Growth

Four ‘Must Have’ Competencies For Post-Pandemic Competitive Advantage

By Monica E. Oss We’ve covered the “triple whammy” of the pandemic on next normal health care—shifting competition based on changing consumer expectations, payer expectations, and price points (see Post-Pandemic, Strategy Needs Technology). I got a better sense of the market factors driving these changes—and the new competencies required for success—in a recent article, How Digital Is Changing The Pharma & Healthcare Industry, by Nikki…

Continue Reading Four ‘Must Have’ Competencies For Post-Pandemic Competitive Advantage

Value-Based Reimbursement Models Help SPARC Get A Leg Up In Medicaid Managed Care Contracting

By Meena Dayak SPARC Services & Programs (SPARC) is a behavioral health provider organization in North Carolina that has been providing home and community-based services since 2015. They serve 425 consumers monthly and employ 70 full-time staff. They focus on complex consumers—children and adults with severe and persistent mental illnesses (SPMI) who have not been…

Continue Reading Value-Based Reimbursement Models Help SPARC Get A Leg Up In Medicaid Managed Care Contracting

Providers Growingly Concerned About EHR Functionalities & The Technologies Needs For Future Service Delivery & Reimbursement: Top EHR Trends From The 2021 <em>OPEN MINDS</em> National Behavioral Health EHR Survey

Originally presented on October 19, 2021. We’re bombarded with stories about electronic health records (EHR) evolving to become more flexible and use more services like blockchain, cryptocurrencies, and artificial intelligence, but what do your peers report firsthand? We recently concluded the sixth annual OPEN MINDS National Behavioral Health EHR Survey and found that 53% of provider organizations…

Continue Reading Providers Growingly Concerned About EHR Functionalities & The Technologies Needs For Future Service Delivery & Reimbursement: Top EHR Trends From The 2021 <em>OPEN MINDS</em> National Behavioral Health EHR Survey

Maximize Your Organizational Effectiveness With Analytics & Reporting: Unique Case Studies As Told By Monarch & Options Counseling & Family Services

Originally presented on 9/28/2021 Improving value, competitive advantage, and sustainability are top of mind for executives of most behavioral health and human services provider organizations. None of these improvements are possible without consistent, high-quality reporting and analytics. Implementing analytics and reporting is much easier than you may believe. During this webinar, Scott Budzien, Data Scientist…

Continue Reading Maximize Your Organizational Effectiveness With Analytics & Reporting: Unique Case Studies As Told By Monarch & Options Counseling & Family Services

How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

By Monica E. Oss There is a lot of investment money going into the mental health field—in fact, $14.7 billion in the first half of this year (see Why Are Digital First Mental Health Companies So Popular?). Much of that investment is focused on digital behavioral health systems and tools for both professional and self-care. However,…

Continue Reading How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

Addressing Social Determinants As A Path To Revenue Growth

By Monica E. Oss Over the last 15 years, there have been many pilot projects by payers, health plans, and public and private entities to address social determinants of health (SDOH). In the past couple years, we’ve heard from several health plan executives about their SDOH initiatives (see Mind, Body, Community: Kaiser Permanente’s Unique Approach, Innovation: Tag,…

Continue Reading Addressing Social Determinants As A Path To Revenue Growth

Four ‘Must Have’ Competencies For Post-Pandemic Competitive Advantage

By Monica E. Oss We’ve covered the “triple whammy” of the pandemic on next normal health care—shifting competition based on changing consumer expectations, payer expectations, and price points (see Post-Pandemic, Strategy Needs Technology). I got a better sense of the market factors driving these changes—and the new competencies required for success—in a recent article, How Digital Is Changing The Pharma & Healthcare Industry, by Nikki…

Continue Reading Four ‘Must Have’ Competencies For Post-Pandemic Competitive Advantage

Don’t Leave Money On The Table: How The Right Technology Can Improve Your VBR Success

Originally presented on May 26th, 2021 Value-based care is here! If you haven’t started thinking about what it is you need to compete in a value-based environment, now is the time to start. With the rise in value-based care contracts and utilization of alternative payment models, provider organizations are challenged with doing the research and…

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How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

By Monica E. Oss There is a lot of investment money going into the mental health field—in fact, $14.7 billion in the first half of this year (see Why Are Digital First Mental Health Companies So Popular?). Much of that investment is focused on digital behavioral health systems and tools for both professional and self-care. However,…

Continue Reading How To Manage The 5% With Multiple Chronic Conditions & Complex Support Needs

Addressing Social Determinants As A Path To Revenue Growth

By Monica E. Oss Over the last 15 years, there have been many pilot projects by payers, health plans, and public and private entities to address social determinants of health (SDOH). In the past couple years, we’ve heard from several health plan executives about their SDOH initiatives (see Mind, Body, Community: Kaiser Permanente’s Unique Approach, Innovation: Tag,…

Continue Reading Addressing Social Determinants As A Path To Revenue Growth

Four ‘Must Have’ Competencies For Post-Pandemic Competitive Advantage

By Monica E. Oss We’ve covered the “triple whammy” of the pandemic on next normal health care—shifting competition based on changing consumer expectations, payer expectations, and price points (see Post-Pandemic, Strategy Needs Technology). I got a better sense of the market factors driving these changes—and the new competencies required for success—in a recent article, How Digital Is Changing The Pharma & Healthcare Industry, by Nikki…

Continue Reading Four ‘Must Have’ Competencies For Post-Pandemic Competitive Advantage

Value-Based Reimbursement Models Help SPARC Get A Leg Up In Medicaid Managed Care Contracting

By Meena Dayak SPARC Services & Programs (SPARC) is a behavioral health provider organization in North Carolina that has been providing home and community-based services since 2015. They serve 425 consumers monthly and employ 70 full-time staff. They focus on complex consumers—children and adults with severe and persistent mental illnesses (SPMI) who have not been…

Continue Reading Value-Based Reimbursement Models Help SPARC Get A Leg Up In Medicaid Managed Care Contracting

Preparing For The Unknown: The Six EHR Functionalities Essential For Surviving During & After A Pandemic

White Paper Available Free Of Charge, Courtesy Of Qualifacts + Credible& The Value Based Care For Behavioral Health Online Community   This last year has dramatically changed the world and with it, the health and human services industry. Large portions of staff are now working from home. Consumers are increasingly anxious and depressed from the…

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