Diego Trujillo

I believe it is important we pay attention to what is happening here. In Arizona, American Indian health insurance primarily operates through the "American Indian Health Program" (AIHP) within the Arizona Health Care Cost Containment System (AHCCCS), which is the state's Medicaid program; this system is rooted in the federal Indian Health Service (IHS), providing healthcare to Native Americans through a government-to-government relationship with federally recognized tribes, with historical roots dating back to the establishment of the United States, where the federal government has a responsibility to provide healthcare to Native Americans. Key points about American Indian health insurance in Arizona: AHCCCS and AIHP: The primary access point for American Indian health insurance in Arizona is through the AIHP program within AHCCCS, which offers comprehensive healthcare coverage to eligible Native Americans. Indian Health Service (IHS): The IHS, a federal agency under the Department of Health and Human Services, is the primary provider of healthcare for American Indians and Alaska Natives, including those in Arizona. Historical Context: The federal government's responsibility to provide healthcare for Native Americans stems from treaties and the special government-to-government relationship established with tribes. Current Challenges: Issues with fraud, mismanagement, and misappropriation of funding has led to a crisis in Arizona. AHCCCS has responded by suspending or revoking the licenses of suspected bad actors who preyed upon the Native community. The companies cost the state over $2B in mostly fraudulent billing. Additionally AHCCCS has suspended or significantly delayed payment for claims under AHS insurance plan. Unfortunately, AHCCCS seemed to underestimate the actual need for services and forced mass homelessness of vulnerable Native community members. Non native people who were victimized by these centers had few problems finding alternate care because AHCCCS continued to pay for other Medicaid plans claims in the state. AIHS payment suspensions have resulted in the closure of agencies who provided culturally specific care. Now, Native people are being told to change to another plan so they can get to a provider. Possible catastrophic result: AIHS may cease to exist because services have become inaccessible. Federal funding intended for Native care will be dumped in the pot with standard Medicaid services and the resources for Native communities healthcare severely diluted.

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Join the conversation! Our team is facilitating the strategy task force of a hospital client in Washington State this week. We're analyzing surveys, focus groups, market, and organizational data to develop a strategic plan framework for the next three years. What are your favorite and least favorite strategic working session activities? Do you hate ice breakers? Love SWOT analysis? Share your thoughts! #strategicplanning #healthcare #hospital #WashingtonStateHospitals #taskforce #dataanalysis

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From finding a primary care provider to getting a mole checked, Presbyterian's telehealth services are helping New Mexicans access care quicker. An improved site makes it simpler to find what you're looking for and schedule an appointment. ✅Virtual care options are listed on phs.org instead of on a separate site. ✅The virtual care page lists all services offered, and options for Presbyterian Health Plan members are grouped together. ✅The scope of care for each option is explained upfront, with listings for hours and ages accepted. Check it out now: phs.org/virtual

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Night Angels: 💕How Esperanza's Midnight Therapy Became the Go-To for CEOs and VIPs✨ In the relentless pace of modern life, finding time for mental health care can often feel impossible. Recognizing this challenge, Esperanza Health Care Services set out to revolutionize therapy with a unique, innovative approach. Enter Night Angels—a service born from the urgent need for privacy, comfort, and individualized attention, available when our clients need it most: late at night. The Birth of Night Angels: A Response to Client Needs Three years into our journey at Esperanza, we noticed a growing trend. Many of our clients, particularly high-profile individuals like CEOs and VIPs, struggled to find time for therapy during conventional hours. They needed a space where they could express themselves freely, away from the interruptions and pressures of the day. Understanding this critical need, we launched Night Angels, offering therapy sessions from 11 PM to 1 AM. This service ensures that mental health care does not stop even after midnight, providing the ultimate convenience and privacy. Why Night Angels Stands Out Unmatched Privacy and Comfort: Night Angels sessions are designed to offer a sanctuary of peace and confidentiality. The late-night hours ensure that clients can speak openly without fear of interruptions or prying eyes, creating an environment where true healing can begin. Tailored for the Elite: Our client base includes some of the most successful and driven individuals. CEOs, entrepreneurs, and high achievers need therapy just as much as anyone, if not more, given their intense schedules and responsibilities. Night Angels provides them with a dedicated time slot where they can focus entirely on their mental well-being. Why Night Angels Is a Game-Changer Unconventional Hours, Exceptional Results: By operating outside traditional hours, Night Angels caters to those whose schedules demand flexibility. This unique approach ensures that no one has to choose between their mental health and their professional responsibilities. A Service for the Elite, Appreciated by All: While Night Angels is particularly favored by high-profile clients, its benefits are universal. The service is a testament to Esperanza’s commitment to meeting our clients' needs, regardless of their status or profession. Join the Night Angels Community Night Angels isn’t just a service; it’s a lifeline for those who need mental health support at unconventional hours. At Esperanza, we’re proud to offer a program that stands out for its dedication to privacy, flexibility, and unwavering support. If you’re seeking a mental health care solution that fits your busy lifestyle and offers the highest level of personalized attention, Night Angels is here for you. Experience the service that has transformed the lives of CEOs, VIPs, and countless others, proving that mental health care can be both accessible and exceptional—even after midnight.

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Medicaid enrollment in Colorado has declined by more than 575,000 people — about 33 percent of the total program size. According to an analysis from the Kaiser Family Foundation, Colorado has the largest net Medicaid enrollment decline in the country. Many of those people lost coverage for administrative reasons, not eligibility reasons — meaning that they are still entitled to Medicaid benefits but aren’t getting them. In the Eagle River Valley, this means patients we have known and served for years as Medicaid patients are now seeking care without insurance, and that is straining our capacity to serve everyone. For Mountain Family Health Center, over 2,000 of our patients have lost insurance and become uninsured since this time last year. We calculate that our total lost revenue related to this crisis is $1.5 million on a $25 million budget — a 6 percent decline in one year. https://lnkd.in/gt-v9fuj

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These are some good takeaways and observations from Fall Forum! Thanks Muhammad S. for sharing.

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My Friday good news celebrates the heroes of value-based care: primary care physicians and teams. The most successful #Medicare ACOs, those delivering value for Medicare and Medicare beneficiaries and sharing in that value, are primary care-centric #ACOs. We know how they do it; the playbook often includes support from enablers like Aledade, Inc.. Dr. Menard and his colleagues didn't give up when success wasn't immediate. How do we grow more primary care-centric ACOs and generate more value for Medicare and more access and quality care for beneficiaries? There are some health system ACOs investing in primary care and integrated teams. But it might take more forceful nudges from Medicare to get big health systems participating in total cost-of-care risk models. Or, we might need payment policies to give primary care more independence to practice comprehensive care. Congress could also consider restructuring the APM bonus to reward primary care "centricity". #primarycare #valuebasedcare Primary Care Collaborative David Raths David Muhlestein AAFP Foundation Thomas Culhane, MD, MMM, MS Darrin Menard, M.D. Stacey Richter https://lnkd.in/dThMvJrQ

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Today we’re sharing a favorite media source that covers the topic of Direct Primary Care! ‘My DPC Story’ is a podcast hosted by Maryal Concepcion, MD FAAFP, where she interviews physicians and different people that are at various stages of Direct Primary Care and Direct Specialty Care with the hope that listeners “meet” new people and feel the connection to the future of patient care. Check out the My DPC Story podcast on Apple podcasts or Spotify! #internationalpodcastday #podcasts #podcastrecommendations #directprimarycare #medicalpodcasts #dpc #dsc #directspecialtycare #mydpcstory #applepodcast #spotifypodcast

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When properly implemented, Chronic Care Management (CCM) and other care management programs can help transform healthcare practices. Chronic Care management is known to improve patient outcomes, and drive revenue growth. But what’s the secret to making CCM programs work? Nurses. Nurses are the bridge between patients and providers ensuring care is patient centered and connected. With our clinical expertise and natural ability to connect, we help to ensure seamless coordination of care. From developing and monitoring care plans to managing follow-ups, nurses ensure every patient is supported and no detail is overlooked. For many practices, CCM can feel overwhelming, but with nurses you have help organizing workflows, engaging patients, and documenting care processes, allowing physicians to focus on clinical care. By putting nurses in charge of care coordination, practices operate more efficiently, improve outcomes, and stay aligned with value-based care goals. One of the most significant contributions of nurses in CCM is patient engagement. Nurses build trust, help patients overcome barriers like medication adherence or access to resources, and address social determinants of health. This personalized approach doesn’t just improve care, it changes lives. True success in CCM requires collaboration. When nurses lead the way, working in sync with providers, practices unlock the full potential of care management. The result? Better patient outcomes, empowered care teams, and practices positioned to thrive in a changing healthcare landscape. #NurseLeadership #ChronicCareManagement #ValueBasedCare #CareCoordination #HealthcareInnovation #NurseEntrepreneur

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🌟 SilverStone Health's Evolution and Expansion in Home-Based Care: 🚀 Rapid Growth: From a humble beginning as a small hospice provider, Silverstone Health has expanded to serve 2,000 patients daily with services in home health, palliative care, and personal care. 📈 Strategic Acquisitions: Under CEO Alfonso Montiel's leadership, the company has acquired two home health agencies and a physician group, significantly enhancing its service offerings. 🔗 Integrated Care Model: Silverstone Health has launched telehealth services and is set to introduce a personal care operation, further broadening its continuum of care. 💼 Leadership Vision: CEO Alfonso Montiel, leveraging his diverse background from strategic planning to private equity, drives the company’s growth with a focus on innovation and family-centered care. 👥 Future Collaborations: Looking ahead, Silverstone plans to explore partnerships with other providers to minimize care fragmentation and improve patient transitions. #SilverstoneHealth #HomeBasedCare #HealthcareInnovation #PatientCare #CareCoordinations Read the full article from Jim Parker at Home Health Care News highlighting conversation 🎙 with Alfonso Montiel of SilverStone Health 🔗 https://lnkd.in/gtpyZhET

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A 2023 survey by USC found that nearly half of Americans view hospital-at-home care as acceptable, with many believing it leads to faster recovery and feeling safe and comfortable receiving care at home. Read more at https://ow.ly/Ne5R50SzxKq #Healthcare #CMS #HospitalAtHome

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Growth Conference 2025 Come join me January 30 - February 2, 2025 in Miami, Florida for Growth Conference 2025. Register with code: r25gawenda between November 1, 2024 and December 31, 2024 to receive 5% Off Your Conference Registration! The 2025 Growth Code Conference will be in Miami, FL on January 30, 2025, to February 2, 2025! REGISTER TODAY: https://lnkd.in/grY3Ft9r The Growth Code Conference is a unique one-of-kind experience where Private Practice Leaders come together to network, collaborate, and truly learn so that they can grow their practices to new heights! This is a business conference that specializes in optimizing your private practice through concrete learning, collaboration sessions, and relationship building. I will be presenting 5 sessions at Growth Conference 2025: 1. Contract Negotiations and Renegotiations 2. Compliance 101: Most Common Compliance Violations Impacting Private Practices 3. ICD-10 Diagnosis Coding for Pediatric PT, OT and SLP 4. Budgets and Metrics: What to Track and How Often 5. Out of Network Billing and The Role of Your Good Faith Estimate In addition to my sessions, other session highlights include: Redefining Your Work Culture to Optimize Your Growth & Retention Accounting 4 The Bottom Line: Secrets to Regaining Profits Through Your Expense Analysis Strategies for Optimizing Your Private Practice Valuation & Preparing For a Future Exit How to Grow & Harness Practice Profits and Build Personal Wealth Compensation 101: Understanding How to Evaluate & Build a Compensation Structure To view the full agenda, go to https://lnkd.in/gf5tEqCx. Full breakfast and lunch included all 4 days. To register, go to https://lnkd.in/g_EjTMdx and be sure to use discount code r25gawenda to receive 5% off your registration.

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🌟 Excited to Share: Top-Flight Behavioral Healthcare for All! 🌟 We are thrilled to announce the publication of an important piece on the Innovation in Behavioral Health (IBH) pilot program. This initiative aims to provide coordinated care for mental health conditions and substance use disorders, linking Medicare and Medicaid beneficiaries with community-based providers. This comprehensive approach addresses both physical and mental health, as well as social factors like food insecurity and housing instability. A huge shoutout to Dede Kennedy and the NABIP Mental Health Working Group for their incredible efforts. This article was a collaborative effort, with invaluable guidance of the NABIP Consumer Bill of Rights. Two key highlights: • Expanding Coverage: Extending IBH to those with employer-sponsored insurance could increase access and save taxpayers money. • Integrated Approach: Patients will receive health screenings, outpatient care, specialist referrals, and ongoing monitoring, ensuring holistic support. Key Recommendations: • Consistent Care: Ensuring ongoing care to prevent relapse and maintain health improvements. • Adding Dental and Vision Care: Essential for full recovery and community integration. • Employer Marketplace: Expanding the IBH model to include those with employer-sponsored coverage would ensure more people benefit from this comprehensive care approach and could help prevent relapse by maintaining access to critical coordinated care. Go NABIP team! 💪 #MentalHealth #IBHProgram #NABIP #BehavioralHealth #CMS Centers for Medicare & Medicaid Services Modern Healthcare

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Healthforce Newsletter By Global MedTeam August 2024 Find out more about news regarding healthcare, legislation, government initiatives and healthcare workforce. Find the latest news condensed in our newsletter. #GloablMedteam, #hiring, #nurses, #nurse, #healthcare Like, share and subscribe to our weekly newsletter. Reach out to us at [email protected]

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Tune in to the "Community Matters: Understanding Social Determinants of Health to Reduce Dementia Risk" webinar series! 🧠💡 Discover how factors like social connections, education, and environment can impact dementia risk, and what you can do to make a difference. 🌍❤️ Let's empower our communities with knowledge and take proactive steps towards better health together. 🏃‍♂️📚 Register now: bit.ly/PHCOEwebinar #HealthEquity #DementiaAwareness #CommunityHealth #SocialDeterminants #WellnessJourney

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Enhanced Care Management (ECM) is a whole-person healthcare approach that improves care coordination and outcomes for California’s most vulnerable populations. This statewide benefit addresses the complex needs of high-risk members, from those experiencing homelessness to individuals with #MentalHealth and substance use disorders. Read the full CareThreads blog to learn how ECM provides dedicated care managers and leverages tools for efficient service delivery, ensuring timely interventions and better health outcomes for Californians: https://okt.to/n6Gx5N

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