National Government Services’ Post

Quantum Health Launches New Service For Medicare Advantage Learn more & get our take 👇 https://lnkd.in/gQ__mBKE “Medicare Advantage plans are challenged with helping millions of people manage complex care. They need a proven navigation service that can be with their members throughout their healthcare experience while helping plans address gaps in care and drive better member engagement,” – Shannon Skaggs, President at Quantum Health “We have designed our Medicare Advantage navigation service to meet the unique needs of both Medicare Advantage plans and their member populations. That means leveraging our core capabilities to support acute care for an increasingly aging population, expanding provider networks and virtual care options to cover less penetrated markets and rural populations, and addressing social determinants of our members’ health — all to close clinical care gaps and improve clinical outcomes,” – Dan Shur, Chief Product Officer at Quantum Health #medicareadvantage #maadadvantage #SoHCNews

This informative article by CMS sheds light on the basics of #ValueBasedCare and how it is transforming #Healthcare delivery. Digital #CareCoordination can further aid value-based care delivery, to help improve #PatientOutcomes and streamline workflows. https://hubs.li/Q02jDWrG0 #PatientCare #HealthTech #ClinicalOperations

The Centers for Medicare & Medicaid Services has updated its policy to allow clinical teams to text patient information and send messages to electronic health records only if they are using a HIPAA-compliant, secure messaging platform. Up until fairly recently, most hospitals did not have the capability to incorporate messages directly into electronic health records, but technological advances and the creation of better tools (like Celo) are making it possible. This is a great step in the process of streamlining healthcare communications while keeping patient data safe! #HIPAA #healthcarecommunications #healthtech

In a healthcare landscape brimming with challenges, Managed Care Partners Inc. stands as a steadfast ally for rural hospitals and smaller health systems. Our mission? To bridge the gaps between payers and providers, placing patients at the forefront. 🔍 CONTRACT EXPERTISE: Unveiling hidden potential, we halt revenue leaks and amplify reimbursements. Our skilled team evaluates new payer arrangements, transforming contracts into strategic tools for lasting value. 💬 DAY-TO-DAY CONNECTIONS: Seamlessly managing relationships, we navigate the complexities of daily communications with payers. Our commitment ensures consistent interactions that safeguard the interests of your hospital. 💪 SECURING INDEPENDENCE: Adverse payer strategies threaten small healthcare systems, but we stand as your shield. Through contract analysis, reviews, and negotiations, we strengthen your negotiating power, bolstering reimbursement and maintaining your hospital's autonomy. 🌟 THRIVE, NOT JUST SURVIVE: Our partnership isn't just about survival—it's about empowerment. We position rural hospitals and health systems to flourish amidst changing Medicare rules and financial pressures. Our strategic payer management and analytic prowess set the stage for success. Join us in illuminating the path to prosperity for rural healthcare. Together, let's transform challenges into opportunities and pave the way for a brighter, healthier future. Learn more about what we do and how we can help: https://lnkd.in/et7rKxMQ #RuralHealthcare #EmpoweringPartnerships #HealthcareSuccess #ManagedCare

In March, CMS announced a new voluntary model, the Accountable Care Organization (ACO) Primary Care Flex Model (ACO PC Flex Model), that will test primary care capitation in CMS’s permanent ACO program, the Medicare Shared Savings Program (MSSP).    In our featured Health Affairs article, we share more about the model, the restrictions on participation and how these factors may impact the ACO market.    Looking for targeted performance improvement to promote clinical, financial and operational excellence in your health system? Check out Premier Inc.’s PINC AI™ Value Based Care Collaborative. Read the full feature: https://lnkd.in/eqk8qsqc

"Independent physicians throughout the country continue to embrace ACOs...and the future of value-based health care for Medicare patients is clear: CMS has set a goal that 100% of individuals w/ traditional Medicare will be part of an accountable care relationship by 2030." VBC leaders, here are the big questions I'm left w/ from this article: 1. How are you preparing your org so that you can scale in a way to take on this huge amount of growth in the market? 2. How simple have you made it for new clinics to join your org and be onboarded? 3. How will your org leverage tech to allow your providers to practice w/o disrupting their current processes? Great work by Dr. Mohamed Diab, MBA and the AJMC - The American Journal of Managed Care. Link to article in the comments. #managedcare #aco #populationhealth

#PECOS offers numerous benefits to healthcare providers and organizations participating in the Medicare program. This article discusses seven critical advantages of using the PECOS tool. #medicare https://lnkd.in/gYCXfukV

Answer: TRUE Direct primary care (DPC) restores physicians to their fundamental role in a patient's healthcare journey. DPC doctors have the capacity and willingness to dedicate ample time to patients, enabling them to uncover crucial information that typically would remain hidden during the rushed 5-7 minute doctor's visits of traditional healthcare. As DPC practices become more prevalent across the country, NextGen Benefits advisers are increasingly incorporating DPC into their NextGen health plans. #NextGenBenefits #HealthcareRevolution #BreakStatusQuo

📣 Providers, elevate patient care with Chronic Care Management (CCM)! 🌟 Introducing CCM to your patients can revolutionize their healthcare experience and empower them to manage chronic conditions more effectively. Here's how you can introduce CCM to your patients: Educate: Inform your patients about the benefits of CCM, including personalized care plans, regular check-ins, and ongoing support. Highlight how it can improve their health outcomes and enhance their overall well-being. Empower: Emphasize the collaborative nature of CCM. Let your patients know that CCM involves their active participation in their own care. Encourage them to ask questions, share concerns, and engage in open communication with the care team. Explain Reimbursement: Briefly explain how CCM can alleviate the financial burden for eligible Medicare patients, as it is a billable service covered by Medicare. Highlight that it is a value-added service that supports their ongoing care while increasing your practice's revenue potential. Highlight Convenience: Emphasize the convenience factor of CCM. Let patients know that they can receive care management services from the comfort of their own home through remote monitoring and telehealth visits, reducing the need for frequent in-person appointments. Share Success Stories: Share testimonials or success stories from other patients who have benefited from CCM. This can help patients understand the potential impact it can have on their own health and motivate them to opt for this valuable service. If you need assistance running your CCM program, National Chronic Care Management is here to help. We have the staff, expertise, and dedication to ensure your patients receive the quality care they deserve while maximizing your reimbursement. Contact us today for a hassle-free CCM solution. 💻Visit our website at NationalCCM.com ✉️ Email us at info@nationalccm.com 📞 Call or Text us at 210-917-6275 National Chronic Care Management #CCM #chroniccaremanagement #BetterPatientCare #HealthcareRevolution #QualityCare #healthcareprovider #medicare #cms

Answer: TRUE Direct primary care (DPC) restores physicians to their fundamental role in a patient's healthcare journey. DPC doctors have the capacity and willingness to dedicate ample time to patients, enabling them to uncover crucial information that typically would remain hidden during the rushed 5-7 minute doctor's visits of traditional healthcare. As DPC practices become more prevalent across the country, NextGen Benefits advisers are increasingly incorporating DPC into their NextGen health plans. #NextGenBenefits #HealthcareRevolution #BreakStatusQuo