COPE Health Solutions’ Post

Are you a hospital serving Medicare and Medicaid in Vermont, Maryland, Connecticut, or Hawaii? CMS just announced that these are the first states to be accepted to participate into the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) model. The blog link below provides information about this initiative and how to prepare for success, written by COPE Health Solutions leaders Steven Hefter, Lindsey Patton and Allen Miller. Don’t miss out – read more here: https://lnkd.in/g9zi29AJ #HealthcareInnovation #ValueBasedCare #GlobalBudget #AHEADModel #CMS

Are you a hospital serving Medicare and Medicaid in Vermont, Maryland, Connecticut, or Hawaii? CMS just announced that these are the first states to be accepted to participate into the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) model. This article provides information about this initiative and how to prepare for success, written by COPE Health Solutions leaders Steven Hefter, Lindsey Patton and Allen Miller. Don’t miss out – read more here: https://lnkd.in/g9zi29AJ #HealthcareInnovation #ValueBasedCare #GlobalBudget #AHEADModel #CMS

The HTI-2 proposed rule aims to create a more efficient, secure, and patient-centered #healthcaresystem to improve care and public health response. Among the developments aligns with the Centers for Medicare & Medicaid Services (CMS) Electronic Prior Authorization (ePA) requirement of streamlining the prior authorization process by promoting an #electronicworkflow. https://loom.ly/l6L6Zx8 #DataModernization #Interoperability #HealthcareInnovation

Continue incentives to move toward value. Promote adoption of models that prove cost effective and high outcomes for patients. Healthcare is at a crossroads to whether value is fully adopted across health systems. CMS incentives are critical for this adoption. Appreciative of the hard work on this topic.

The Centers for Medicare & Medicaid Services (CMS) has hosted several recent webinars highlighting how it's National Quality Strategy is being implemented. Two of the sessions I attended, "Prioritizing Patient Safety Through Quality Measurement" and "AI in Quality Measurement" emphasized current cross-agency federal collaboration (AHRQ-CDC-CMS-FDA-ONC) and a focus on the shared strategy goals highlighted below. This initiative, launched in 2022, sets and raises "the bar for a resilient, high-value health care system that promotes quality outcomes, safety, equity, and accessibility for all individuals, especially for people in historically underserved and under-resourced communities." 👏 👏👏👏👏 https://lnkd.in/ecrEtSwu https://lnkd.in/eSRyisWT #healthcarequality #patientsafety #healthcareoutcomes #highvaluecare #patientaccess #patientcenteredcare #healthadvocacy

Brag Moment: Advanced Health Outcomes' CEO, Dr. Sharon Hibay, was reaccepted to the Mathematica and Centers for Medicare & Medicaid Services CCSQ Hospital Harm Technical Expert Panel (TEP) for measure development. Such a great way to give back to our healthcare industry, generating measures that genuinely drive care transformation, outcomes, and just accountability. #MeasureGeek #PatientSafety #ReduceHospitalHarm

The latest CMS Fourth Evaluation Report on the Vermont All-Payer ACO Model highlights the impact of the model in its first five performance years. A focus on preventing avoidable acute care likely contributed to reduced hospital admissions and statewide and community health initiatives led the state to meet many of the model’s quality performance targets. However, challenges like limited payer participation, financial constraints, administrative burdens, and data access issues remain. https://lnkd.in/enWXiJGb   Stay updated on all CMMI payment models with the Health Care Transformation Task Force's Model Tracker, a comprehensive and regularly updated resource documenting the Centers for Medicare & Medicaid Services payment models: https://lnkd.in/gRJuh5DE 

The path to high performant specialty care starts with the referral—ensuring the patient sees the right doctor, at the right time, the first time, and every time. What I’ve been most impressed with in my early days on the Conduce Health team is the ability to accurately and consistently make this possible and personalized at the patient level. Interested in learning more? Let’s connect!

The HFMA Greater Heartland Chapter Summer Conference is rocking! In the day's second event, Kim Duggan presented an information-packed session that provided a comprehensive update on current Missouri Hospital Association payment models. The session was filled with valuable insights and covered three critical learning objectives: 1. **Understanding Medicaid Payment Policies**   - We delved into the latest Medicaid payment policies, exploring how they impact our operations and financial planning. 2. **Discussion of Provider-Based Rural Health Clinic Payments**   - The session included an in-depth discussion on payments for provider-based rural health clinics, highlighting key changes and their implications for rural healthcare providers. 3. **Understanding FRA Policies**   - We gained a thorough understanding of FRA policies, learning how to navigate these regulations effectively to ensure compliance and optimize reimbursement. This session was critical, providing us with the knowledge needed to stay current with Medicaid policies and how they impact our hospital's bottom line. #HFMA #MissouriHospitalAssociation #HealthcareFinance #RuralHealth #FRA #RevenueCycleManagement #HealthcareCompliance

For our last Big Discussion of 2024 Connect day 2, Health Evolution Chairman David Brailer sat down with Meena Seshamani, deputy administrator and director of the Center for Medicare, Centers for Medicare & Medicaid Services, to illuminate where industry and CMS can collaborate to drive progress and transformation while ensuring patients and caregivers remain at the center of all we do. Check out what’s on the agenda for 2024 Connect day 3!: https://lnkd.in/ercZFapw #HEConnect24