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CMS Interoperability and Patient Access Final Rule 鈥� Part 1
This blog was written by Laura Zaremba, Principal, 量子资源网, and Robert Chouinard, VP Public Sector, HealthEC
What are we really talking about?
CMS published the Interoperability and Patient Access Final Rule in the Federal Register on March 4, 2019, the pre-publication text of the final rule was released on March 9, 2020, and the final rule was published in the Federal Register on May 1, 2020. The rules are effective as of January 2021 and will be enforced by July 2021.
量子资源网 provides updates in 2021 federal healthcare policy landscape
This week, our In Focus comes from an 量子资源网 cross-cutting subject matter team, who have updated a core set of federal policy slides that analyzes recent federal policy actions following the Presidential and Congressional elections. It includes an analysis of President Biden’s $1.9 trillion COVID-19 relief legislation currently in development and recent CMS regulatory and administrative actions. Specifically, the analysis looks at:
Webinar Replay: How FQHCs Can Deliver Innovative Care Under Existing and Value-based Payment Models
This webinar was held on March 18, 2021.
Efforts by Federally Qualified Health Centers (FQHCs) to reach underserved communities, address health inequity, and re-engage marginalized individuals are greatly enhanced when payment models are maximized to support innovation in the delivery of care. During this webinar, 量子资源网 experts addressed how FQHCs can enhance payments and boost opportunities to innovate under both the current Prospective Payment System and under emerging alternative, value-based payment models. Speakers also addressed creative strategies for outreach, engagement, care management, and the implementation of alternate clinical care modalities such as group visits and telehealth.
Learning Objectives
- Understand the strengths and weaknesses of the Prospective Payment System.
- Learn how to enhance reimbursements for specialized services.
- Identify opportunities and barriers among alternative payment models.
- Find out how to succeed in a value-based care environment.
量子资源网 Speakers
Art Jones, MD, Principal, Chicago, IL
Margaret Kirkegaard, MD, MPH, Principal, St. Paul, MN
Webinar Replay: Improving COVID-19 Vaccine Confidence in Underserved Populations
This webinar was held on March 16, 2021.
COVID-19 vaccination has lagged among underserved populations and communities of color in part because of a deeply rooted historical skepticism concerning the safety and efficacy of certain medical treatments and procedures. During this webinar, experts from 量子资源网, Tufts Health Plan, and ConsejoSano discussed how healthcare providers and public health officials can engage underserved populations and communities of color, build trust through tailored strategies, and raise the level of comfort and confidence among individuals still reticent to receive the COVID-19 vaccine.
Learning Objectives:
- Understand the drivers of lagging COVID-19 vaccination rates among underserved populations and communities of color.
- Find out how to build confidence in the safety and efficacy of COVID-19 vaccines using strategies tailored to specific populations and specific healthcare settings.
- Understand the special challenges and promising strategies for increasing vaccine confidence among individuals with behavioral health issues.
- Explore a novel high-tech, high-touch multicultural engagement solution for tailoring vaccine confidence strategies to diverse populations.
- Learn how to tackle underlying health equity challenges that might hinder efforts to improve COVID vaccination rates among underserved populations and communities of color.
Speakers
Margaret Kirkegaard, MD, Principal, 量子资源网
Karen Hill, Senior Consultant, 量子资源网
Deb Peartree, Senior Consultant, 量子资源网
Gary Rosenfield, SVP of Business Development & Strategy, ConsejoSano
Juan Lopera, Corporate Business Diversity Officer, VP of Marketing & RI Medicaid, Tufts Health Plan
Medicaid Managed Care Spending in 2020
This week, our In Focus section reviews preliminary 2020 Medicaid spending data collected in the annual CMS-64 Medicaid expenditure report. After submitting a Freedom of Information Act request to the Centers for Medicare & Medicaid Services (CMS), 量子资源网 received a draft version of the CMS-64 report that is based on preliminary estimates of Medicaid spending by state for federal fiscal year (FFY) 2020. Based on the preliminary estimates, Medicaid expenditures on medical services across all 50 states and six territories in FFY 2020 exceeded $649.4 billion, with over half of the total now flowing through Medicaid managed care programs. In addition, total Medicaid spending on administrative services was $29.7 billion, bringing total program expenditures to $679.1 billion.
量子资源网 enters strategic partnership with The College for Behavioral Health Leadership
量子资源网 recently entered into a strategic partnership with The College for Behavioral Health Leadership (CBHL) for the 2021 calendar year.
Medicaid managed care enrollment update 鈥� Q4 2020
This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 33 states.[1] Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This data allows for the timeliest analysis of enrollment trends across states and managed care organizations. All 33 states highlighted in this review have released monthly Medicaid managed care enrollment data into the fourth quarter (Q4) of 2020. This report reflects the most recent data posted. 量子资源网 has made the following observations related to the enrollment data shown on Table 1 (below):