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. 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

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. Don’t miss out – read more here: https://lnkd.in/g9zi29AJ #HealthcareInnovation #ValueBasedCare #GlobalBudget #AHEADModel #CMS

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 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

This is truly cutting edge data centric and data aware solutions.

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 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

The hospitals run by BayCare Health System, the leading health care provider serving West Central Florida, are far more likely to provide high-quality, safer care, according to the Centers for Medicare and Medicaid Services’ (CMS) signature consumer ratings. In the latest CMS Hospital Quality Star Ratings report, 66% of the nine BayCare hospitals eligible to be surveyed under the program scored a rating of 4 or 5 stars, compared with 40% nationally. When including 3-star ratings, 88% of BayCare hospitals performed at that level, compared to 69% nationally. Read more: https://lnkd.in/eRXyGJzw #BayCareProud

With news of CMS Star Rating recalculations, many Medicare Advantage plans are revisiting their supplemental benefit packages. Investing in programs that drive health outcomes, improve the member experience, and reduce total cost of care is a top priority—so let us help get you there. Driven by rigorous research, numerous studies demonstrate Papa’s clear value and ROI. Member cohorts using Papa are associated with a: 📉 19% reduction in total cost of care 🏥 20% reduction in emergency department visits 🚑 18% reduction in inpatient hospital admissions 🌟 6% higher composite care gap compliance rate, meaning Papa members attended more Stars-related screenings and appointments than matched non-Papa members. People need people, especially when it comes to their health. Discover how our core companion care solution, combined with configurable impact programs like #StarEnhancement and #SDoHNavigation, can make a significant difference for your members. 🔗 Proven Impact of Companion Care: https://bit.ly/3KkAC4H

“Medicare beneficiaries deserve coverage that puts their health care needs above insurers’ bottom lines, but time and time again we see proof that Medicare Advantage plans play games to delay and deny patient care. FAH thanks Chairman Wyden, along with Ranking Members Neal and Pallone, for their leadership protecting patient access to care and we urge CMS to hold MA plans accountable.” FAH continues to call attention to Medicare Advantage plans' alarming tactics to delay and deny patient care. We join Chairman Wyden, along with Ranking Members Neal and Pallone, in urging CMS to hold MA plans accountable. https://lnkd.in/eGkVqnP3