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 […]
Resources
Delaware Releases RFP For Medicaid Managed Care Organizations
The Delaware Department of Health and Social Services (DHSS) is rebidding the Medicaid managed care organization (MCO) contracts for its Diamond State Health Plan (DSHP) and DSHP Plus. DSHP provides acute physical and behavioral health services, as well as pharmacy, […]
Understanding Unit Costs & Why They Matter So Much In Value-Based Reimbursement
By Ken Carr Many health and human service executives are under the impression that value-based reimbursement (VBR) models alleviate the need for organizations to worry about unit costs and productivity anymore. This is definitely not the case. In fact, managing […]
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 […]
Reshaping Revenue Cycle Management For The Post-Pandemic Era
By Monica Oss One of the most important changes organizations must make during and after a crisis (such as a pandemic like COVID-19) is adjusting their revenue cycle management model. This was the topic of a classic seminar featuring OPEN MINDS Senior Associate […]
Merger & Acquisition Volume In The Health Services Sector Up 56% In 2021 Over 2020
The number of mergers and acquisitions in the health services sector for the 12 months ended November 15, 2021 was 56% higher than the previous year. Aggregate deal volume rose from 1,138 deals in 2020 to 1,773 for the 12 […]
Think Of Your EHR & Vendor As A Technical Consultant Rather Than Software
It’s common knowledge that it’s less expensive for organizations to retain employees than to hire new ones. According to recent data, it costs as much as 33% of a worker’s annual salary to replace them. When applied to a median […]
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 […]
Providers Growingly Concerned About EHR Functionalities & The Technologies Needs For Future Service Delivery & Reimbursement: Top EHR Trends From The 2021 OPEN MINDS 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 […]
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 […]
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 […]