Topic
HealthcareWiki
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Doulas in Healthcare: A Smart Investment for Better Outcomes
From Ancient Wisdom to Modern Economics: The Case for Doulas in Healthcare Throughout human history, childbirth has been more than a medical procedure—it was a community event deeply…
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From Startups to Shocking Bills: The Realities of Navigating Healthcare and Value-Based Care
In the latest episode of the VBCA Podcast, we explore the complexities, frustrations, and sometimes absurd realities of today’s healthcare landscape. This episode isn’t just about theory; it’s…
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New California PNA Requirements: A Shift in Healthcare Strategy
As of 2024, California healthcare plans must submit a Population Needs Assessment every three years to enhance community engagement and address diverse health needs. This shift aims to…
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Academy · Administrative Work · Business · Calculators · California · California Advancing and Innovating Medi-Cal (CalAIM) · Care Coordination · Data Tools · Finance & HR · Funding · Health Equity · KPI · Managed Care · MCO · Medicaid · Modeling · Providers · Resource · Return on Investment Calculator · ToolkitsUnlock Financial Success with CalAIM: Budget Estimator Tool for CBOs
The CalAIM Budget Estimator Tool helps CBOs navigate the financial complexities of contracting under CalAIM. It offers an Excel-based template with built-in assumptions, cost input fields, revenue customization,…
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California · California Advancing and Innovating Medi-Cal (CalAIM) · Data Tools · Databank · Value Based Care · YouthUtilizing California State Data to Enhance Care for Foster Youth
The Continuum of Care for children in out-of-home settings can be enhanced by leveraging existing data sources. California’s CDSS, DDS, DHCS, and CDE provide crucial data on community…
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Major HHS Rule Change: Is Your Healthcare Practice at Risk of Losing Medicare Payments?
The latest HHS rule targets information blocking practices in healthcare, imposing penalties for non-compliance. Healthcare providers face increased scrutiny, financial impact, and reputational risk. To comply, they must…
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Business · HMO · Innovations · Managed Care · Maternity · Maternity Kick Payments · MCO · Medicaid · PayersUnderstanding State-Level Variation in Medicaid Managed Care Maternity Kick Payments
Understanding State-Level Variation in Supplemental Maternity Kick Payments in Medicaid Managed Care Introduction Today, we’re exploring an intriguing study on the state-level variation in supplemental maternity kick payments…
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Business · Data Tools · Databank · Policies & Procedures · Policy · Press · Resource · Value Based CareChild and Family Health Policy Insights: CCF Blog Analysis
The Center for Children and Families (CCF) at Georgetown University’s McCourt School of Public Policy offers extensive insights into health policy issues affecting children and families. The CCF…
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District of Columbia · Doula · Health Equity · Innovations · Maternity · Medicaid · Value Based CareEnhancing Maternal and Infant Health: The Role of Medicaid in Doula Services
Expanding Medicaid Coverage for Doulas: A Crucial Step for Maternal and Infant Health As the maternal and infant health crises continue to challenge the healthcare system, there is…
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California · California Advancing and Innovating Medi-Cal (CalAIM) · Care Coordination · CHIP · CMS · Justice-Involved · Medicaid · Substance Use Disorders · Value Based Care · YouthMedicaid Coverage for Incarcerated Youth: California’s Initiative
What is the Justice-Involved Initiative? The Justice-Involved Initiative is a pioneering program under California’s Medicaid reforms, specifically designed to extend Medicaid coverage to incarcerated individuals. Historically, under the…
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Business · California · California Advancing and Innovating Medi-Cal (CalAIM) · Medicaid · Population Needs Assessment (PNA) · Quality Improvement · Resource · SDoHAddressing Critical Health Needs: Partnership HealthPlan of California Strategic Response to the 2024 Population Needs Assessment
Business Brief: Addressing Critical Needs in Population Health Partnership’s membership remained relatively stable in 2023. The member redetermination process, resulting from the winding down of the COVID-19 Public…
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Dashboards: Breastfeeding Intention and Duration Indicators
The Breastfeeding Intention and Duration Indicators are key measures used to track breastfeeding practices and intentions among new mothers. These indicators include plans to breastfeed exclusively or in…
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Managed Care Business Models 101 – Digital Therapeutics & Health Technology
The video titled “Managed Care Business Models 101 – Digital Therapeutics & Health Technology” on the channel Carenodes provides an in-depth discussion on healthcare business models, focusing on…
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Decoding Healthcare Options: A Comparative Guide to ACOs, HMOs, and PPOs
This comprehensive guide offers an in-depth comparison of Accountable Care Organizations (ACOs), Health Maintenance Organizations (HMOs), and Preferred Provider Organizations (PPOs), three prominent healthcare models in the United…
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Alabama · Arkansas · Colorado · Connecticut · Data Tools · Databank · Delaware · Florida · Georgia · Hawaii · Idaho · Illinois · Indiana · Iowa · Kentucky · Louisiana · Maine · Managed Care · Massachusetts · Mississippi · Missouri · Montana · Nebraska · Network Management · New Jersey · North Carolina · North Dakota · Oklahoma · Payers · Policies & Procedures · Regulation · Resource · Rhode Island · South Carolina · South Dakota · Tennessee · texas · Utah · Virginia · Wisconsin · Wyoming35 States with Any Willing Provider laws
As a provider, if your request to join a payer network in the following markets has been denied, you might have some recourse for appeals.
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Data Tools · Databank · Health Insurance Marketplaces · Healthcare Law · Legislation · National · Policies & Procedures · Provider Bill of Rights · Provider Contracts · Providers · Regulation · Resource · State LawsState Policies on Provider Market Power
The Source is a comprehensive platform that monitors and documents various state-level activities related to healthcare prices and competition. It provides valuable resources in the form of legislation…
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Mindfulness-Based Interventions: Enhancing Resilience in Healthcare Settings
Mindfulness-based meditation has emerged as a recommended intervention to address these challenges. By cultivating resilience and providing tools to cope with stress, mindfulness interventions can help healthcare professionals…
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Introducing Alex Yarijanian: A Visionary Leader Shaping the Future of Healthcare
Alex Yarijanian, CEO of Carenodes, has expertise in the healthcare industry, particularly in the areas of customer building, senior care, managed care, and value-based care. Here are some…
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Unleashing the Power of Healthcare Data: Exploring HRSA’s Data Portal
Discover the power of the HRSA Data Portal in revolutionizing healthcare research and planning. Developed by the Health Resources and Services Administration (HRSA), this web-based platform provides access…
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California Primary Care Clinic Annual Utilization Data
California Primary Care Clinic Annual Utilization Data. Access the complete data set of annual utilization data reported by primary care clinics contains basic clinic identification information.
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Administrative Work · Data Tools · Databank · Managed Care · Maryland · Network Management · Policies & Procedures · Resource · ToolkitsMaryland Physicians Care (MPC) Provider Relations Representatives Maryland Physicians Care
Maryland Physicians Care (MPC) Provider Relations Representatives Maryland Physicians Care
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ROI Calculator for Partnerships to Address Social Determinants of Health
The ROI Calculator for Partnerships to Address Social Determinants of Health is a tool designed to help CBOs and their health care partners explore, structure, and plan financial…
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ROI Forecasting Calculator for Quality Initiatives
The ROI Forecasting Calculator is an excellent tool for any organization looking to improve quality while keeping costs under control. It can help identify where to make investments…