Creating Successful Partnerships Between Health Systems and FQHCs
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 Importance of Credentialing Processes in Healthcare Practices
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 […]
Actions to Take Now for Awarded MCP Practice Participants
1. Evaluate your practice’s capacity to meet the three domains of MCP’s care delivery approach*: care management, care integration, and community connection * Practices must meet the care delivery requirements in their starting Track by the end of PY2 (12/31/25) 2. Evaluate financial implications to your practice by modeling the six new MCP payment types; […]
5 Things to Know About CMS First AHEAD Awards
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 located in a state that […]
Key Considerations for AHEAD Version 2.0
As we write to you in June 2024, the first cohort application dates have passed and the third in August remains. Our team highlights key considerations for hospitals below: 1. Hospitals Should Monitor Whether Their State Applied for Cohorts 1 & 2 or Intend to Apply for Cohort 3Applications for the first two cohorts were […]
4 Ways Community Health Workers Impact Primary Care Clinic Performance
Community Health Workers (CHWs), also referred to as Promotores, are community-based frontline health workers experienced in providing linguistic and culturally sensitive, individualized whole person care in both clinical and non-clinical environments. CHWs can enhance access to and quality of primary care and are often underutilized due to a lack of understanding of their capabilities and […]
Investing in NPs/PAs to Improve Primary Care Provider Shortages
At the end of February, the Millbank Memorial Fund released their 2024 primary care scorecard entitled ‘No One Can See You Now’. A bleak assessment of primary care in the United States, the scorecard identifies five key contributors to the ever-worsening patient access crisis, the top two of which cite the need for workforce expansion1: […]
Key Considerations for AHEAD
BackgroundIn September 2023, the CMS released the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) model. At that time, we shared with you five key initial considerations. With the recent release of Version 1.0 of CMS’ Medicare Fee-for-Service (FFS) global budget methodology our team has put together some updated considerations for health systems in states […]
5 Things to Know About Community Health Workers
Community Health Workers (CHWs), also known as Promotores, are community-based professionals who provide culturally competent, person-centered support. CHWs provide a range of services for vulnerable populations to close gaps in care and navigate resources to help members better self-manage their health and social needs. 1. CHWs typically reside in the communities they serve, offering practical […]
5 Things for Health Systems in Potential Participating States to Know About the AHEAD Program
5 Things for Health Systems in Participating States to Know About the AHEAD ProgramOn September 5, 2023, CMS released a new, voluntary state total cost of care model called the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model. CMS plans to collaborate with states to increase investment in primary care, improve overall population […]