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Webinar: Forum on 1115 Waiver – Lessons Learned from California and What’s Ahead in New York

October 7, 2024

In this webinar, speakers from Bond Schoeneck & King and COPE Health Solutions to discuss New York State’s implementation of nearly $6 billion in federal funding intended to transform healthcare delivery. The forum will cover: The basics, including what the waiver is and why it’s important How similar waiver funds have been utilized in California What […]

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The Importance of Credentialing Processes in Healthcare Practices

September 25, 2024

The National Committee for Quality Assurance was founded in 1990. For almost four decades, practices have been required to maintain, and regularly submit to carriers, credentialing data for their clinicians. So how is it, nearly forty years later, practices still treat this process as an afterthought? The reality of “the re-cred firedrill” is not limited […]

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How Integrated Analytics and Care Management Tools Are Transforming Healthcare

September 25, 2024

In today’s rapidly evolving healthcare landscape, the integration of data analytics and care management tools is proving to be a game-changer. With healthcare systems moving toward value-based care models, the demand for efficient, data-driven decision-making has never been higher. Integrated analytics and care management tools are bridging the gap between patient outcomes and operational efficiency, […]

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Webinar: Improving Performance and Financial Sustainability Utilizing the CA PATH TA Marketplace

September 12, 2024

The PATH Technical Assistance (TA) Marketplace is part of California’s 1115 waiver “Medi-Cal Transformation” formerly CalAIM. PATH TA serves as a virtual marketplace for TA services, where potential and current Enhance Care Management and Community Support Providers can access TA resources from DHCS approved Vendors. The services offered through the Marketplace are fully covered by […]

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The Important Aspects When Considering Value-Based Contracting, Part 1

August 29, 2024

Value-based contracting between payers and healthcare organizations and/or providers has seen steady growth in recent years. The basic idea is to incentivize healthcare and provider organizations for better performance on the targets set up by these agreements, with the ultimate goal to achieve the Quintuple Aim. While they offer the potential to align financial incentives […]

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New York State Social Care Networks Announced: 5 Essential Steps for Success

August 7, 2024

New York State has revealed the nine organizations awarded with Social Care Network (SCN) status under the 1115 Medicaid Waiver Amendment. One of the state’s main goals under the 1115 Waiver is to invest in the screening and delivery of Health-Related Social Needs (HRSN) services to reduce health disparities and improve quality outcomes. SCNs will […]

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Actions to Take Now for Awarded MCP Practice Participants

August 7, 2024

1. Evaluate your practice’s capacity to meet the three domains of MCP’s care delivery approach*: care management, care integration, and community connection: Care management: focus on designing and developing care management and chronic condition self-management services, with an emphasis on chronic disease prevention and management Care integration: strengthen connections with specialty care (Track 2 […]

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Financial Modeling for Success in Value-Based Contracting

July 25, 2024

Healthcare delivery has traditionally reimbursed providers on a fee-for-service (FFS) basis. This reimbursement system incentivizes volume over quality and leads to unsustainable growth in healthcare costs. In an effort to contain costs and reform the healthcare delivery system to prioritize value over volume, CMMI and commercial payers have introduced a multitude of value-based payment (VBP) […]

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Webinar: Creative Approaches to Nurse Staffing Challenges

July 24, 2024

Discover innovative strategies to establish hiring pipelines for students and entry-level positions, and explore creative solutions for addressing workforce and nursing shortages. Speakers:: Annette Greenwood, MSN, BSN, RN, Far West Division Chief Nursing Officer, HCA Healthcare Pat Patton, DNP, MSN, RN, NEA-BC, Chief Nursing Officer, Providence Swedish Medical Center – First Hill Campus Margaret […]

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5 Things to Know About CMS First AHEAD Awards

July 2, 2024

On July 2, CMS announced the first states to be accepted to participate into the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) model. The states that were announced as participants are Vermont, Maryland, and Connecticut: . In addition, Hawaii: has also been conditionally accepted pending satisfaction of certain requirements. If you are […]

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