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115 Results found.

Webinar

The ACCESS Model: Essentials for Applicants

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CMS鈥檚 new ACCESS model represents one of the most ambitious federal efforts to modernize chronic care through technology-supported services. This national, voluntary, decade-long model creates a new payment pathway for digital health tools, continuous monitoring, behavioral support, and other tech-enabled interventions that complement traditional care. With beneficiaries able to enroll directly and clinicians eligible for co-management payments, ACCESS introduces a fundamentally different approach to chronic condition management across Medicare.

In this webinar, 量子资源网 and Leavitt Partners experts will break down what is known today, what to expect in the forthcoming Request for Applications, and what organizations can do to prepare. We will walk through the model鈥檚 four clinical tracks, outcomes-aligned payments, beneficiary engagement expectations, the TEMPO pilot鈥檚 implications for digital device manufacturers, and how it relates to the CMS Health Tech Ecosystem initiative.

Learning Objectives:

  • Understand the ACCESS model鈥檚 goals, structure, and clinical tracks.
  • Recognize participant and beneficiary requirements, payment approaches, and data expectations.
  • Better understand how the ACCESS and ELEVATE models relate to the CMS-aligned network commitments
  • Identify key steps to prepare for the upcoming RFA and assess organizational readiness.
Webinar

Webinar Replay – Redefining Revenue: Building Financial Resilience in an Era of Policy and Payment Change

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This webinar was held on December 11, 2025.

As healthcare organizations face sweeping shifts in Medicaid funding, workforce costs, and payer expectations, leaders must think beyond short-term cuts and find sustainable ways to protect access, quality, and mission.

During this webinar, 量子资源网 experts Jose Robles, Juan Montanez, and Kristina Ramos-Callan discussed how hospitals, health systems, and providers can reimagine revenue strategy for the next decade.

Learning Objectives:

  • Understand the financial and operational implications of OBBBA and related regulatory changes on healthcare delivery.
  • Identify strategies to stabilize payer mix, manage revenue volatility, and mitigate the effects of coverage loss.
  • Explore technology and operational levers that enhance financial performance, including data analytics, automation, and care delivery redesign.
  • Examine how innovation and mission-driven decision-making can strengthen organizational resilience and maintain equity in care.
  • Apply insights to develop forward-looking plans that align fiscal responsibility with community health priorities.
Webinar

Webinar Replay – Value Based Care Advisory Services: 量子资源网 and Wakely Put Analysis into Action

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This webinar was held on November 20, 2025.

量子资源网 and Wakely Share Expert Insights on VBC Landscape

In this webinar, experts from 量子资源网 and Wakely reviewed the nation鈥檚 progress in the movement to value-based payment models and looked ahead to its next chapter, sharing 量子资源网鈥檚 views on future expectations for CMMI鈥檚 model portfolio, how shifting market and policy dynamics may impact MA contracting, and the state of value-based enablers, health systems, other risk-bearing provider entities impacted by these forces. 量子资源网’s VBC Advisory Services team supports organizations with integrated insights across strategy, analytics, and implementation to drive measurable results in value-based care.

Learning Objectives: 

  • Review the current state of APM adoption and key trends聽
  • Explore the CMS Innovation Center’s recent activities and potential focus areas for future models聽
  • Understand policy and market headwinds facing Medicare Advantage plans with implications for VBC聽
  • Gain insights into participation trends among health systems, enablers, and states

Related Resources:

Webinar

Webinar Replay – Impact Investing as Good Medicine: Prescribing Capital for Healthier Communities

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This webinar was held on November 13, 2025.

This webinar convened investment professionals from major healthcare systems alongside leaders in impact investing to explore how strategic investments in the social drivers of health affordable housing, community infrastructure, food access and security, transportation, and local community and economic development鈥攃an both improve population health and deliver financial returns to healthcare systems and payers. Healthcare leaders discussed how leveraging balance-sheet capital toward upstream solutions strengthens organizational sustainability, creates competitive differentiation in RFPs, builds community trust, and aligns with regulatory and value-based care incentives. Impact investing practitioners discussed how they identify opportunities that deliver both financial performance and measurable health outcomes, and share lessons from structuring investments that balance institutional rigor with community impact.

Learning Objectives:

  • Understand the landscape and principles of impact investing
  • Understand of business and healthcare value proposition of impact investing.
  • Identify concrete strategies for how health systems can invest

Featured Speakers:

Tyler Blickhan, CFA, CAIA, Associate Director of Investments Ascension Investment Management, LLC
Gina Kline, Founder & Managing Partner Enable Ventures
Nina Tschinkel, Director of Impact, Investor Relations & Communications Catalyst Opportunity Funds

Webinar

Webinar Replay- Beyond the Bill: How Pair Team and MCOs Are Meeting Community Needs Under HR 1

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This webinar was held on October 2, 2025.

As Medicaid evolves under HR 1, Managed Care Organizations face increasing pressure to meet new engagement requirements while ensuring vulnerable communities don鈥檛 fall through the cracks. This shifting landscape demands scalable, innovative care models that go beyond compliance 鈥� focusing instead on meaningful connections, coordinated support, and whole-person care.

In this session, Jami Snyder, former HHSC Commissioner of TX and Medicaid Director of AZ, joined Neil Batlivala, CEO and Co-Founder of Pair Team, and Dr. Nate Favini, Chief Medical & Strategy Officer, to explore how Pair Team and its MCO partners are meeting this moment. Learn how their model combines technology, care coordination, and community-based partnerships to engage hard-to-reach members and address social drivers of health.

We heard real-world examples of how payers and partners can come together in smarter, more connected ways. By aligning efforts and building trust, they can drive better outcomes and create stronger community connections for the people who need support the most.

Learning Objectives:

  • Briefly break down HR 1鈥檚 most critical provisions and what they mean for Medicaid and MCO operations.
  • Discover how Pair Team and MCOs are co-designing solutions leveraging technology.
  • Identify best practices for engaging populations facing barriers such as behavioral health needs, housing instability, and transportation challenges.

Featured Speakers:

Carter Kimble, Principal (Moderator) Health Management Associate
Jami Snyder, Former HHSC Commissioner, Texas; Former Medicaid Director, Arizona
Neil Batlivala, Founder and Chief Executive Officer Pair Team
Nate Favini, MD,MS, Chief Medical Officer Pair Team

Webinar

Webinar Replay – Medicaid 1115 Justice Involved Reentry Demonstration Opportunities: Engaging Key Stakeholders

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This webinar was held October 22, 2025.

This webinar explored how states, local agencies, and community organizations can maximize Medicaid鈥檚 new 1115 demonstration authority to improve reentry outcomes for justice-involved individuals. Presenters discussed practical strategies for assessing health and social needs, building strong collaborations with community providers, and implementing effective Medicaid enrollment processes. Attendees gained insights into designing and operationalizing reentry programs that promote continuity of care, reduce recidivism, and support successful community reintegration. This session is ideal for State Medicaid agencies, carceral facilities, correctional healthcare companies, health plans, community-based organizations, and federally qualified health centers.

Learning Objectives:

  • Understand the health and resource needs of returning citizens (health, behavioral health and social issues).
  • Identify key partners and formalize collaborations to strengthen the quality of transitions, care and support provided to individuals transitioning to the community.
  • Develop Medicaid enrollment strategies that apply to your state and local framework.
Webinar

Webinar Replay – Beyond Bundles: Preparing Hospitals for Success in TEAM and the Next Generation of Value-Based Models

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This webinar was held on September 30, 2025.

Hospitals and health systems are under growing pressure to succeed in new value-based models that demand both operational transformation and strategic alignment. In this webinar, advisors from 量子资源网, Wakely, an 量子资源网 Company and Nixon Peabody broke down the latest regulatory and contractual developments, explored lessons learned from the Comprehensive Care for Joint Replacement (CJR) model, and discussed how organizations can prepare for upcoming opportunities.

Speakers shared practical insights on:

  • The regulatory, operational, and actuarial considerations hospitals must navigate
  • Key takeaways from bundled payment initiatives like CJR
  • How to leverage data and design strategies to build partnerships that position organizations for success in new Medicare models

This session was designed for hospital executives, provider organizations, payers, and policy leaders seeking to better understand how emerging value-based models will shape the future of care delivery and payment.

Featured Speaker:

Whitney Phelps, J.D., Partner Nixon Peabody

Webinar

Webinar Replay – Navigating Medicaid Managed Care Shifts: Financial Pressures, Federal Policy, and Medicaid MCO Implications

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This webinar was held on September 17, 2025.

Medicaid managed care organizations face mounting pressure as enrollment patterns shift, federal policy evolves, and state budgets tighten. In this webinar, experts from 量子资源网IS, Wakely, and 量子资源网 shared exclusive analysis of Medicaid Managed Care Organization (MCO) financial performance, explored the implications of HR 1 and other federal policies, and offered State and MCO perspectives.

Learning Objectives

  • Interpret 2024 Medicaid MCO financial trends and historical benchmarks to anticipate future market performance.
  • Assess how federal policy changes, including HR 1, are reshaping Medicaid enrollment and creating new fiscal pressures for States and MCOs.
  • Evaluate state considerations around risk corridors, medical loss ratios (MLRs), and similar mechanisms in a challenging budget environment.
  • Identify strategies and planning initiatives that promote resilience, sustainability, and adaptation for Medicaid managed care organizations in a shifting landscape.

This webinar was for Medicaid managed care leaders, state officials, vendors, budget officers, and investors navigating financial pressures and policy shifts.

Webinar

Webinar Replay – Work That Works: Creating Sustainable Employment Pathways for Medicaid-Enrolled Communities

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This webinar was held on August 14, 2025.

As Medicaid increasingly intersects with the social drivers of health, states have a unique opportunity to strengthen economic mobility for Medicaid-enrolled populations through strategic localized employment initiatives in partnership with municipalities, healthcare systems, and managed care providers. This webinar explored how state Medicaid agencies can lead and support the development of workforce pathways that are sustainable, inclusive, and tailored to the needs of underserved communities.

Learning Objectives:

  • Learn how collaboration and partnerships reduce employment barriers.
  • Explore how data-driven design improves health outcomes.
  • Identify ways to integrate workforce development into Medicaid.
Webinar

Medicaid, Money & Mission: Unlocking Community Reinvestment Opportunities in Georgia

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This webinar was July 22, 2025.

This is a powerful and practical town hall designed to inform Georgia鈥檚 community-based organizations (CBOs) with the knowledge to access new funding opportunities through the new community reinvestment requirements in Georgia Medicaid. Learn how 量子资源网 can help you to build strategic partnerships with managed care organizations (MCOs) to support your mission鈥攁nd position your organization for success amid upcoming federal Medicaid work requirements.

Learning Ojectives:

  • What the current federal landscape means for CBOs
  • What community reinvestment means under Georgia Medicaid
  • What Medicaid work requirements could mean for the people you serve
  • How to prepare your organization to respond, engage, and grow

Featured Speaker:

Lynnette Rhodes, Chief Health Policy Officer Georgia Department of Community Health

Webinar

Webinar Replay – Digital Quality Measures: Opportunities to Electronically Share Digital Quality Measurement Data With Stakeholders

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This webinar was held on July 16, 2025.

As federal and state governments continue to evolve regulations and reimbursement models, healthcare providers are under increasing pressure to do more with fewer resources. Digital innovation, particularly through digital quality measures or dQMs, is a key strategy for easing administrative burdens while enhancing care delivery. This webinar explored how emerging policies and regulations are shaping the digital quality landscape鈥攁nd what healthcare organizations can do now to prepare for continued transformation.

Learning Objectives:

  • Understand the current and emerging federal and state legislative landscape impacting digital quality measures and their role in shaping healthcare operations.
  • Identify key benefits and challenges of implementing digital quality measures, including their potential to reduce administrative burden and support real-time data sharing.
  • Explore actionable strategies for healthcare organizations to proactively align with evolving mandates and leverage digital quality measures to improve outcomes and remain competitive.

Featured Speakers:

Eric Schneider, MD, M.Sc., Executive Vice President, Quality Measurement and Research Group National Committee for Quality Assurance (NCQA)

Webinar

Webinar Replay – The Future of the ACA Individual Market: Policy Shifts and the Proposals Before Congress

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This webinar was held on July 10, 2025.

Watch for an in-depth discussion on the future of the individual market and the impacts of potential Congressional and regulatory changes to the Affordable Care Act (ACA). This webinar explored findings from a new Wakely report which estimates that ACA enrollment could decrease by 11 to 13 million as a result of these pending changes, representing a 47% to 57% decline. The report also projects that market average premiums could increase between 7% and 11.5% on top of claims trend. The report鈥檚 analysis considers a range of influential factors, including provisions in the House budget reconciliation bill, the Marketplace Integrity and Affordability regulation, and the scheduled expiration of enhanced premium tax credits in 2026. 量子资源网, Wakely, and Leavitt Partners experts unpacked the current federal and state policy landscape and their potential effects on coverage access, affordability, and the long-term viability of the individual market.

Learning Objectives:

  • Interpret the projected coverage and premium impacts
  • Understand the role of expiring premium tax credits
  • Assess potential responses and strategies

Download the webinar transcript here.

Download the webinar Q&A here.

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