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Decreases In Exercise Closely Linked With Higher Rates Of Depression During COVID-19

Decreases in exercise are closely linked with higher rates of depression during coronavirus disease 2019 (COVID-19). From March to July …

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Social Cognitive Impairment Similar In Schizophrenia & Autism

Those with “schizophrenia spectrum disorders” (SSDs) and those with “autism spectrum disorder” (ASD) have similar levels of social cognitive impairment. …

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Frequent Psychiatric Hospitalization Is Highest Among Those With Schizophrenia

The odds of becoming a “high utilizer” of psychiatric hospital services are highest among those with schizophrenia, at 111% higher. …

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Cuyahoga County, Ohio To Launch Jail Diversion Center For Behavioral Health Treatment

Cuyahoga County and the Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board are opening a pre-arrest diversion center that …

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Medicaid & CHIP Enrollment Rose 5.6% From July 2019 To July 2020

Between July 2019 and July 2020, enrollment in Medicaid and state Children’s Health Insurance Programs (CHIP) increased by about 5.6%, …

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Managing The A To “Z” Of Health, You May Be More Ready Than You Think

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More Than One Third Of Older Adults Will Struggle With Video-Call Telehealth Visits

Two separate studies corroborate that over a third of older adults will struggle with telehealth visits if they require the …

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Future Of Health Care Beyond 2020 Series: Interview With Dwayne Mayes

In this interview, Dwayne Mayes, PsychU Patient and Caregiver Section Co-Advisor, discusses the future of health care beyond the COVID-19 …

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Measuring Outcome In The Treatment Of Depression: Why You Should Do It & How You Can Do It A Focus On Measurement-Based Care

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HHS Extends COVID-19 Public Health Emergency Declaration

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Two-Thirds Of Adults With High Deductible Health Plans Have A Health Savings Account; Most Do Not Contribute

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Driving Better Outcomes With A ‘Whole Life’ Approach

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Unemployment Tied To Veteran Suicide Rate; 550 Suicides Per Five Point Rise In Unemployment

An estimated 550 additional veterans in the United States are projected to die by suicide annually for every five-percentage point …

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American Foundation For Suicide Prevention Announces Diversity As Priority Focus Area For Research Funding

The nation’s largest private funder of suicide prevention research, the American Foundation for Suicide Prevention (AFSP) announced the research priority …

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Why Unemployment Matters To Health Care Organizations

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CDC Changes COVID-19 Guidance On Length Of Isolation For Those With COVID-19

People who have been confirmed with mild to moderate COVID-19 can leave their isolation without receiving a negative test, according …

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NIH Launches Clinical Trials Network To Test COVID-19 Vaccines & Other Prevention Tools

The National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health (NIH), has established a …

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Over 10 Million U.S. People Could Lose Employer-Sponsored Insurance By The End Of 2020

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Necessity Is The Mother Of Invention: Innovation In A Crisis

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IRS Says For-Profit Health Care Provider Organizations Must Pay Taxes On CARES Act Provider Relief Fund Payments

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Shatterproof Launches Addiction Treatment Platform ATLAS

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Within Kaiser Health System, 14% Of Appointments Took Place Via Phone Or Video Telemedicine Visits Between 2016 & 2018

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Homelessness Projected To Rise 45% By The End Of 2020 Due To COVID-19 Unemployment

Unemployment is projected to increase homelessness by up to 45%, from 568,000 as of January 2020 to more than 800,000 …

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Sigma Mental Health Urgent Care Expands Telehealth Statewide In Texas

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Kroger Health Receives FDA Emergency Use Authorization For Its COVID-19 Test Home Collection Kit

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Center On Addiction Rebrands As ‘Partnership To End Addiction’

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Performance Of Humana ‘Bold Goal’ Social Determinants Program Continues To Improve At Five-Year Mark

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Why Value-Based Purchasing For Medications Matters

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Humana Selects Icertis To Digitally Transform Its Contracting Process

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Within Kaiser Health System, 14% Of Appointments Took Place Via Phone Or Video Telemedicine Visits Between 2016 & 2018

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Blue Cross Of North Carolina Launches Program To Pay Primary Care Practices To Switch To Value-Based Model

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The Present & The Future May Be Virtual—But What Are The Rules?

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Recovery Access Coalition Launches To Advocate For Digital Therapeutics

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North Carolina Selects Provider Organizations For COVID-19 Testing & Contact Tracing

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Medicare Proposes Allowing Continued Use Of Telehealth For Home Health Provider Organizations After COVID-19 Emergency Ends

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17% Of ACOs Developing New Home Visit Programs

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Horizon New Jersey Health Completes Expansion Of ‘Neighbors In Health’ Program To Address Social Determinants Of Health

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Measurement-Based Care In Psychiatry

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An Estimated 1.64 Million U.S. Non-Profit Workers Lost Jobs Due To COVID-19

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Primary Care Practices Could Lose Over $15 Billion In Revenue Due To COVID-19

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Behavioral Health HEDIS® Measures: An Annual Update From NCQA©

The National Committee for Quality Assurance (NCQA) collects information on the performance of health care service delivery from health plans …

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Maximizing Revenue Amid The Crisis—Resources For Recovery

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Value-Based Reimbursement: Are You Walking In Your Customer’s Shoes?

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Robots As A Staffing ‘Force Multiplier’

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Molina Healthcare To Acquire Certain Assets Of Passport Health Plan

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SAMHSA Publishes Final Rule Amending Addiction Treatment Records Privacy

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U.S. Department Of Veterans Affairs & Department Of Defense Launch National Telehealth Projects For Critical Care

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Centene & Quartet Health Expand Partnership Nationwide To Help Ensure Members Have Access To Critical Behavioral Health Care During COVID-19 Pandemic & Beyond

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Uber Launches Service To Help With COVID-19 Contact Tracing

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Managing Your Service Portfolio Is Key To Crisis Recovery

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Red Cross Offers Virtual Care For Families Struggling With Loss & Grief

The American Red Cross is launching a Virtual Family Assistance Center to support families struggling with loss and grief due …

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Torchlight Offers ‘Caregiving In Times Of Crisis Toolkit’ For Businesses & Individuals Grappling With COVID-19

Torchlight, an employee-caregiver support solutions provider organization, announced the release of the first installment of its “Caregiving in Times of …

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Meditation App Headspace Adds $48 Million In Funding

Headspace Inc. has added another nearly $48 million to its offerings during the coronavirus disease 2019 (COVID-19) public health crisis. …

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Chestnut Health Systems Awarded $100,000 Grant To Benefit Persons Impacted By COVID-19

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Walgreens To Open Up To 700 In-Store Primary Care Clinics In $1 Billion Deal With VillageMD

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Mindstrong Announces $100 Million Funding Round To Scale Its Virtual Mental Health Care & Digital Symptom Measurement Offering

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CDPHP, Valera Health Expand Tele-Mental Health Services To Support Members In Need

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Too Much Health Care?

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Addus HomeCare Announces Acquisition Of A Plus Health Care

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National Institutes Of Health Launches Rapid Innovation Initiative To Develop COVID-19 Home Or Point-Of-Care Tests By Fall 2020

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The Leader’s Role In Managing The Stress Of The Essential Professional

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Cedar Gate Technologies Acquires Citra Health Solutions

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Paul G. Allen Family Foundation Announces Opening Of Housing & Homeless Services Facility In Seattle

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Wolf Administration Announces Strategy To Ease Long-Term Care Facility Restrictions Through Gradual Three-Step Process To Protect Vulnerable Populations

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PA Clinical Network & Geisinger Health Plan Announce Value-Based Contract Agreement

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Humana To Offer LabCorp At-Home COVID-19 Test Collection & Drive-Thru Testing

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Kindred Healthcare Completes Acquisition Of Two Behavioral Health Hospitals In Texas

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Summit BHC Acquires West Virginia’s Highland Hospital

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Highmark, Kaiser & Humana Medicare Advantage Plans Rank Highest In Member Satisfaction

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Hawaii Cancels New Medicaid Contracts Due To COVID-19, Will Rebid In Fall 2020

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eHome Counseling Group Expands Innovative Virtual PTSD Treatment Program

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Priority Health & Cigna Form Strategic Alliance To Make Quality Health Care More Affordable & Accessible For Michigan Employers & Customers

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Optum, Wider Circle & Helping Hands Community Partner To Deliver Food To Vulnerable People In Los Angeles County During COVID-19 Pandemic

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The Data-Driven Leader

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Walmart Announces Opening Of Walmart Health In Arkansas Adding To Its ‘Healthcare Supercenters’

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Centerstone Introducing New Zero Suicide Initiative

Centerstone, a national leader in behavioral health care, is introducing a zero-suicide initiative at its locations in Illinois. While Centerstone …

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$15 Billion HHS Relief Fund For Medicaid & CHIP Provider Organizations Is Open For Applications

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Matchmaker, Matchmaker, Why Do I Need To Find A Match?

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Leadership Resources For Real-Time Crisis Recovery

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AbleTo Launches Full Suite Of Mental Health Solutions To Address Growing Demand For Care

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Seven Steps To Go From Crisis Management To Crisis Recovery

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The Pandemic Provides A New Urgency For The Integrated Care Issue

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Leadership Is Adaptability In The Face Of Uncertainty

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Starbucks Begins Mental Health Training

In its latest move to address mental health in the workplace, Starbucks is making mental health training available for all …

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New Service Lines, New Measures

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HHS Eliminates Protection From Health Care Discrimination Based On Gender Identity

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A Digital Leader Living In A Digital World

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New Aegis Treatment Center Opens In California

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Promedica Makes Bid To Take Over Operations Of UTMC

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CMS Extends Deadline For Direct Contracting Letters Of Intent

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American Addiction Centers Files For Bankruptcy

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For Crisis Recovery, The Best Defense Is A Good Offense

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Medicare Adjusts ACO Risk Models To Account For COVID-19

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St. Luke’s University Health Network To Acquire Easton Hospital

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Health Care Costs Much Higher For Those Later Determined To Have Treatment-Resistant Depression

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What To Say When You Want More

For provider organization executives looking at recovery planning, “top of the list” is different relationships with payers. In most discussions, …

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Follow-Up Mental Health Visits Lower Among Those With Substance Addiction

Follow-up mental health visits, within 14 days after emergency department contact, are lower among those with substance addiction than those …

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Fire Up Your Hybrid For The Recovery Race

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Uplift Family Services Awarded $4 Million Grant From SAMHSA

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Landmark Health Launches HIPAA-Compliant Telemedicine App

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Los Angeles County Homelessness Up Nearly 13%, Despite Sustained Increase In Number Of People Rehoused

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Unite Us Acquires Staple Health

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Spero Health Opens Ohio Clinic Offering Addiction Treatment With Telehealth Services

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WellCare To Invest In Critical Mental Health Resources In New Jersey

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Kindred Healthcare & Landmark Medical Center Announce Definitive Agreement Forming Joint Venture To Acquire Rehabilitation Hospital Of Rhode Island

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Massachusetts Emergency Department & Outpatient Data During COVID-19 Crisis Indicate Fewer Assessments Of Psychiatric Symptoms

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Addcounsel Launches Orchestrate Health, At-Home Mental Health Care Service In UK

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CMS Makes COVID-19-Related Changes To Value-Based Care Models

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Mydecine Innovations Group Signs Definitive Agreement To Acquire Mindleap Health’s Advanced Digital Telehealth Platform

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Back To The Office? The Testing Dilemma

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Collect The Data, Connect The Dots To Value

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24 Provider Organizations Receive Over $100 Million In CARES Act Provider Relief; New York & Presbyterian Hospital Tops The List

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Leveraging Virtual Capacity & Moving To Use Cases Beyond Therapy

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Capital BlueCross Offers Advance Payments To Pennsylvania Network Provider Organizations With COVID-19-Related Revenue Drop Of 40% Or More

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Leadership—The Key For Moving From Crisis To Recovery

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San Diego County Launching Veterans Community Care Program & Releases RFP

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Population Health: Clinical & Administrative Implications

Optimizing both population health and individual patient care will require major changes in how health care is delivered, starting with …

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More Than 120 Behavioral Health Provider Organizations Awarded FCC COVID-19 Telehealth Program Funds

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Medicare Telehealth Claims Rose From 13,000 Per Week In March To 1.4 Million Claims Per Week In April

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Reopening Is Not Recovery

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NCQA Adjusts HEDIS Quality Measures Due To COVID-19 Pandemic-Driven Telehealth Surge

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Getting To Whole Person Addiction Treatment

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CMS Proposes Regulatory Changes To Promote Medicaid Value-Based Drug Purchasing

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Almost Half Of ACOs Led By Physicians In 2018

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Paddling Four Canoes To Steer Through The Crisis

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Making Your Clinical Programs VBR-Ready

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Innovations In New Payment Models: A Look At State Examples Of Value-Based Payments

The health care economy continues to shift from the fee-for-service model that has been in existence for decades to value-based …

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Prior To COVID-19, Primary Care Physician Salaries Increased 2.5% From 2019; Specialist Salaries Increased 1.5%

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Medicare Advantage Plans Can Count Telehealth Professionals Toward Network Adequacy Standards In 2021

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Indiana Awards Medicaid Managed Care ABD Contracts To Incumbents Anthem & Centene/Managed Health Services & To UnitedHealthcare

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Kentucky Awards Medicaid MCO Contracts To Aetna, Humana, Molina Healthcare, UnitedHealthcare & WellCare

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Medicare Will Require Hospitals To Adopt The Hybrid Hospital-Wide 30-Day Readmission Measure By 2023

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Microsoft Launches Health Care Cloud Service

On May 19, 2020, Microsoft announced that it has launched a “health care cloud service” called Micorsoft Cloud for Healthcare. …

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Iowa Medicaid Healthy Behaviors Program Participants Less Likely To Use Hospital-Based Care

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CMS Urges Medicare Advantage Plans To Relax Prior Authorization Requirements During COVID-19 Pandemic

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CMS Finalizes Telehealth & ESRD Changes For Medicare Advantage

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Pennsylvania Clinical Network Signs Value-Based Contract With Aetna Medicare Advantage Plan

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Equity Funding For Mental Health Startups Reached $576 Million In The First Quarter Of 2020, Number Of Investments Grew 19% Over Previous Quarter

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About 87% Of Medicare Inpatient Psychiatric Facility Claims With Outlier Payments Failed To Meet Medicare Requirements

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43% Of Addiction Treatment Provider Organizations In North Carolina Report Only 30 Days Cash On Hand With Lost Revenue & Higher Expenses Due To COVID-19

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Kansas DOC Awards Two-Year Prison Health Care Contract To Centene

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CMS Continues Efforts To Expand Access To Telehealth Services

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CMS Approves Washington State 1115 Medicaid COVID-19 Emergency Waiver, Will Allow Higher HCBS Rates To Maintain Capacity

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Behavioral Health Provider Organizations Can Accept Donations Of Devices & Data Plans To Facilitate Telehealth During The COVID-19 Outbreak

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Molina To Acquire Magellan Complete Care For $820 Million

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Iowa Inadequately Monitored Its Medicaid Health Home Provider Organizations

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Medical Practices Report 55% Decrease In Revenue Due To The Pandemic Crisis

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The Global Pulse Of eMental Health Trends In Resource-Strapped Locales

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CMS Issues SNF Policy Changes For FY 2021; Projects Aggregate Payments To SNFs Will Rise By 2.3%

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Medicare Further Expands Telehealth Access For Long-Term Care, Hospice & Home Health Benefits

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Navigators Cut Emergency Visits & Hospitalization For High-Risk Health Care Consumers

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Metrocare & North Texas Behavioral Health Authority Reach Contract Agreement Contract Following Rate Dispute

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Joint Commission Releases New Enhanced Addiction Standards For Behavioral Health

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FTC Blocks Merger Between Philadelphia Hospitals To Prevent Consolidation In The Inpatient Rehabilitation Market

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HHS Begins Releasing $100 Billion CARES Act Funding To Provider Organizations For Relief Assistance & Treating The Uninsured

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Behavioral Health Spending Increased By 2.7% Per Year Between 1996 & 2016

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Average U.S. Cost Per Inpatient Day In A Hospital Was $2,260 In 2018

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Massachusetts Reaches Insurer Agreements To Settle Mental Health Parity Violations

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Humana Medicare Advantage Plans To Pay Providers To Address Social Determinants Of Health

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DEA Proposes Allowing Federally Certified Opioid Treatment Programs To Operate Mobile Units Without A Separate Registration

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South Carolina Updating Qualified Provider Organization List For Community Beds For People At High Risk For Hospitalization

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VA Proposes Expanding The Program Of Comprehensive Assistance For Family Caregivers

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COVID-19 Could Raise Medicare Spending By As Much As $115 Billion Over Next Year

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States Use Multiple Legal Authorities To Use Medicaid To Pay For Behavioral Health Treatment In IMDs

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CMS Denies New York’s Request For $8 Billion In Medicaid Waiver Funds To Continue The DSRIP

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CDC Issues Interim Workplace Safety Practices For Critical Infrastructure Workers Exposed To COVID-19

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California Launches Project Roomkey Initiative To Secure Hotel & Motel Rooms To Protect Homeless Individuals From COVID-19

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Federal 2021 Budget Proposal Includes Provisions To Expand Behavioral Health Services

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Oklahoma Submits State Plan Amendment Seeking To Expand Medicaid

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DOJ Finds Maine Violates ADA By Limiting Access To HCBS

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Reentry Interventions Are More Successful When They Address Dynamic Risk Factors

Community reentry following incarceration is more likely to be successful if the reentry interventions address dynamic factors that affect the …

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BlueCross BlueShield & Value Network Partner To Start Behavioral Health Value-Based Payment In Western New York

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25% Of Provider Organizations Have Revenue Tied To Value-Based Payments

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Kentucky Medicaid Rebids Its MCO Contracts

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Veterans’ Long-Term Care Expenses Rose 33% From 2014 To 2018

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Private Equity Firms Acquired 355 Physician Practices From 2013 To 2016

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Denver Strategic Framework For Improving Behavioral Health Calls For Greater Use Of Data To Guide Policy

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Out-Of-Network Primary Care Associated With Higher Medicare ACO Costs

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Well Being Trust Urges Changes To U.S. Behavioral Health Policy To Improve Assessment & Access To Care

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Circuit Court Rebukes HHS Approval Of Medicaid Work Requirements

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Texas DFPS Adult Protective Services Caseworker Turnover Drops From 25% To 20%

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Number Of Nurse Practitioners Doubled Between 2010 & 2017

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A Snapshot Of Telemedicine In One State: Clinical & Payer Implications

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Deals In U.S. Health Care Service Sector Down 1.5% From 2018

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Behavioral Health Care M&A Volume Slowed 21% Between Third & Fourth Quarter Of 2019

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California Prisons Roll Out Integrated Addiction Treatment Programs

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New Mexico Settles With Final Five Behavioral Health Organizations Over 2013 Medicaid Fraud Allegations

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Telepsychiatry-Enabled Perinatal Integrated Care Improves Consumer Access & Engagement With Behavioral Health

The first-known telepsychiatry-enabled model of perinatal integrated care resulted in a 100% perinatal/postpartum depression screening rate, and a higher than …

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New Federal Coronavirus Bill Waives Medicare Telehealth Restrictions

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Blue Cross NC Launches New Value-Based Payment Model For Behavioral Health

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Assisted Living Administrator Salary Averaged $100,000 In 2019

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Arizona Medicaid & Health Plans Launch Initiative To Build Long-Term Care Workforce

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Texas HHS Expands Pilot Program To Provide Resources For Opioid Overdose Survivors

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EHR Vendor, Epic & 60 Health Systems Urge HHS To Modify Proposed Interoperability Rule

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Former Outcome Health Employees Charged In Alleged $1 Billion Fraud

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2% Of Eligible Clinical Professionals Participating In MIPS In 2018 Received A Negative Rate Adjustment

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Can Early Intervention’s Effect On Lifetime Costs Of Serious Mental Illness Be Measured?

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States Collectively Spend 17% Of Their Revenue On Medicaid, A 41% Increase In 17 Years

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Cascadia Behavioral Healthcare’s Integrated Model Cut Potentially Preventable Emergency Department & Inpatient Utilization By 18%

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Cigna Reports Combined Medical, Pharmacy & Behavioral Benefits Reduces Annual Costs By More Than $207 Per Covered Life

Cigna reports its commercial members with integrated medical, pharmacy, and behavioral benefits had annual medical costs of averaging $207 less …

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Navajo Corporation Plans To Contract With Molina Healthcare For A New Mexico Medicaid Indian Managed-Health Care Entity

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BCBS Of Michigan & Seven Provider Networks Announce Plan To Share Health Care Financial Risk

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87.8% Of Workers With Disabilities Had Health Insurance In 2017

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Indiana Medicaid To Reimburse For Short-Term IMD Services

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PsychU 360 Magazine

PsychU 360 – January 2020

Despite vast improvements in diagnosis and treatment over the last half-century, mental illness is underdiagnosed and …

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Optum Begins Contract As Maryland’s Public Behavioral Health ASO

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The Health Plans Have It!

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Kentucky Announces Cancellation Of Medicaid Managed Care Contracts; To Be Rebid In January

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Innovations In Mental Health Service Delivery & Implications For Providers

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Innovations In Mental Health Service Delivery & Implications For Providers

New technologies, changing reimbursements, and corporate consolidations are amongst the many drivers evolving the health care landscape.1 During this webinar …

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Medicare Shared Savings Program Lowered Medicare Spending By $755 Million Over 5 Years

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Michigan DHHS Proposes Statewide Medicaid Specialty Integrated Plans

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Success With VBR: What Provider Organization Execs Should Consider

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Making VBR A Success: What Health Plans Can Do

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Proving Your Unique Value To Payers: Data Speaks Louder Than Words

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CMS Releases RFA For Provider Direct Contracting For Risk-Based Programs

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Tennessee Medicaid RFI For Managed Care Re-Procurement Closed; RFPs Likely in 2020

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BCBS To Launch National ‘High Performing’ Provider Organization Network In 2021

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North Carolina Suspends Transition To Medicaid Managed Care

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The Medicaid Care Coordination Models Driving Strategy In Your State

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2020 Medicare Advantage Open Enrollment Features 3,148 Plans; Up 15% From 2019

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Medicare Enrolling Opioid Treatment Programs For New Bundled Payment Program

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California Medicaid Proposal For Waiver Renewals Would Significantly Change Service Delivery & Financing

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Health Plan Innovations In Population Health Management For Complex Consumers

Following-up to the 2019 Trends In Behavioral Health: A Population Health Manager’s Reference Guide On The U.S. Behavioral Health Financing …

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Health Plan Innovations In Population Health Management For Complex Consumers

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Michigan Cancels Behavioral Health Integration Pilots

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Universal Health Services Takes $147 Million Write-Down On Value Of Addiction Treatment Unit

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NQF Recommendations For Social Determinants Includes Standardized Measures & Value-Based Payment

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The Alignment Of Medicaid Benefits – The Health Plans Have It

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ACOs Saved Medicare $1.7 Billion In 2018

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Physician-Led ACOs Generated Almost 7 Times More Savings Than Hospital-Led ACOs

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What Is A Uniform PDL & Why Does It Matter?

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Medicare Beneficiaries In UHC Plans Who Saw High-Value Physicians Had 21% Lower Spending

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Enrollment In Medicare/Medicaid Health Integrated Plans Affected By 3 Main Factors

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Sam’s Club Launches Health Care Pilot Program For Members

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State Up-Front Costs To Administer Medicaid Work Requirements Range From $6 Million In Vermont To $271 Million In Arkansas

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Social Factors Are Primary Impediments To Managing Care For High-Cost Medicaid Beneficiaries

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The Age Of Priceline Health Care

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91.5% Of U.S. Citizens Had Health Insurance Coverage In 2018

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The Changing Medicaid Pharmacy Carve-Out Landscape

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United Behavioral Health Sued For $5 Million In Denied Mental Health Claims

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Alabama Medicaid Launches Coordinated Health Network

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54% Of Physicians Participate In An ACO

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3 Ways To Improve Your Bottom Line – By Improving Your Collections

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California Blue Shield Promise & L.A. Care Invest $146 Million In Community Resource Center Expansion

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Health Care Alliance Announces Value-Based Pilots For Addiction Recovery

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Is Outsourcing In Your Rapid Growth Plan?

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UCHealth In Colorado To Invest $100 Million In Behavioral Health Services

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Which Payer/Provider Organization Partnerships Are Working & Why?

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What Is The Future Of The CCBHC?

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Value-Based Payment Models May Shift The Primary Care Staffing Mix

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Your Organization Is Ready, Are You?

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Getting A Non-Profit Board Ready For VBR

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New York City Launches ‘NYC Care’ Health Plan For Uninsured Residents In The Bronx

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Four Provider Organizations File $40 Million Lawsuit Against BCBS Of Michigan For Underpayment Of Out-Of-Network Addiction Treatment Claims

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Oregon DHS Expands Family Independence Initiative To Two New Areas During 2019

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The VBR Mandate – Medicaid Requirements On The Increase

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Medicare Part D Out-Of-Pocket Maximum Set To Increase By 25% In 2020

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Nevada Submits Medicaid State Plan Amendment To Transition CCBHC Funding To Traditional Medicaid

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Kentucky Medicaid Launches Program To Assist Employer-Sponsored Insurance Premiums

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How Health Plans Are Increasingly Focused On The Social Determinants Of Health

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Negotiate Those Contracts

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Medicare Fee-For-Service Spending For Primary Care Ranges From 2% To 5%

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VA Awards Triwest Healthcare Alliance $26 Billion Contract For Veterans Community Care Network Region 4

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California Medicaid PCCM For HIV Has Converted To A Full-Risk Managed Care Plan In Los Angeles

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U.S. Spends 5% To 7% Of Total Health Care Spending On Primary Care

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MVP Health Care Partners With Healthy Alliance Independent Practice Association On Social Determinants

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Current Insights Into Population Health Management Value-Based Models In Managing High Risk – High Cost Patients

In this webinar, Monica Oss, M.S., and Paul Duck from OPEN MINDS discuss the current state of population health in the United …

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Coming Up With The Next Big Thing

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Have You Mastered These 4 Financial Management Skills For VBR?

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Missouri Medicaid To Continue Prospective Payments To 15 CCBHOs

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Louisiana Medicaid Awards MCO Contracts To AmeriHealth, Healthy Blue, Humana & United

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MVP Health Care To Bring Behavioral Health Management In-House, Ends Contract With Beacon Health Options

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What Are Health Plans Actually Doing?

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40 States & D.C. Have Expanded Telemedicine Coverage Or Reimbursement Since 2017

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Ready To Collect More Cash?

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The Growing Push For Medicaid ACOs

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One-Third Of ACOs Took On Downside Risk In 2018

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CMS To No Longer Exclude Medicare ACOs From BPCI Advanced Savings

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The Four-Part Checklist For VBR Success

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When Is Medicaid Expansion Not Expansion?

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During First Year, Median Supplemental Care Management Payments For CPC+ Participation Exceeded $32,000 Per Primary Care Professional

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How To Build Effective Programs That Meet Payers’ Focus On Social Determinants Of Health: Will The New Codes Pave The Way? (SDoH Series Part 2)

The World Health Organization (WHO) defines Social determinants of health (SDoH) as “The conditions in which people are born, grow, …

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Oregon Awards CCO Contracts To 15 Organizations

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Michigan DHHS Cancels PIHP Contract With Lakeshore Regional Entity

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Consumer Out-Of-Pocket For Hospital Service Costs Rose 12% During 2018

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Minnesota Medicaid To Expand Addiction Treatment Via CCBHCs & Short-Term Residential Treatment Benefit

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Supreme Court Rules Against CMS In Medicare DSH Payment Case

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40% Of Health Systems Sell A Health Insurance Product

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Average Emergency Department Visit Cost Rose 176% In 10 Years For Employer-Sponsored Plans

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Montana Medicaid Planning A Supportive Housing Benefit

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Virginia Legislative Audit Recommends More Time To Effectively Deploy STEP-VA Mental Health Initiative

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South Carolina Medicaid Seeks To Enact Work & Community Engagement Requirements

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Skilled Nursing Occupancy Hits Four-Quarter High Of 83.7%

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72% Of Health Care Executives Believe Their Organizations Have Capabilities To Support Increased Risk & Are Planning To Take On Additional Risk

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The Impact Of Opioid Use Disorders & The National Response

The opioid crisis in the U.S. has been well documented over the past several years. Sections of the country have …

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Michigan DHHS Announces Delay In Pilot Of Integrated Physical Health Services & Specialty Behavioral Health Services

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Adjust Your Strategic Sails!

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Addressing Social Determinants: Impacting Health & Wellness Beyond Traditional Medicine (SDoH Series Part 1)

Social determinants of health (SDoH) – like socioeconomic status, education, neighborhood and physical environment, employment, social support networks, and access …

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Successfully Managing Bundled Rates—The Voice Of Experience

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Consumers Participating In Medicare Bundled Payment Programs Report Positive Perceptions Of Care Quality

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Ohio Medicaid RFI Seeks Public Comment In Advance Of Next MCO Procurement

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2019 Trends In Behavioral Health: A Population Health Manager’s Reference Guide On The U.S. Behavioral Health Financing & Delivery System, 2nd Edition

The Second Edition of Trends in Behavioral Health: A Population Health Manager’s Reference Guide on the U.S. Behavioral Health Financing …

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Detroit Wayne Mental Health Authority Issues RFP For Medicaid HMO To Provide Integrated Care

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Psychiatrists Accepting Medicaid Declined From 48% To 35% Following Medicaid Expansion

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Billing-Related Administrative Expenses In U.S. Health Care System At 8.3% Of Spending

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Colorado Awards 7 Regional Behavioral Health Crisis Services Contracts To 4 Organizations

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Sacramento’s $5 Million City-Operated Homeless Shelter Closes; Will Open 4 Replacement Low Barrier Shelters

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Alabama Medicaid Awards Contracts For Alabama Coordinated Health Network

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States File Suit Over HHS Rule Prohibiting Medicaid Direct Payments For Benefits On Behalf Of Individual Home Care Workers

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CMS Approvals Of Medicaid Waivers Lack Consistency & Transparency

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Anthem To Acquire Beacon Health Options

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The Most Common Program Innovations Among Specialty Provider Organizations

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Tennessee To Seek Medicaid Block Grant

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Washington State To Create ‘Public Option’ Health Insurance Plan

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Moving Health Care From Beds To Wellness

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Virginia Community Services Boards Reach STEP-VA Goal Of Same-Day Access

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Ready For Risk? How Would Your Team Answer That Question?

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Health Plans & Social Services—The Current Craze Or Permanent Shift

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Capitated Payment Models For California Provider Organizations Increased Quality For Commercially Insured Consumers

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Cuyahoga County, Ohio Approves $42 Million Contract With MetroHealth For Jail Health Care

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Arizona To Allow Medicaid Health Plans To Provide Services Currently Provided By RBHAs

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Capital BlueCross & Wellspan Health To Join Forces For Population Health Management

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UnitedHealthcare To Launch Bundled Payment Program For Medicare Advantage

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How VBR Prioritizes Primary Care As The ‘Center’ Of Integration

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Illinois Considering Medicaid Health Plan Legislation

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North Carolina Issues Final Guidance On Nine Consumer Categories Automatically Included In The BH/IDD Medicaid Managed Care Tailored Plans

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CMS Forwarding Three Opportunities For State Integrated Care For Dually Eligible Individuals

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San Diego County Creating Pay-For-Results Project For Housing Services

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New Jersey Medicaid To Cover Office-Based Addiction Treatment

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Only 4 U.S. State Medicaid Plans Not Using Alternative Payment Models

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Florida Medicaid To Launch Behavioral Health Housing Pilot

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Will Health Plan Backward Integration ‘Remake’ Specialty Care?

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Can A New Reimbursement Model Stabilize Rural Hospitals?

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Provider Participation In Medicare Bundled Rate Programs Drops With Greater Risk Requirements

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CMS To Review Presumptively Institutional HCBS Settings With Greater Scrutiny

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Helping ACOs Fill In The Complex Consumer Blanks

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National & State Behavioral Health Systems: Changes On The Horizon

Over the past two years, legislative changes have had a significant impact on the behavioral health industry landscape, particularly in …

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AMA & UnitedHealthcare Partner To Propose New ICD-10 Codes To Identify & Address Social Determinants Of Health

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CMS Finalizes Expanded Medicare Advantage Telehealth Benefit Policies

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The Path Forward In Serving The Dual Eligible Population

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Milwaukee County Contracts With Wellpath For Correctional Health Care, Develops Plan To Self-Operate By 2021

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Will Changes In Stark Law Speed Up Value-Based Reimbursement?

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Half Of ACOs Consider Exiting MSSP Over New Downside Risk Rules

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25% Of Health Care Provider Organizations Ready To Take On Risk-Based Contracts

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Medicare Advantage To Offer Supplemental Benefits For Social Determinants In 2020

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Why Clinical Guidelines Matter More With Risk-Based Contracting

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Social Determinant ROI—The Early Returns

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States Must Use Electronic Visit Verification By January 1, 2020 For Medicaid Personal Care Services

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Denver Supportive Housing Social Impact Bond Program Sees 85% Success Rate

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Kansas Medicaid To Launch OneCare Kansas Care Coordination Program

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Addiction Treatment Provider Organizations Sue Anthem Over Direct Consumer Reimbursement

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California Releases Proposed Medi-Cal Value-Based Payment Program Measures

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Centene To Buy WellCare For $17.3 Billion

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California Revises Medi-Cal Managed Care RFP Schedule; Moves Release Of All RFPs To 2020

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Experiencing Whiplash From Medicaid Work Requirements?

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UnitedHealthcare & OptumRX Require New Employer-Sponsored Plans To Pass Pharmaceutical Rebates Directly To Consumers

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Kaiser Permanente Invests $3 Million To Counter Homelessness

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Pennsylvania Launches Rural Hospital Global Budget Payment Model Pilot

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Per Physician Annual Hospital Revenue Value At $2.4 Million

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New Hampshire Medicaid Implements MCO Capitation Rates Linked To Performance

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Opioid-Related Emergency Department Visits By Older Adults Rose 217% Between 2006 & 2014

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Changing Medicaid Retroactive Eligibility & Charitable Care Policy

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Social Services ROI Essential To Social Determinants Wave

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New Hampshire Mandates That Medicaid MCOs Make Capitated Payments To CMHCs

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Louisiana Department Of Health Releases Plan To End Overuse Of Nursing Homes For People With Serious Mental Illness

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Managing The New Medicaid Work Requirements

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Judge Rules United Behavioral Health Medical Necessity Criteria More Restrictive Than Accepted Standards

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Health Insurers Denied 19% Of 2017 In-Network Claims

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13% Of Hospital CFOs Report Their Organizations Are Prepared For New Payment Models

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CMS To Resume Terminating Medicare Advantage Plans With Low Quality Star Ratings

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Tobacco Quit Line 7.9% More Effective When Medicaid Participants Received Financial Incentives

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UnitedHealthcare Expands Initiative To Use Diagnostic Codes To Capture Social Determinants Of Health

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Medicare Advantage Plans Allowed To Expand Access To Telehealth In 2020 Plan Year

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Louisiana Rebids Medicaid Managed Care Contracts

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Developing Case Rates? Better Find Your ‘Single Source Of Truth’

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Pennsylvania Sues UPMC Over Alleged Behavior Violating State’s Charity Laws

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New Hampshire Medicaid Selects Three Health Plans – AmeriHealth Caritas, New Hampshire Healthy Families & Well Sense

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Employer-Sponsored Health Insurance Spending Rose 4.2% To $5,641 Per Person In 2017

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Massachusetts Rebids One Care Plans For Duals Demonstration

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North Carolina Approves Rutherford County Switch To Partners LME/MCO

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CFO Version 3.0

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Your Organization Is Ready For VBR When …

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More Americans Are Underinsured In Terms Of Out-Of-Pocket Costs

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Department Of Veterans Affairs Seeks Colorado Assisted Living Residences With Psychiatric Step-Down Services

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ACA Health Insurance Coverage Expansion Did Not Cause Declines In Employer-Sponsored Insurance

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Do States Still Have Medicaid Behavioral Health Carve-Outs?

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Adapting Revenue Cycle Management For A VBR-Driven World

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Subsidized Health Insurance Marketplace Coverage Reduced Housing Insecurity By 25%

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Health Plan Contracting Opportunities – More Consistency Emerging

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California’s Ventura County Seeks Services For Early Detection, Intervention & Prevention Of Psychosis

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VBR @ Scale—Changes Required

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North Carolina Medicaid Selects Five Health Plans—One Regional & Four Statewide

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The Proportion Of Uninsured Americans Rose To 13.7% In 2018

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New York Medicaid Releases Revised 2019 Health & Recovery Plan VBP Quality Measure Set

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Your Organization Is Ready For VBR, Now What?

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70% Of Medicare Advantage Members Have A Chronic Disease; 44% Report No Health Plan Communication About Disease Management

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Alaska DHSS Issues RFP For Medication-Assisted Treatment Services In 6 Regions

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Missouri DHSS To Update Medicaid HCBS Level Of Care Criteria

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Medicaid Programs In 49 States & D.C. Reimburse For Telemental Health

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CMS Approves Arizona’s Medicaid Work & Community Engagement Demonstration Amendment

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Kaiser Permanente Invests In Affordable Housing Complex In Oakland, California For $5.2 Million As Part Of Initiative To Improve Community Health By Addressing Housing Insecurity

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Massachusetts Awards $3 Million In Funding For Social Determinants Partnership Grants

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Defining ‘Value’ Is Key To Provider/Health Plan Conversations

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Veterans Affairs Awards 3 Community Care Regional Contracts To OptumServe

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Alabama Medicaid Releases RFP For Regional Care Coordination

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New California Governor Orders Medi-Cal To Move Pharmacy To FFS Carve-Out Model

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From June To November 2018, 17,000 People Lost Arkansas Medicaid Benefits Over Failure To Meet Work Requirements

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Medicare Modifies Plans To Change Evaluation & Management Coding

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Most State Medicaid Programs Assign Preferred Status To All Opioid MAT Medications

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Veterans Affairs Awards Telephone Lifestyle Coaching Services Contract To Optum

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Watch Out For Elephants

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San Luis Obispo County Outsources Jail Medical & Mental Health Services To Wellpath

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CMS Guidance To State Medicaid Directors Recommends Leveraging Managed Care To Improve Services For Dual Eligibles

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Orange County Public Health System, CalOptima, Preparing To Launch Medicaid Health Homes Program In July 2019

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Kaiser Permanente Behavioral Health Workers Hold Five-Day Strike In Early December Over California Staffing Ratios

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Which State Had The Greatest Change In Medicaid Managed Care? What Is Coming In 2019?

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Health Plan Relationship Building Skills Key To VBR Success

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DOL Opinion Allows Pay For Home Health Aides To Vary Weekly As Long As Meeting Minimum Wage Standards

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Medicare Advantage Members Less Likely To Fill Opioid Prescriptions Than Other Medicare Members

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PPACA Open Enrollment Through HealthCare.gov Website Falls 4% From 2017, Totaling 8.4 Million Enrollees

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CMS Re-Approves Kentucky HEALTH Medicaid Waiver To Impose Work Requirements Starting April 2019

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Mississippi Awards CHIP Contracts To Molina & UnitedHealthcare

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CMS ‘Pathways To Success’ Medicare ACO Overhaul Limits ACO Time Without Risk

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In 2020, States Can Apply Health Insurance Subsidies To Short-Term & Association Health Plans

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MyCare Ohio Duals Demo Cut Inpatient Utilization By 21% In Year One

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ACOs Saved Medicare $660 Million Over Four Years

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Health System/Insurer Combos Gain Steam—& More To Come With ACO Changes

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CMS Approves Florida Plan Adding Community Behavioral Health To The Low-Income Safety Net Pool

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U.S. National Health Spending Grew At A Rate Of 3.9% In 2017

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Developers Of Hospital At Home Model Awarded $2 Million To Increase Availability Of The Model

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Five Keys To ‘Partnering’ With Health Plans On Social Determinants

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Cigna Reports Integrated Benefits Have Average Annual Savings Of $193 Per Covered Life

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New Hampshire Proposes $24 Million Mental Health System Transformation With Greater Central Accountability & Oversight

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Washington State Managed FFS Duals Demonstration Reduced Medicare Spend 9.7% Over Three Years

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Humana’s Value-Based Contracts Support Physicians In Improving Member Health & Reducing Medical Costs

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Pennsylvania Medicaid Launches Southeast Region Enrollment In Community HealthChoices, Mandatory Managed Long-Term Services & Supports

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CMS Proposes Changing Oversight Regulations For Medicaid & CHIP Managed Care Plans

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Alaska Medicaid Selects Providence Family Medicine Center For Coordinated Care Demonstration Project

The Alaska Department of Health and Social Services (DHSS) launched its Medicaid coordinated care demonstration project on September 1, 2018 …

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CVS Health Completes Aetna Acquisition

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American Hospital Association Sues CMS Over Final Site-Neutral Hospital Outpatient Clinic Payment Rule

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The Enablers Of Competitive Advantage

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APA Recommends Five Principles For Employer Mental Health Benefit Plans

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Beacon Care Services Launched With Texas Walmart Mental Health Practice

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Maryland Seeks Next Public Behavioral Health System Administrative Services Organization

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Oregon Announces Next Medicaid Coordinated Care Organization Contracts Will Establish Service Areas Based On Counties

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Delaware Exploring Requirements For Comprehensive Behavioral Health Clinics

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Moving Out Of Your Comfort Zone: The VBR Technology Continuum

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The Changing Medicaid IMD Landscape & The Inpatient Behavioral Health Market

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75% Of Clinical Episodes Had Lower Costs In Medicare Bundled Payment Program

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Fitting Specialty Care Into ACOs

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Medicare To Update Home Health Value-Based Payment Model In 2020

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Per-Employee Health Care Costs Expected To Increase 4.4% In 2019

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Arkansas Medicaid To Launch Full-Risk Phase Of Medicaid Shared Savings Program In March 2019

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Accountable Care & The Complex Consumer

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Voters In Idaho, Nebraska & Utah Passed Ballot Measures To Expand Medicaid

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Federal Judge Sets Deadline For HHS To Clear Its Medicare Claims Appeal Backlog

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MACPAC Asks HHS To Pause Arkansas Medicaid Work Requirement Disenrollments

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Class Action Suit Alleges BCBS Of Massachusetts Improperly Denied Residential Mental Health Claims

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Virginia Implements Medicaid Expansion On November 1

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HHS To Launch New Mandatory Bundled Payment Models

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UnitedHealth Moves Half Of Reimbursement To Value-Based Models

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California Expanding Enrollment In Home & Community-Based Alternatives Program

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Medicare Beneficiaries Have Highest Quality & Lowest Cost In Hawaii, Alaska & Oregon

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New AMA CPT Codes To Report ABA To Health Plans Go Live January 1, 2019

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Iowa Raises Medicaid Managed Care Reimbursement By 7.5% For 2019

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CMS Approves North Carolina’s 1115 Medicaid Managed Care Waiver, Ending The Behavioral Health Carve-Out

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Provider Costs To Deliver Medicare Diabetes Prevention Program May Exceed Reimbursements

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Aetna To Sell Medicare Prescription Drug Business To WellCare

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New Health Care Alliance Launches Addiction Medical Home Model

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New Mexico To Transition To State-Based Health Insurance Exchange In 2021

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CCBHCs In 8 States Projected To Serve 380,000 Individuals In First Year

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Identifying Underlying Behavioral Health Issues For Complex Consumers Is Key To A Successful Population Health Management Strategy

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New Medicare Bundled Payment Model Has 1,299 Participating Provider Organizations

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Medicare Advantage Plans Overturned 75% Of Their Denials On Appeal

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Virginia Medicaid Submits Waiver For Work Requirements, Monthly Premiums

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Medicaid HCBS Review Finds Key Challenges In Workforce, Growing Consumer Complexity, & Funding Limitations

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Medicaid Spending Rose 2.6% To $592 Billion In 2017

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Horizon Blue Cross Blue Shield Of New Jersey Reports 4% Lower Cost For Commercial Members In Value-Based Arrangements

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HHS Awards More Than $1 Billion In Grants To Combat Opioid Crisis

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Follow Up Q&A – Tackling Behavioral Health Provider Shortages: Health Plan Strategies From Access To Engagement

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Webinar Summary – Tackling Behavioral Health Provider Shortages: Health Plan Strategies From Access To Engagement

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Tackling Behavioral Health Provider Shortages: Health Plan Strategies From Access To Engagement

Given the growing demand and shrinking availability of clinical professionals – both psychiatrists and allied health providers such as social workers …

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Medicare Imposes Reimbursement Penalties On More Than Half Of Hospitals

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15.75 Million People, 4.8% Of Population, Enrolled In Individual, Non-Group Health Plans In 2018

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OptumRx Acquires Genoa Healthcare

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Health Plans Using Innovation, Collaboration To Address Quality Measures

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Blue Cross & Blue Shield Of Minnesota Partners With Mayo Clinic To Advance Emerging Technology

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The Majority Of Non-Disabled Adult Medicaid Beneficiaries Potentially Meet Proposed Work Requirements

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Planning For The Changing Dual Eligible Market Opportunity

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Medicare Beneficiaries With Depression & Dementia Have Annual Total Costs Almost $3,000 Higher Than Average

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CMS Approves Prior Authorization & Step Therapy For Part B Drugs Under Medicare Advantage

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Humana Partners With Walgreens To Provide ‘Senior-Focused’ Primary Care In Missouri

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Solve The Problem, Gain A Partner

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Illinois Medicaid Selects Performance Measures For Integrated Health Home Program

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Wisconsin Medicaid Family Care Plan Pay-For-Performance First Payments In 2019

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ACOs Saved Medicare Nearly Twice As Much As CMS’ Estimates

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What Medicare’s Go Forward Plan Means For Your Strategy

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The ‘Melting’ Value Chain

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New York City Raised $400 Million For Social Service-Focused Public-Private Partnerships

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Medicare Beneficiaries Report Fewer Problems Finding New Primary Care Physicians Than Those With Private Insurance

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24% Of Health Care Executives Say Integration Was The Top Driver For Mergers & Acquisitions

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Essentials Of Health Care Reimbursement: The Medicare & Medicaid Dual Eligible Population (Part 5 Of 5)

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Essentials Of Health Care Reimbursement: Medicare (Part 4 Of 5)

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Essentials Of Health Care Reimbursement: Medicaid (Part 3 Of 5)

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Essentials Of Health Care Reimbursement: Understanding Payer Perspectives & Approaches To Value- Based Purchasing (Part 2 Of 5)

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Essentials Of Health Care Reimbursement: The Evolution Of Health Insurance, Managed Care, & Value- Based Reimbursement (Part 1 Of 5)

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Medicare SNF Final Rule Increases Skilled Nursing Rates By $820 Million

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Michigan Awarded $10 Million Federal Grant To Integrate Primary & Behavioral Health Care By 2023

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CMS To Use More Rigorous Methodology For Calculating Medicaid Demonstration Budget Neutrality

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Ohio Awards CareSource & CareStar The Statewide Contracts For Home Care Waiver Case Management

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Developing A Value-Based Care Model With Peer Support—Two Case Studies

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Behavioral Health Medicaid Trends Show States’ Desire To Innovate, Shift Toward Integrated Financing Models

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What Does ‘Center Of Excellence’ Mean Now?

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Medicare NextGen ACOs Generated $62 Million – About 1.1% – In Net Savings

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North Carolina Awards MAXIMUS $17 Million Contract For Medicaid Managed Care Enrollment Broker Services

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L.A. Care Health Plan Commits Up To $31 Million To Recruit Primary Care Physicians

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Medicare Advantage SNP Plans & SNP Enrollment Rose From 2017 To 2018

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Bishop Rehabilitation To Offer Staff Bonuses For Quality Measures

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CMS Advances Demonstration To Waive Clinician MIPS Requirements In Certain Medicare Advantage Plans

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Medicaid Penalties For States Over Electronic Visit Verification Delayed One Year

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Washington Regional Medicaid Integrated Managed Care Plans To Launch 2019 & 2020

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Preparing For Value-Based Reimbursement—Even Before The Contracts Are Signed

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Medicaid Leads Health Plans In Innovative Engagement Strategies, All Payers Show Room For Improvement

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How Does Your State Medicaid Program Stack-Up On Behavioral Health?

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Illinois Medicaid To Launch Integrated Health Home Program In October 2018

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Arkansas Medicaid Launches New Three-Tier Outpatient Behavioral Health Benefits

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Four Ps For Leading A VBR Evolution (Or Any Change)

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Medicare Proposes ‘Flat Fee’ Physician FFS Payment For Outpatient Visits

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Pay For Value—The Glass Half Full, The Glass Half Empty?

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Washington Medicaid Waiver Approved With Payment For IMDs For Addiction

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Follow Up Q&A – Achieving Superior Quality Scores: How Health Plans Tailor Interventions Across Members & Markets

During this question and answer session, Kimber Bishop, RN, BSN, CPHQ, LSSGB, Director of Corporate Quality Management at New Directions …

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Achieving Superior Quality Scores: How Health Plans Tailor Interventions Across Members & Markets

Health plans are continually working to measure quality, and reshaping behavioral health care delivery through initiatives aimed at improving outcomes, …

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CMS Clarifies Funding Streams For Opioid-Related HIT

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New Hampshire Implementing Health Insurance Network Adequacy Rules With Specific Provisions For Behavioral Health

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North Carolina Releases Updated Plans For Integrated Medicaid Managed Care For Behavioral Health & I/DD Populations

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Minnesota Cuts Medicaid Disability Support Waiver Rates By 7%

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Health Plans Using Technology & Community-Based Innovations To Improve Behavioral Health Access

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Social Impact Bonds—A Performance Update & An Opportunity

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Six Policy Domains Identified To Assure Equity In Value-Based Payment Arrangements For Underserved Populations

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Medicare Home Health Prospective Payment System Update Includes New Case-Mix Adjustment

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More Than 7,000 People Fail To Meet Arkansas Medicaid Work Requirement

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46% Of Health Care Leaders Expect Value-Based Reimbursement To Increase Profitability

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Name The Ten States With No Medicaid Managed Care! The Quirks Of The U.S. Managed Care Map

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Welcome To The Rate Wars

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Massachusetts Medicaid Proposes Changes To One Care Duals Demo Program

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Missouri Medicaid Allows MCO Reimbursement Of Non-Network Hospital Providers At 90% Of FFS Rate

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Ohio Medicaid Cancels Planned $1.1 Billion Cut To Hospital Rates

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Maryland To Launch Care Transformation Organizations As Part Of The All-Payer ‘Maryland Model’

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Arizona Issues RFP For Managed Care Plans For Individuals With Developmental Disabilities

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Introducing RASP: Relapse Assessment In Schizophrenia Patients

Nearly 3.4 million adults, or 1.1% of the U.S. population, have a diagnosis of schizophrenia.1,2 As a chronic, relapsing3 condition, those who …

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You Say Subscription-Based Health Care, I Hear Customer Service

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Medicaid ACOs—4 Facts To Inform Your Strategy

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Kansas Awards New Medicaid Managed Care Contracts To Sunflower, United Healthcare & Aetna

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Annual Employer Medical Cost Trend Has Plateaued At 6%

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Half Of J.D. Power Commercial Health Plan Members Satisfaction Ranking Go To Blues Plans

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DOL Finalizes Rules For August Launch Of Association Health Plans For Small Businesses & Self-Employed

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Arkansas Medicaid Releases RFP For Behavioral Health & Developmental Disability Prior Authorization & Review Services

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The Future Has Arrived For VBR

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Is The Dual Eligible Market A Priority? Your Opportunity Depends On The State

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The Catch-22 Of Charity Care

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Behavioral Health Conditions Accounted For Nearly 5% Of Total 2014 Health Spending

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New Jersey Launches NJ ABLE Tax-Free Savings Program For Individuals With Disabilities

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Federal Mandatory Spending For Means-Tested Safety Net Programs Estimated To Increase 57% Over Next Decade

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Medicaid Spending On LTSS, At $167 Billion In 2016, Up 4.5% Over Previous Year

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Safety Net Spending Gains Since 1990 Have Gone To Families With Income Above The Poverty Level

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Iowa Estimates Savings From Medicaid Managed Care At $274 Million For 2017 & 2018

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VBR Jumping From Hospital-Centric ACOs To Community-Based Players

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Maryland & CMS Announce Expansion Of The All-Payer Model

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Medicare Part D Costs For Brand Name Drugs Rose 77% From 2011 To 2015

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Detroit Wayne Mental Health Authority To Phase Out Managed Care Network Contracts

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Tennessee Eliminates Depression & Anxiety From TennCare ‘Episode Of Care’ Program

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Charity Care In The News Again

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When It Comes To Health Insurance Trends, The Action Is At The State Level

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Barriers & Challenges To Successful Behavioral Health Integration

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Pain Points Matter

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Fundraising To Fill The Budget Gap

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Feds Approve Illinois Expansion Of Medicaid Mental Health Coverage, State Prepares To Launch 10 Pilots

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Households With 70-Year-Old Consumers Will Incur A Lifetime Average Of $122,000 In Medical Spending

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71% Of MSSP ACOs Would Leave Program If Required To Assume Risk

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Crawl, Walk, Run To VBR

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Get Your Price List Ready!

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Alaska Has Started Delaying Medicaid Payments

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Health Plan Population Health Management Strategies: How Policy Affects Serving Complex Members

Care for individuals with behavioral health conditions typically costs 2-3 times as much, on average, as care for individuals without …

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New Jersey Medicaid MCOs To Carve-In Behavioral Health In Medicaid Health Plans

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Michigan Medicaid Delays Selection Of Cross-Region PIHP For Mental Health Integration Pilot Areas

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Leveraging Medicaid To Address The Housing Issue

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Denver Supportive Housing Social Impact Bond Initiative Earns The First ‘Success Payment’ For Project Investors

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Medicare To Require Hospitals To Post Standard Charges Online

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North Carolina Medicaid To Launch Cognitive Rehabilitation TBI Pilot

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California’s ‘No Place Like Home’ Program Faces Legal Challenge To Use Of Mental Health Services Act Funding

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CMS Expanding Population-Based Provider Reimbursement Models In Medicare & Medicaid

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Humana & The Consortium To Buy Curo Health Services For About $1.4 Billion

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Seven Next Generation Medicare ACOs Drop Out

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2018 Adult Uninsured Rate Is 15.5%, Up From 12.7% In 2017

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Increased Physician Employment By Hospitals Responsible For 4.3% Of Increased Medicare Costs Between 2012 & 2015

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California Medicaid Health Homes To Launch On-Time In San Francisco, Riverside & San Bernardino Counties

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Why Your Performance Reporting Should Include ‘Episodes Of Care’

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Introducing National Health Plan Survey Results: Strategies For Managing Complex Consumers

During this interview, Monica E. Oss, CEO at OPEN MINDS, speaks with Darryl Donlin, Senior Associate at OPEN MINDS, to …

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San Diego County Launching Drug Medi-Cal Delivery System

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Consumer Transparency & VBR Changing Best Practice EHR Functionality

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The ACO ‘Savings Confusion’

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ACOs Shared Savings Raised Federal Costs By $384 Million Between 2013 & 2016

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14% Of Families Had Out-Of-Pocket Health Care Expenses Exceeding $2,500 In 2015

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Pennsylvania Rural Hospital Financing Model Announced In CMS/State Collaboration

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Treatment For Individuals With Bipolar Disorder: A Resource For Payers

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Combating Stigma: A Resource For Payers

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Diagnosing Bipolar Disorder: A Resource For Payers

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Kindred Sues CMS Over Dual Eligible Claims Denial For Facilities Not Participating In Medicaid

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CMS Announces Process For Medicaid APMs To Be Certified Under Medicare QPP

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Florida Has Most Residents With Medicare Supplement Insurance Policies

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Medicare Payment Advisory Commission Recommends Eliminating The Merit-Based Incentive Payment System

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Medicare Expands Coverage To Include Performance-Based Diabetes Prevention Program

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Hospitals Acquired 5,000 Physician Practices From July 2015 To July 2016

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CMS Rejects Idaho’s Proposed Changes To Essential Health Benefits, Suggesting Using Short-Term Insurance Plans To Offer Reduced Benefits

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Catching The Wave

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Blue Cross Blue Shield Association Launches Institute To Address Social Determinants

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New 2018 Accounting Standard Limits What Health Care Provider Organizations Can Report As ‘Bad Debt’

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When & How To ‘Sell’ Being Acquired

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How Far Does $3.3 Billion Go?

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Webinar Summary – Certified Community Behavioral Health Clinics (CCBHCs): A New Approach To Providing Mental Health & Addiction Treatment

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Veterans Affairs Announces Mental Health Partnership With Cohen Veterans Network

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Centene To Acquire Community Medical Group To Expand Its Provider Assets

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73% Of Health System Executives Cite Transition To Risk-Based Care Models As A Top Priority

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California Auditor Finds Counties Retain Excessive Reserves For Mental Health Service Act Funds

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Alaska Medicaid Preparing RFP For Statewide Medicaid Behavioral Health ASO

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Washington Medicaid Moving To Integrated Care

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It Gets Down To The Dollars

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Coming To Grips With The Reality Of Mergers

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The Hospital Perspective On ‘Owning’ Value-Based Reimbursement

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Trends In Behavioral Health: A Reference Guide On The U.S. Behavioral Health Financing & Delivery System

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Legislation Introduced To Reestablish Funding For Medicaid ‘Money Follows The Person’ Program

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Anthem Alters Emergency Department Coverage Policies For ‘Non-Urgent’ Visits, Will Review Denied Claims

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20 States To Sue To Eliminate The PPACA Individual Mandate

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Payers Approaches To Addressing Social Determinants Vary

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Arizona Medicaid Awards AHCCCS Complete Care Contracts To Seven MCOs

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Michigan Medicaid Picks Regional Pilot Organizations For Coordinated Behavioral & Physical Health Services

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Does Peer Support Pay?

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Building A Workforce For Value-Based Reimbursement = Advice From Four Executives

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The Evolution Of Successful Value-Based Contracting

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Bend The Cost Curve? We Need Behaviorally-Led Health Systems

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Will Charity Care Survive?

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Pennsylvania Medicaid Moving To Value-Based Reimbursement For Behavioral Health

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Spending For Consumers With Comorbid Medical & Behavioral Conditions At 34% Of Total U.S. Health Care Spending

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U.S. Health Care Expenditures Expected To Grow 5.5% Annually Through 2026

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Tennessee Medicaid To Launch Two-Year Medication Therapy Management Pilot

On February 1, 2018, TennCare, Tennessee’s Medicaid program, received approval for a Medicaid waiver amendment that will allow the state …

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Amazon, Berkshire Hathaway & J.P. Morgan Chase To Form Independent Health Care Company

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17 Additional ACOs To Participate In The Medicare Next Generation ACO Program

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Centene To Acquire MHM Services, Expanding Correctional Health Care Reach

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Practice Makes Perfect

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Value = ‘Whole Person’ Approach

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Would This List Bend The Cost Curve?

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How Do You Engage Employees & Improve Performance?

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How To Make A Value-Based Partnership Really Work

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Are Health Plans Your New Competition?

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Don’t Forget Medicare Specialty Health Plans in Your Strategy—They’re Here to Stay

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Ohio Rolls Out New Medicaid Electronic Visit Verification For Personal Care Programs

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California’s Medicaid Health Homes Program Slated For A July 2018 Launch

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13% Of Non-Profit Human Service Provider Organizations Are Technically Insolvent

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Defining Post-Acute In The Era Of Value-Based Care

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English Study Finds 9.8% Of English Adults With Four+ Chronic Conditions, Prevalence Projected To Double By 2035

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Hospital Mergers Increased 13% In 2017

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Four Large Hospital Groups Partner With The Veterans Administration Health System To Create Pharmaceutical Alternative

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Maine Launches Hospital Pilot To Connect Veterans To Behavioral Health Services

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Ohio Medicaid Launching New Behavioral Health Care Coordination Program For High-Needs Members

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Coordination, Care & Value-Based Contracting

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From Health Plan Contract To Health Plan Partnership In Four Steps

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What’s The Window To Value-Based Care?

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Health Care Spending For Patients With Behavioral & Physical Health Conditions: What Accounts For The Costs?

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Medicare ACO Program Savings Are Not Tied To Preventable Hospitalizations

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71% Of Physician Practice Revenue In Fee-For-Service

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CMS Unveils New Voluntary Bundled Payments For Care Improvement Advanced Model

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Optum To Acquire DaVita Medical Group For $4.9 Billion

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Medicare Penalizes Group Of 751 Hospitals For High Rates Of Hospital-Acquired Conditions

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New Mexico Awards Medicaid Managed Care Contracts To Two Incumbents & One Newcomer

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Does Paying For Value ‘Work’?

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The Emerging Medicaid Specialty Health Plan Market

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Suspension Of Iowa Medicaid Integrated Health Homes On Hold

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12.2% Of U.S. Adults Are Uninsured, Up 1.3 Percentage Points From Record Low In 2016

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Merger Of Catholic Health Initiatives & Dignity Health Creates Largest U.S. Non-Profit Health System, Operating In 28 States

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Montana Proposes 3% Cuts To Medicaid Rates By March 2018

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Advocate Health Care To Merge With Aurora Health Care

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Spending & Enrollment Growth Slow After Initial National Health Care Coverage Expansions

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Medicaid Expansion Is Associated With Improved Hospital Financial Performance

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Why Do Only A Third Of Consumers With SMI Receive Evidence-Based Treatment?

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Medicare ACOs – The Enrollment & The Savings Are Increasing

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Is ‘Financial Accreditation’ The Answer?

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Addressing Complex Consumer Care Using Next Generation Population Risk Management Tools

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California Stakeholders Endorse Standardized Performance Measures For Commercial ACOs

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North Dakota Launches Behavioral Health Treatment Program For Justice-Involved Individuals With Reimbursement Linked To Outcomes

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Less Than A Third Of People With Serious Behavioral Disorder Receive Evidence-Based Treatment

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Penn State Health & Highmark Invest $1 Billion To Create A Value-Based Community Care Network

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Nearly 9 Million People Selected Health Insurance During 2018 Federal Open Enrollment: Down 4.8% From 2017

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Care1st Health Plan Arizona Signs Value-Based Agreement With Equality Health To Offer An Expanded Network & Culturally Competent Services

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If 1 In 8 Community-Based Organizations Are Insolvent, The Answer Is?

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What Are Health Homes Measuring?

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In 2016, 15% Of Medicaid Beneficiaries Were In The Expansion Population & Accounted For 12% Of Total Medicaid Spending

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VA To Take Immediate Actions On Timely Payments To Community Providers

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About 50% Of Michigan’s Medicaid Expansion Program Enrollees Are Employed

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Kentucky Granted Medicaid Waiver With Cost-Sharing & Work Requirements

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Paying For Social Services ‘Value’ Requires Measuring Cost Impact

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Arizona Submits Request To Add Work Requirements To Medicaid Program

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UPMC Awarded $5.7 Million To Expand Access To Medication Assisted Treatment In Four Pennsylvania Counties

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FamilyCare, Oregon Medicaid CCO, To Close Following Failure To Settle 2018 Contract

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One-Third Of Physician Practices Failed To Report Performance Data In First Year Of Physician Value-Based Payment Modifier Program

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Massachusetts Public Health Awards 3 Contracts For A Post-Overdose Community Follow-Up Program

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60% Of American Medical Group Association Members Ready To Move From FFS Payments To Risk-Based Payment Models Within 2 Years

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Michigan Medicaid Preparing To Pilot Integrated Behavioral & Physical Health Projects

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Illinois Medicaid Launches Redesigned Mandatory Managed Care Program Statewide

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Alaska Reports Savings From Programs Focused On Medicaid ‘Superusers’

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CareFirst BlueCross BlueShield To Launch New Addiction Treatment Programs In D.C. Area

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Medicare Has Added 14 New Primary Care Billing Codes Since 2013

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Texas Issues RFP For STAR+PLUS Plans With Integrated MLTSS For Beneficiaries With Disabilities

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The Top News Stories Of 2017—A Preview Of 2018?

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Medicaid Behavioral Health – No Changes In 2017 But Look For Changes Ahead

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Financing Innovation & Business Development Amidst The Mergers

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CVS Health To Buy Aetna For $77 Billion

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19 Florida MCOs & Provider Service Networks Submit Bids For Medicaid Managed Care Rebid

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Kansas Awards Adult Behavioral Health Crisis Service Contracts In Topeka & Salina

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Behavioral Health Care More Likely To Be Out-Of-Network Than Medical Or Surgical Care

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Virginia Medicaid Selects Six MCOs For Medallion 4.0 Integrated Physical & Behavioral Health Contracts

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Getting Past The Bumps In The Road To Value-Based Reimbursement

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Specialist Physician Median Compensation Nearly $123,000 Higher For Private Hospitals Compared To Teaching Hospitals

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47% Of Physician Practices Receive Some Form Of Value-Based Reimbursement: Up 3% Since 2015

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Florida Appellate Court Says Hospitals Can Challenge Medicaid Rate Cuts

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2018 Medicare Fee Schedule Expands The Telehealth & Remote Monitoring Code Sets

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57% Of Hospitals Earned Medicare Value-Based Purchasing Bonuses For Fiscal Year 2018

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The Changing Face Of Medicaid Health Homes—The 2017 Update

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The Strategic Challenges On The Road To Value-Based Reimbursement

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The Merger Of Retail With Health Plans—Strategy, Please

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CMS Announces 15-State Expansion For 2019 Medicare Advantage Value-Based Insurance Design Model

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Humana Reports Lower Medicare Costs After Implementing Value-Based Payments For Physicians

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Cost Per Claim For Medicaid FFS Specialty Drugs Rose 20% In 2016

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Medical Debt Accrual Down By 45% In States After Medicaid Expansion

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Your 21st Century Fund Development Toolkit

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Veterans Affairs Implements New Program To Speed Decisions On Disability Payments

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Kansas Medicaid Requests $200 Million To Shorten Wait For HCBS Waiver Services In 2018 & 2019

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Medicare Spends Three Times As Much On Beneficiaries Who Need LTSS

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93% Of Medicaid Expansion Enrollees In Hennepin County, Minnesota Use Social Services Or Are Involved With The Justice System

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About One-Fifth Of Families With A Worker Earning $16 Per Hour Or Less Use Federally Funded Social Safety Net Programs

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Hillcrest Baptist Medical Center In Waco, Texas May Become A State-Owned Mental Health Facility

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Iowa Medicaid Seeks Managed Care Plans To Replace AmeriHealth Caritas

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Los Angeles County Launches First Pay-For-Success Project: ‘Just In Reach’ Supportive Housing Program

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Do You Understand The Cost Of Value?

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Pioneer Accountable Care Organizations Saved Medicare $61 Million In 2016

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What Investors Are Looking For In The Complex Consumer Space

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The Future Is Now

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MedPAC Calls For Repeal, Replacement Of MIPS

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Online CBT Effective For Insomnia & Psychosis

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Kansas Releases KanCare 2.0 Draft Waiver & RFP For Contracts To Start January 2019

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Arizona Medicaid Releases RFP For Integrated Care Contracts

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Telehealth Billing – Easier Than You Think?

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Innovation Isn’t Enough

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How Technology Is Changing Case Management

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Changes Proposed For PPACA Via HHS Rule Change On CSR Payments & New Presidential Executive Order

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Costs Of Cancer Care Higher For People With Psychiatric Disorders

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Long-Term Care Costs Rise 4.5% Between 2016 & 2017

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In Medicare Shared Savings Program, ACO Tenure Linked To Greater Spending Reductions

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Behavioral Health Provider Organizations Report Illinois Health Plans Frequently Deny Coverage Of Mental Health, Addiction Care

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Humana Partners With CleanSlate Centers To Provide Outpatient Addiction Treatment Services In 8 States

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The Cutting Edge Of Data Sharing For Population Health

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Getting A Bead On MLTSS

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Maine Voters Approve Medicaid Expansion Initiative; Governor Says No Action Unless The Legislature Fully Funds It

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Virginia Awards Statewide Family Network Services Contract To NAMI Virginia

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Maryland Developmental Disabilities Administration To Release New Provider Rates In 2019

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Looking Ahead To The Era Of Configured Networks

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Annual Care Costs For Frontotemporal Dementia Total Nearly $120,000

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38% Of ACOs Preparing For Capitated Contracts

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25% Of Pharmaceutical Executives Have Participated In A Value-Based Contract

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Oklahoma To Cut State-Funded Outpatient Behavioral Health Programs

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Texas Halts Plan For I/DD Managed Care Pilot, But Still Plans To Move LTSS For I/DD To Managed Care In 2020

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Colorado Medicaid Selects Five Organizations For Regional Integrated Behavioral & Physical Health Initiative

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The Push For Value-Based Reimbursement From State Medicaid Plans

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3 Steps To Competing On Performance

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The Average Marketplace Health Plan Provider Network Includes 11% Of Mental Health Care Professionals

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Options For Alternative Payment Models For Behavioral Health

Over the past few years, the federal Centers for Medicare and Medicaid Services (CMS) has not so quietly been in …

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Mississippi Medicaid Awards Managed Care Contracts To Molina Healthcare & Incumbents Magnolia Health & UnitedHealthcare

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United States Has 626 Health Systems

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CMS Cuts Promotion Of & Opportunities To Enroll In Health Insurance Marketplace

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New Jersey Medicaid To Move I/DD Community Care Waiver To The Comprehensive Waiver

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60% Of Behavioral Health Sector Mergers & Acquisitions During 2017 Are By Private Equity

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Arkansas Medicaid To Launch Provider-Led Shared Savings Entities For Members With Developmental Disabilities Or Mental Illness

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Virginia Medicaid Launches Mandatory MLTSS Enrollment; Specialty Behavioral Health Services Included

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Massachusetts Selects Two MCOs, Moving Selected Medicaid Populations To Health Insurance Marketplace

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The Medicaid Managed Care Market Share Numbers Are In And…

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Health Insurance Coverage Vs. Access To Care—The Gap Between Them

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Disruption (& Strategic Planning) Come To The I/DD Space

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Insurer Market Power Lowers Hospital & Physician Payment Rates

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CBO Projects That 2018 Health Insurance Marketplace Premiums Will Rise By 15% Due To Uncertainty About Fate Of Federal Subsidies

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15% Of Small Employers Offering Health Insurance Dropped Coverage In 2015; 35% Of Small Employers Offer Health Insurance

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Uninsured Rate Among Adults With Severe Mental Illness Dropped From 28% In 2012 To 18% In 2015

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Want To Be A Health Plan ‘Partner’? Answer These 5 Questions

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Medicaid Managed Care – From 0 To 100

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California Medicaid Plans Propose Discontinuing Printed Provider Network Directories In Favor Of Digital Versions

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State Medicaid HCBS Policy Factors Often Limit Beneficiary Access To Assisted Living

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Blue Cross & Blue Shield Of Minnesota To Cut Psychotherapy Rates By 18%

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Payer, Provider, Partner

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Medicare Shared Savings ACOs Saved $1 Billion Over Three Years

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New Mexico Rebids Medicaid Centennial Care Managed Care Contracts

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CMS Issues New Guidance On Medicaid Managed Care Coverage Of Short-Term IMD Stays

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Michigan Medicaid Selects Facilitator To Develop Pilot Mental Health Integration Project Models

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Alabama Medicaid Delays MLTSS Procurement

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MassHealth Selects Community Partner Organizations For ACOs – 8 For LTSS & 18 For Behavioral Health

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Federal Prison Per-Inmate Health Care Costs Rose 36% From 2009 To 2016

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Medicaid Managed Care Insurance Plans Score Higher Than Commercial Health Insurance Plans In Customer Satisfaction

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State Medicaid Managed Care Access Standards Did Not Improve Access To Specialists

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Care Costs For A Person With Dementia Over 5 Years Is $322,000; More Than Twice That For A Person Without Dementia

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North Carolina Proposes New Integrated Medicaid Managed Care Model

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Medicare Telemedicine Spending Rises 28% Between 2015 & 2016, But Is Still Less Than 1% Of Benefit Spending

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CMS Approves NJ Medicaid MLTSS Through 2022 With Pending Changes To Adult Behavioral Health

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Nebraska Medicaid LTSS Redesign Calls For Phased Carve-In Starting January 2020

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What Does ‘Value-Based’ Look Like In The I/DD Field?

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Does Federal Uncertainty Mean More Or Less Medicaid Managed Care?

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Employer Health Plans Pushing Telehealth Adoption One Step Closer To ‘Ubiquity’

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Federal Audit Of 8 HCBS Waivers In 4 States Finds At Least $176 Million In Unallowable Costs

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Reimbursement Changes In Store For Behavioral Health At CMS

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Molina To Join Idaho’s Medicare-Medicaid Coordinated Plan

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Between 2016 & 2017, Number Of ACOs Rises 11%

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New Jersey Governor Proposes Moving Division Of Mental Health & Addiction Services To Health Department

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Non-Profit Health & Human Service Provider Organizations Report Service Fees Are 50% Of Current Funding

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The Top Priorities For Innovation Are…

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The Medicaid Spending Mosaic

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Health Plan Strategy Meets The Opioid Crisis

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Virginia’s Next Medicaid Managed Care Contracts To Integrate Specialty Behavioral Health

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Planning For Turbulence – A Case Study

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Strategy In The I/DD Market

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Do DSRIP Programs Predict The Future Of Behavioral Health Value-Based Reimbursement?

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The Winding Path To Provider Partnership

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New Hampshire To Expand Mental Health Services For Residents

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Illinois Awards Medicaid Managed Care Contracts, Reduces Total Number Of Health Plans

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6 Management Best Practices For Sustainability In A Changing Market

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The 3 Market Challenges We Aren’t Prepared For

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The Golden Rule Of Payer Marketing

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The Future Of IDD Is In The Home

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Uninsured Rate For U.S. Adults Rises To 11.3%

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Medicare Proposes To Move Home Health Payment From 60-Day To 30-Day Episodes

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Hawaii To Pay Caregivers Via Vouchers To Care For Elderly

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New York Medicaid To Launch Health Homes For People With Developmental Disabilities

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Veterans Administration To Launch Community Care Network In 2018

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Alabama Medicaid Ends Regional Care Organization Program

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CMS Approves Pennsylvania’s Home & Community-Based Waiver Renewals

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14.7 Million Working Americans Gained Health Coverage Under The Patient Protection & Affordable Care Act

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Virginia Moves Dual-Eligibles To New Managed Long-Term Care Program

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Magellan Health Expands LTSS Presence With $400 Million Purchase Of Senior Whole Health

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Arkansas Disabilities Services Waitlist Reduced By 16%

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Massachusetts Releases RFP For PACT Program Managers

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Illinois Pays First $740 Million To Clear $4 Billion Medicaid Claims & Capitated Payments Backlog

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In The Land Of The Blind

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The Housing To Health Care Evolution

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Making Coordinated Care Work For The Medicaid SMI Population – Connecting The Dots

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Approval Of Alaska’s 1332 State Innovation Waiver Application

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The Next Wave Of Consumer Price Shopping For Health Care

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The Bigger The Challenge, The Bigger The Opportunity

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Value-Based Reimbursement As Clinical Best Practice Driver

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More Than 90% Of Uninsured Consumers With Behavioral Health Disorders Eligible For PPACA Subsidies

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Michigan’s Genesee Health System Contracts With Genoa For In-Home Medication Management Services

On July 1, 2017, the Genesee Health System (GHS) in Michigan launched a contract with Genoa, a QoL Healthcare Company, …

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Forsyth County, North Carolina Awards $13 Million Jail Medical Contract To Correct Care Solutions

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Up To 1 In 3 Medicaid Expansion Enrollees Received Behavioral Health Treatment In 2014

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HEDIS® Behavioral Health Measures: An Update From NCQA©

Quality measurement for behavioral health is gaining more importance as payers and providers of health care acknowledge the impact mental …

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New Jersey Launches Fee-For-Service Mental Health For Remaining Programs

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Delaware Health System Transformation Project To Move 90% Of All Primary Care Services To Value-Based Arrangements

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California Medicaid Launches 7 New Whole Person Care Pilots, Expands 8 Others

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California Department Of Managed Health Care Again Cites Kaiser Permanente Failure To Provide Timely Behavioral Health Appointments

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CMS Proposes Changes For MACRA Year 2 To Ease Burden For Small, Independent & Rural Clinical Professionals

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Percentage Of Workers Covered By Employer-Sponsored Health Insurance Dropped From 54% In 2008 To 48% In 2015

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Social Impact Bonds – Moving From Experimental To Scale

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69% Of The Medicaid Population Is Enrolled In Managed Care – What About The SMI Population?

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Florida Releases Medicaid Managed Care Rebid

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Black & Hispanic Medicare FFS Beneficiaries More Likely To Receive ‘Low-Value’ Care

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States With Managed Medicaid LTSS Programs Report Progress In Moving Away From Institutional Care

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Medicaid Cost For Autism – The Impact Of Special Education Funds

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The End Of Payment Reform – The Beginning Of Payment Cuts

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Will Value-Based Reimbursement Solve The Psych Bed Question?

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Shifting ACO Market = Shifting Strategy

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TennCare Implements Episodes Of Care Reimbursement For Anxiety & Depression On July 1

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Delaware Rebidding Diamond State Health Plan Contracts, Planning To Move 80% Of Reimbursement To Value-Based Models

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MedPAC Recommends Medicare Redesign Upcoming MIPS

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If Your Goal Is To Share Savings, You Need To Measure It

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Ohio Medicaid Launching New Behavioral Health Coding & Billing On January 1, 2018

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Answering The Question – Who Can Afford Their Health Services?

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Massachusetts Medicaid Picks 18 Provider Organizations For MassHealth ACO Program

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Value-Based Reimbursement Developments Continue Reshaping (Every) Market

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How To Build Successful ACO Health Plan Partnerships

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What Health Plans Are Looking For? Hint: It’s Not A Bigger Provider Network

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CMS Lifts Sanctions, Clears Cigna To Resume Selling Medicare Plans

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Sutter Health Teams Join With Aetna To Create New California Health Plan

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Nebraska Combining Adult & Child DD Waivers

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Minnesota Adds New Risk Sharing For Medicaid ACOs In Expanded Integrated Health Partnerships Program

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Optum & Merck Partner To Advance Value-Based Contracting Of Pharmaceuticals

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Wisconsin Seeks To Amend Waiver To Require Drug Screening & Testing For Medicaid Eligibility

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CMS Further Delays Bundled Payment Implementation, Expansion To January 2018

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Oregon Lagging On Medicaid Eligibility Verification For Approximately 86,000 People

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Think Health Homes Are Only For Medicaid?

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Five Questions To Ask To Build A Health Plan Proposal

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California Medicaid Developing Capitated Payment Model For FQHCs

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Alabama Enacts Broad Autism Insurance Mandate

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Medicaid LTSS Spending $158 Billion In 2015, 30% Of Total Medicaid Expenditures

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Health Transformation Alliance Launches Health Purchasing Initiative For Self-Insured Companies

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2017 Employee Health Care Costs For A Family Of Four Rise 4.3%, To $26,944

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Rethinking Your Strategic Competitive Landscape

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