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Spotlight April 2022
Nearly 60% Of Health Systems Aim To Become ‘Payviders’ In 2022
Nearly 60% of health systems surveyed plan to become “payviders” in 2022. A “payvider” is an organization that both delivers services and accepts financial risk for health benefits. These plans… Read MoreBehavioral Health HEDIS® Measures: An Annual Update From NCQA©
One of health care’s most widely used performance improvement tools, HEDIS consists of more than 90 measures over six domains of care. In the behavioral health realm, HEDIS assesses depression… Read More2021 Trends In Behavioral Health: A Reference Guide On The US Behavioral Health Financing & Delivery System, 3rd Edition
The Third Edition of Trends in Behavioral Health: A Reference Guide On The US Behavioral Health Financing & Delivery System (The Guide) provides information and insights into the multi-layered United… Read MoreValue-Added Pharmacist-Run Programs In Hospitals
In this presentation, Melissa Mitchell, PharmD, BCPS, BCPP, BCGP addresses value-added pharmacist-run programs in hospitals including creating specific, measurable, attainable, relevant, and time-based (SMART) goals for such programs. Featuring: Melissa… Read MoreEnd of An Era: The Last Of The Standalone Behavioral Health Carve-Outs
Last week was the end of an era in health care financing. With the purchase of Magellan by Centene, there are no more standalone companies focused solely on managing behavioral health benefits. As… Read MoreMedicare Launching ‘Value In Opioid Use Disorder Treatment’ Demonstration In April 2021
The Medicare Value in Opioid Use Disorder Treatment demonstration is slated to launch in April 2021. The Value in Treatment initiative will create two new payments for opioid use disorder… Read More93% Of Medicaid Health Plans Reported Using Value-Based Payment Or Alternative Payment Models In 2019
Approximately 93% of Medicaid health plans reported using value-based payment (VBP) or alternative payment models (APMs) in 2019, according to recent analysis by the Institute for Medicaid Innovation (IMI). The… Read MoreValue-Based Reimbursement In The Next Normal
In our mapping of the post-pandemic market, one key issue is how health plans will reimburse provider organizations in the year ahead. Anecdotally, we’re seeing more health plan managers looking for provider… Read MoreFuture of Health Care Beyond 2020 Series: Interview With Jim Kenney, RPh, MBA
In this interview, Jim Kenney, RPh, PsychU’s Payer Section Advisor, discusses the future of health care beyond the COVID-19 pandemic with Jane Guo, PharmD, MBA, Managed Market Liaison for Otsuka… Read More - PsychU For You
