John Trefethen, MFA

The CalAIM initiative is transforming healthcare for California’s most vulnerable, urging Health Plans to align Medicare and Medicaid services for dual-eligible individuals. By January 2026, DSNPs will bring streamlined, coordinated care and open new opportunities in the healthcare landscape. But are Health Plans ready? DSNP success involves navigating tight compliance timelines, regulatory hurdles, and ensuring a cohesive member experience. Simplify Healthcare's Benefits1™ platform is here to support Health Plans every step of the way. Read our latest blog to learn how to prepare for DSNP readiness and embrace these changes with confidence! https://lnkd.in/d547Hpi3 #SimplifyHealthcare #SimplifyHealthCloud #Benefits1 #CalAIM #DSNP #HealthPlans #HealthcareInnovation

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The November Newsletter: 🖥️ New CHIE Portal Experience: The new CHIE portal is live, offering a more modern user interface to access your patients’ longitudinal health records. We've created several methods to set you up for success. 🏥 Utah Model of Care - Prioritizing a System that is "Affordable, High-Quality and Built on Trust": The One Utah Health Collaborative announced the adoption of the Utah Model of Care at the Capitol in late October. The model, developed through statewide collaboration, represents a significant step toward creating a healthcare system that is affordable, high-quality, and trusted for all Utahns. UHIN is proud to be part of the Stakeholder Community Board working with the One Utah Health Collaborative on the Utah Model of Care! 🎥 Top Questions and Answers from the Virtual Payer Panel​​​: Dive into five of the top questions and insights shared during the webinar with Lori Weber (Noridian Healthcare Solutions) and Melissa Shoemaker (Select Health), offering clarity on telehealth billing, claims processing, EDI recertification preparation and other essential topics. 🎥 Watch the CHIE Portal Overview Video: The new platform offers a more modern user interface to access your patients’ longitudinal health records. Learn more about the updated experience in our demo video, including the new dashboard, cards, patient summary, customer support, and future enhancements. 👋 Conferences and Events: Texas Covered + Thanksgiving Holiday We attended the Texas Covered Health Care Conference + Expo Event in Austin, TX from November 4-6. UHIN will be closed for the Thanksgiving holiday on Thursday, November 28th and Friday, November 29th. We're thankful for our customers, colleagues, community and partners! Please note: UHIN Customer Support Holiday Schedule The UHIN Customer Support call center will be closed on Thursday, November 28th and Friday, November 29th. All regular support issues will be addressed on Monday, December 2nd. Our on-call team will actively monitor the system to ensure connectivity remains stable. If you have an issue, please contact us through the standard support channels by emailing [email protected]. These will be addressed in accordance with our off-hours support policies. 📰 Brian Chin tapped as Comagine Health's Chief Product Officer: Comagine Health recently announced that Brian Chin will take on the role of their Chief Product Officer, while continuing to serve as CEO of UHIN. In his expanded role, Mr. Chin will lead the development and execution of Comagine Health's product and technology roadmap, driving their commitment to providing high-quality solutions that meet the changing needs of the clients and the communities they support. https://lnkd.in/gvhzMYbb

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🚀 What if you could double your ACO's performance? Healthcare organizations managing 50K Medicare lives are leaving millions on the table. But there's a solution. Top ACOs are activating their value-based care flywheel through: ✅ Automating data analytics while preserving expert clinical judgment ✅ Turning real-time performance insights into actionable workflows ✅ Building a systematic approach to network and contract optimization Ready to activate your value-based care flywheel? 💡 Get the playbook that's helping leading ACOs maximize their potential: https://lnkd.in/g-q63AG9 #HealthcareInnovation Sean Hogan | Amy Stevens | Brian Silverstein, MD

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Designing an integrated #behavioralhealth care workflow? AMA’s recently updated BHI practice guide helps you tackle key questions about staffing, warm handoffs, technology, #billing, and #patient feedback. Download the guide today. #mentalhealth

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Discover how Alameda County, CA, successfully implemented mobile integrated healthcare with their CARES program, focusing on behavioral and mental health through the Alameda Care Team. Learn how they reduced ER visits and improved patient care. See how Julota's interoperable software can enhance your MIH-CP program by forming stronger community connections, storing better data, and improving patient care. Check out the article below to learn more! 👇👇👇

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Missed our webinar about the hype surrounding AI and outpatient infusion coding? Watch this snippet from the event to see how having an automated solution can simplify your coding so that you aren't leaving revenue on the table.

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Did you know? Free health coverage enrollment assistance is available for the Oregon Health Plan and Marketplace coverage! Whether you're a first-timer or need to update your coverage, there's help every step of the way. Don't miss out on the opportunity to get the coverage you need. Reach out today and let's get you covered! #HealthInsurance #EnrollmentAssistance #GetCovered #Oregon #OregonHealth #OHP #OregonHealthPlan

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Increasingly, regional HIEs are coming together to consolidate services in their state to gain economies of scale. Connecting to your local HIE promotes better patient outcomes, cost savings, and efficient healthcare delivery. Fivebase helps organizations connect with HIEs and use the information to better care and local resource planning. 

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🌟 Elevate your care coordination with Forcura Circle! Our HIPAA-compliant e-signature solution is transforming Home Health and Hospice workflows. Say goodbye to costly delays and hello to efficiency. Faster signatures can mean better clinical outcomes and improved provider relations. Ready to revolutionize your process? #Forcura #ForcuraCircle #HealthCareTech #Workflow #HomeHealth #Hospice

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Simpl Healthcare is your all-in-one solution to maximize provider efficiency, alleviate burnout, and improve patient satisfaction. 🚀 Simpl uses AI technology to save providers' time and improve accuracy. The Simpl platform streamlines patient intake, paperwork, and administrative tasks. 🗒 Learn more at simplhealthcare.com #simpl #healthcare #EHR #AI #telehealth #interoperability #facialscan

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Simpl Healthcare is your all-in-one solution to maximize provider efficiency, alleviate burnout, and improve patient satisfaction. 🚀 Simpl uses AI technology to save providers' time and improve accuracy. The Simpl platform streamlines patient intake, paperwork, and administrative tasks. 🗒 Learn more at simplhealthcare.com #simpl #healthcare #ai #interoperability #cloudehr #aihealth #medtech

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Diversify Your Referral Strategy by: 🎯 Identifying Top Referral Sources: Target hospitals, SNFs, and home health agencies aligned with your services. 🎯 Tracking Patient Journeys: Follow patients 0-30 days post-discharge for valuable insights. 🎯 Making Data-Driven Moves: Pinpoint which facilities drive the most referrals and build stronger connections. Hear about Jaime's story and how her team expanded their targeting strategy. 👉 https://buff.ly/3OF2LFV #infusion #HME #salessuccess #referraltargeting #successin2025

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The California SNF Workforce & Quality Incentive Program (WQIP) incentivizes facilities to improve quality of care, advance equity in healthcare outcomes and invest in workforce. SHP utilizes the program domains and measurement areas to estimate potential incentive payments based on a number of factors, including MDS data, CMS data releases, previous year cost reporting and survey health deficiencies. SHP’s WQIP report displays the data at a high-level view for each facility in your corporate portfolio, as well as providing greater drilldown detail for represented domains and measures. Schedule a free demo today to learn more. https://okt.to/rfxNPs #cawqip #skillednursing #intellilogix #shp

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In a significant blow to patient-centered care in California, the Integrated Healthcare Association has discontinued use of patient experience measurement in its incentive payment program (AMP) beginning in 2025. Without a business case for providers to measure and report patient experience, the program is no longer sustainable and PBGH will sunset the Patient Assessment Survey (PAS) program. No other patient experience measures were identified for program use. Patient experience is a key attribute of high-quality care and a priority for patients and purchasers. PBGH has operated the Patient Assessment Survey for over 20 years. The results were used by the State of California and health plans to identify and reward patient-centered care. Upon conclusion of the program July 31, 2024, PBGH will work with partners to seek new and innovative measurement methods. PBGH remains committed to enhancing health care quality and patient outcomes. https://bit.ly/4f7fm0m

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🚀 Ready to supercharge your healthcare workflow? Step up your appointment management game with DOCPACE's intuitive platform. With automated smart reminders and AI-powered data analytics, DOCPACE helps you maximize billable hours, boost patient satisfaction, and grow your practice. Learn more and start saving time on patient visits today! 💻👨‍⚕️

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As value-based care models continue to make inroads, attracting specialists to accountable care organizations (ACOs) is vital. Read how data analytics platforms help ACOs implement new strategies by providing real-time insights, information, and tools that incorporate specialists’ needs and concerns. https://lnkd.in/erxzDSSe #specialists #ACO #dataanalytics

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Are you focused on bringing technology to your healthcare organization and want to avoid common pitfalls? Looking to get clinicians bought into optimizing technology and digital solutions? Are you a clinician frustrated with being shown technologies that add more work to your day? Trying to expand at home services and palliative care programs to impact your MSSP ACO success? Learn from someone who has sat in the driver's seat brining technology and clinical leaders together. Quality Reviews® CMO, Sonni Mun, M.D. now has her monthly blog tackling the question- how does technology fit into the work clinicians do every day Check out the CMO's Corner to get a monthly review of the biggest up and night issues facing clinicians: https://lnkd.in/etM4_Rbp

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A Southern California health system was looking for a solution that helped prevent patient falls, while decreasing the amount of sitter hours they utilized. The data points below, measured over a one-year period, show our platform was able to support them with both. Schedule a demo today and learn how we can work together toward your #patientsafety and #virtualsitting objectives. https://lnkd.in/geXupgAy

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