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CMS Value-Based Care Opportunities In Medicaid

On September 15, 2020, the Centers for Medicare and Medicaid Services issued guidance to support state Medicaid Directors in moving towards value-based arrangements and alternative payment models. The guidance outlines lessons learned from early state and federal experiences in implementing […]

Thinking Sustainable New Services? Think Integration

By Monica E. Oss How to navigate through these uncertain times? When planning for future sustainability, health and human service executive teams have to track three factors related to future competitive advantage—the drivers of change and how they affect their specific market; the […]

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 […]

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 […]

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 […]

Four Keys To Success With Value-Based Reimbursement

By Monica M. Oss The move away from fee-for-service reimbursement—toward value-based arrangements with financial alignment between health plans and provider organizations—continues. A look at some of the reporting over the past quarter illustrates the continuing activity—Humana To Acquire One Homecare […]