Blog

Justice-involved individuals (JIIs) reentering society often face a complex mix of challenges: Chronic health conditions, mental health and substance use disorders, unstable housing, limited job prospects, and a deep distrust of systems. The first 90 days after release are critical. Without solid, coordinated care, many fall through the cracks increasing the likelihood of adverse health […]

California’s healthcare landscape is undergoing a significant transformation with the integration of Community-Based Care Management into Dual Eligible Special Needs Plans (D-SNP) under the CalAIM initiative. The shift aims to enhance care coordination for individuals eligible for both Medicare and Medi-Cal, aligning with the principles of Value-Based Care (VBC).   What is CICM?: California […]

As we approach the Medicare Shared Savings Program (MSSP) Phase 1 application period for Performance Year (PY) 2026, now is the time to take stock of how changes in the Medicare policy environment affect current and prospective Accountable Care Organizations (ACO). For a more detailed review of application timeline and strategic considerations, refer to our […]

As California’s CalAIM initiative and the broader healthcare landscape continue shifting toward value-based care (VBC), Enhanced Care Management (ECM) providers must prepare to be successful. ECM’s emphasis on social determinants of health, preventative care, and care coordination aligns with Managed Care Plans’ (MCPs) evolving priorities and incentives to drive improved health outcomes and lower the […]

Introduction:: Federally Qualified Health Centers (FQHCs) serve as an essential access point for uninsured, underinsured and high-need patients, and are uniquely positioned to address both primary care and health-related social needs (HRSNs) of underserved populations. Because of their mission of serving those who may otherwise not have access to care, FQHCs historically have focused […]

CMS has indicated that the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) model is moving forward, and the pre-implementation period is well underway in awarded states Maryland, Connecticut, Vermont, Hawaii, Rhode Island, and downstate New York. AHEAD is a voluntary total cost of care model whereby CMS encourages a state-level, multi-sector approach to […]

This webinar highlights the impact of the Med-Cal Transformation waiver on providers and patients and will discuss the potential policy impacts on Medi-Cal Transformation and the overall Medi-Cal landscape. Our speakers will also discuss ways to optimize Medi-Cal Transformation in 2025. Speakers include:: Julio Arellano, Director of Special Projects, Via Care Community Health Center […]

In summer 2024, the Health Resources and Services Administration (HRSA) released a long awaited Notice of Funding Opportunity for Health Center Program New Access Point (NAP) applications allowing qualified entities to apply for Federally Qualified Health Center (FQHC) designation. It is anticipated that HRSA will award 77 grants, of up to $650,000 each, with the […]

In a healthcare environment that is increasingly recognizing the importance of a value-based approach to healthcare delivery, partnerships between health systems and Federally Qualified Health Centers (FQHCs) provide a tremendous opportunity for both entities to invest resources thoughtfully, efficiently, and strategically to address community health needs. For health systems that own or are participants in […]

The recent news that CVS Health is exiting the Medicare ACO space, fully withdrawing from ACO REACH and selling its MSSP business to Wellvana: , highlights the ongoing challenges faced by ACO aggregators. While these organizations often position themselves as enablers of value-based care (VBC), their long-term sustainability remains uncertain, creating potential risks for providers […]