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Background: In 2010, the Affordable Care Act provided states the option to implement a “health home” (HH) care management model, with the goal of improving care coordination, reducing costs and improving health outcomes for high-need Medicaid members with chronic conditions. In an attempt to bridge resource gaps for a particularly complex segment of the […]

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Overview: On January 9, 2017, Washington State Health Care Authority (HCA) released highly anticipated Special Terms and Conditions (STCs) outlining the provisions of the Section 1115 Medicaid demonstration waiver. The five-year waiver is active now through December 31, 2021. Under this demonstration, a delivery system reform incentive payment (DSRIP) program aims to increase access, […]

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Abstract: : Health care reform has evolved over the past few decades, but one constant in this transformation has been Section 1115 waivers. These waivers broadly permit states to conduct “Medicaid research and development” programs to better meet the health care needs of their unique populations. Thus, the onus of health care reform is shifted to […]

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On January 9, 2017 the Washington Healthcare Authority (HCA) reached a pivotal milestone in their partnership with the Centers for Medicare and Medicaid (CMS) to transform the delivery and quality of care served to their Medicaid population. The two parties finalized the Standard Terms and Conditions (STCs) of the 1115 Medicaid waiver, making the waiver […]

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Team Member Spotlight
March 15, 2017

Carla D’Angelo, Vice President, leads the Health+Hospital/OneCity Health account in New York City. As the account lead, she directs the work of 15 consultants in the internal account team and manages the relationship with the client. She has spent most of her career in managed care and most recently helped lead the transition of an […]

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This year's 13th Annual Conference, entitled; "Shaping Healthcare's Future: Delivering Value Along the Continuum of Care", will bring together experts from across the full spectrum of the heathcare industry to discuss and debate the dramatic changes underway to align incentives, improve outcomes, and "bend the cost curve".
Presenter: Dawn Hawkins Johnson

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State of New York Finance
February 27, 2017

State of NY Finance provides for an educational day with New York City and state finance experts and policy leaders responsible for budget, expense, cost, investment and fiscal affairs in government. We have four Power Panels on New York’s major financial issues including sustainability, security, health care and infrastructure. Each will provide information to government finance professionals and an opportunity to hear from the experts in each field.
Presenter: Wren Keber

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The year 2017 is upon us, and that means that the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 is in effect for eligible clinicians who participate in Medicare Part B. MACRA is a bipartisan approach to physician payment reform attempting to repair the patient-provider relationship, as the Centers for Medicare and Medicaid Services […]

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Introduction & MSO Background: A management services organization (MSO) is a healthcare specific administrative and management engine that provides a host of administrative and management functions necessary to be successful in the ever changing healthcare environment. As risk begins to shift from health plans to providers as part of managed care arrangements, many of […]

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New York State announced the approval of an extension for the Section 1115 Medicaid Waiver and released updated Standard Terms and Conditions (STCs) this week. The STCs is the contract between the state and CMS that lays out the terms of the waiver and how waiver programs will be operated. The current waiver was originally […]

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