Medicaid faces significant challenges, including limited funding, difficulties engaging with diverse populations, and providers constrained by limited resources. However, these challenges also create opportunities for innovation through the adoption of value-based care (VBC) models tailored to Medicaid’s unique needs. Value-based models in Medicaid should prioritize member engagement, integrated services, and cost-effectiveness. Unlike traditional fee-for-service payments, […]

The Centers for Medicare & Medicaid Services’(CMS) recently unveiled the States Advancing All-Payer Health Equity Approaches and Development Model (AHEAD Model). This 11-year total cost-of-care reduction model is designed to give state governments the tools to reduce spending and increase quality. A significant component of this model is the integration of behavioral health into primary […]

“Engage your patient.” So important. So many different ways to approach it. Consumerism in healthcare is on a steep climb, yet due to a lack of clarity as to the best approach to patient engagement, many organizations offer a less-than-ideal, far-from-comprehensive strategy to tackle the initiative. Patients are no longer satisfied with a healthcare experience […]

When we think of patient engagement, we immediately envision efforts to engage the patient clinically to improve outcomes and financially to ensure payments. However, the administrative side of patient engagement is a third critical effort to engage patients meaningfully. The less challenging the administrative interactions are for a patient, the more highly satisfied they will be with their overall care. Practices […]