Medicaid

CMS Boosts States’ SDOH Efforts: New Opportunities Focus on Medicaid and CHIP

State health officials received a much-needed New Year’s present on January 7, 2021 from CMS. Cash-strapped and resource-drained after nine months of a pandemic, states health officials welcomed the center’s tidings of guidance, funding, and services to better address social determinants of health ( SDOH). The 51-page Medicaid Director’s letter from CMS provides leadership and …

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Three Medicaid Challenges in the Wake of COVID-19

Influx of new Medicaid participants Millions of unemployed Americans are losing employer-sponsored healthcare coverage. Without income or affordable insurance options, a large percentage of the U.S. population now find themselves eligible for Medicaid, many for the first time in their lives. As state Medicaid agencies and managed care organizations (MCOs) shore up systems to welcome …

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Behavioral Health: Looking Back at Open Minds Performance Management Institute

While the world of physical medicine has seen a steady progression in the development and adoption of value-based care models and payer contracts, behavioral health has been on a slower road to adoption. At the 2020 Open Minds Performance Management Institute earlier this month, payers, providers, and vendors convened to discuss a number of topics …

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HealthEC – Defying Limitations in 2019 and a Look Ahead to 2020

2019 was a wonderful year for HealthEC! We were blessed to work alongside some of the industry’s most innovative and dedicated professionals, while partnering with a dynamic, forward-thinking customer base that is second to none. With an emphasis and focus on strategic growth, product and professional development, as well as having fun, we accomplished some …

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Outcomes-Based Certification – Coming to a Module Near You!

Upon returning home from last month’s Medicaid Enterprise Systems Conference in Chicago, I took the opportunity to reflect on how things have changed since attending the conference in 2002 and how Centers For Medicare and Medicaid Service, states and vendors continue to face many of the same challenges year after year. While I could write …

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