ICF’s Post

Learn how we applied data analytics and our health IT expertise to enhance the kidney transplant process and support the Centers for Medicare & Medicaid Services to improve health outcomes. https://okt.to/lzC90B

Learn how we applied data analytics and our health IT expertise to enhance the kidney transplant process and support the Centers for Medicare & Medicaid Services to improve health outcomes. https://okt.to/0V3bus

Did you know? 💡 The 2024 #HCPLANSummit Measurement Effort represents 282.9 million people in the U.S. health system? Not only that, but it captures insights from 73 health plans, 4 Medicaid FFS states, and Traditional Medicare to drive #ValueBasedCare forward. ➡️ Learn more about this transformative effort: 👉 https://bit.ly/48ZmPvG

As we enter into 2025, what does the landscape of behavioral health Medicaid look like? Some of the things we are expecting include: - enhanced documentation requirements - adjustments to reimbursement modifiers - evolving roles of MCOs - changes in health equity initiatives - and more! Read more in our latest article, 5 Trends in Behavioral Health Medicaid in 2025, here: https://hubs.ly/Q031j5gr0

The U.S. Centers for Medicare and Medicaid Services selected Connecticut to participate in a state total cost of care model: the State Advancing All-Payer Health Equity Approaches and Development Model (AHEAD Model). #Connecticut AHEAD (CT AHEAD) is a collaborative effort between the Office of Health Strategy and the Department of Social Services focused on improving population health, enhancing health equity/reducing disparities in health outcomes, and slowing healthcare cost growth. https://buff.ly/40cdMno #healthcare #healthquity #population #healthdisparity #medicare #medicaid

Individuals dually eligible for Medicare and Medicaid are more racially and ethnically diverse than the general population of Medicare-only beneficiaries. This means that racial and ethnic health care disparities disproportionately affect dually eligible individuals. In Resources For Integrated Care's recent podcast episode, Dr. Romilla Batra ,former Chief Medical Officer of the Medicare Advantage health plan SCAN, shares insights about the not-for-profit's initiatives to reduce health care disparities and data-driven strategies to advance health equity. Listen now: https://bit.ly/3Ww0stP

Fragmented care = poorer health outcomes. But by leveraging successful linkage to care and public health strategies, Medicaid health plan leaders can bridge gaps in care delivery and access for members. 🗓 Join next week’s webinar hosted by Medicaid Health Plans of America (MHPA) to hear from a panel of experts, including N. Rachel Bauch (UnitedHealthcare), Mikal Sutton (Blue Cross Blue Shield Association), Dr. Ryan Van Ramshorst (Texas Health and Human Services), Christine M. Burrows, MD (UC Health), and Dr. Bob Bollinger (Johns Hopkins Medicine). Our CEO, Sebastian Seiguer, JD, MBA, will lead this valuable discussion. Save your spot: https://lnkd.in/eECqumCY 𝐃𝐢𝐬𝐜𝐥𝐨𝐬𝐮𝐫𝐞: 𝘛𝘩𝘦 𝘑𝘰𝘩𝘯𝘴 𝘏𝘰𝘱𝘬𝘪𝘯𝘴 𝘜𝘯𝘪𝘷𝘦𝘳𝘴𝘪𝘵𝘺 𝘩𝘢𝘴 𝘢 𝘧𝘪𝘯𝘢𝘯𝘤𝘪𝘢𝘭 𝘪𝘯𝘵𝘦𝘳𝘦𝘴𝘵 𝘪𝘯 [𝘚𝘤𝘦𝘯𝘦] (𝘧𝘰𝘳𝘮𝘦𝘳𝘭𝘺 𝘦𝘮𝘰𝘤𝘩𝘢), 𝘢 𝘵𝘦𝘤𝘩𝘯𝘰𝘭𝘰𝘨𝘺 𝘵𝘩𝘢𝘵 𝘸𝘢𝘴 𝘪𝘯𝘷𝘦𝘯𝘵𝘦𝘥 𝘢𝘵 𝘵𝘩𝘦 𝘑𝘰𝘩𝘯𝘴 𝘏𝘰𝘱𝘬𝘪𝘯𝘴 𝘜𝘯𝘪𝘷𝘦𝘳𝘴𝘪𝘵𝘺. 𝘛𝘩𝘪𝘴 𝘧𝘪𝘯𝘢𝘯𝘤𝘪𝘢𝘭 𝘪𝘯𝘵𝘦𝘳𝘦𝘴𝘵 𝘪𝘯𝘤𝘭𝘶𝘥𝘦𝘴 𝘦𝘲𝘶𝘪𝘵𝘺 𝘪𝘯 𝘵𝘩𝘦 𝘤𝘰𝘮𝘱𝘢𝘯𝘺 𝘢𝘯𝘥 𝘦𝘯𝘵𝘪𝘵𝘭𝘦𝘮𝘦𝘯𝘵 𝘵𝘰 𝘳𝘰𝘺𝘢𝘭𝘵𝘪𝘦𝘴. 𝘋𝘳. 𝘉𝘰𝘭𝘭𝘪𝘯𝘨𝘦𝘳 𝘪𝘴 𝘢𝘯 𝘪𝘯𝘷𝘦𝘯𝘵𝘰𝘳 𝘰𝘧 𝘵𝘩𝘦 𝘵𝘦𝘤𝘩𝘯𝘰𝘭𝘰𝘨𝘺, 𝘢𝘯𝘥 𝘩𝘦 𝘩𝘢𝘴 𝘦𝘲𝘶𝘪𝘵𝘺 𝘢𝘯𝘥 𝘢 𝘳𝘰𝘺𝘢𝘭𝘵𝘺 𝘪𝘯𝘵𝘦𝘳𝘦𝘴𝘵 𝘪𝘯 [𝘚𝘤𝘦𝘯𝘦]. 𝘏𝘦 𝘪𝘴 𝘢 𝘮𝘦𝘮𝘣𝘦𝘳 𝘰𝘧 𝘵𝘩𝘦 [𝘚𝘤𝘦𝘯𝘦] 𝘣𝘰𝘢𝘳𝘥 𝘰𝘧 𝘥𝘪𝘳𝘦𝘤𝘵𝘰𝘳𝘴 𝘢𝘯𝘥 𝘪𝘴 𝘢 𝘤𝘰𝘯𝘴𝘶𝘭𝘵𝘢𝘯𝘵 𝘵𝘰 𝘵𝘩𝘦 𝘤𝘰𝘮𝘱𝘢𝘯𝘺. 𝘛𝘩𝘦𝘴𝘦 𝘤𝘰𝘯𝘧𝘭𝘪𝘤𝘵𝘴 𝘰𝘧 𝘪𝘯𝘵𝘦𝘳𝘦𝘴𝘵 𝘢𝘳𝘦 𝘣𝘦𝘪𝘯𝘨 𝘮𝘢𝘯𝘢𝘨𝘦𝘥 𝘣𝘺 𝘵𝘩𝘦 𝘜𝘯𝘪𝘷𝘦𝘳𝘴𝘪𝘵𝘺 𝘪𝘯 𝘢𝘤𝘤𝘰𝘳𝘥𝘢𝘯𝘤𝘦 𝘸𝘪𝘵𝘩 𝘪𝘵𝘴 𝘤𝘰𝘯𝘧𝘭𝘪𝘤𝘵-𝘰𝘧-𝘪𝘯𝘵𝘦𝘳𝘦𝘴𝘵 𝘱𝘰𝘭𝘪𝘤𝘪𝘦𝘴.

Nearly all Medicaid health plans participate in #ValueBasedCare initiatives, but just over half of those plans cite there are still barriers to adopting the model according to the Institute for Medicaid Innovation’s annual managed care survey. Survey findings noted the following challenges in implementing value-based care models: ✅ Provider readiness or willingness 🧑⚕️ Staff capacity 📊 Lack of sufficient/complete data 💻 Information technology system preparedness With the right resources and education, value-based care can have a positive impact on quality of care and patient outcomes. However, we must equip providers with the #data, infrastructure and talent to support value-based models. I’m encouraged by the opportunity these findings present to continue building awareness, and I’m hopeful we can continue to find ways to ease the transition from the fee-for-service model.

Introduction of Medicaid APM options for federally qualified health center (FQHCs) was associated with modest, statistically significant increases in quality concentrated among FQHCs with APM models that explicitly incentivized quality. https://ja.ma/4daDw8H

You don't want to miss this great panel of experts explore how the linkage to care & public health strategies can bridge fragmentation in Medicaid and deliver seamless, quality care to members.