Distributed Healthcare Intelligence
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 rooted in…
The blog post examines the health insurance industry's challenges in 2025, highlighting rising healthcare costs, increased patient demand, and heightened government scrutiny. Insurers, particularly those focused on Medicare Advantage, must…
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 a hard-hitting…
The new Population Needs Assessment requirements in California's Population Health Management program aim to improve health outcomes while impacting healthcare costs. Initially, increased expenses from community engagement and data collection…
Introduction In the intricate dance of healthcare negotiations, achieving a win-win outcome can seem like a daunting task. Whether it’s negotiating agreements between health plans and providers, determining reimbursement rates,…
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 care facilities,…
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 blog, “Say…
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 growing recognition…
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 Medicaid Inmate…
Introducing the Care MAP Tool, designed to support healthcare providers in managing complex care needs. This user-friendly, Excel-based tool offers a structured framework for effective care coordination, resource allocation, and…
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 States. It…
Doulas, with their specialized training in providing emotional, physical, and educational support during childbirth, are becoming increasingly integral in modern maternity care. For hospitals navigating the intricacies of capitated contracts—where…
The tool is easy to use and only requires a handful of questions about your institution, including enrollment size, approximate institutional drop-out rate, and approximate per student tuition rate. Based…
Physician-Employer Engagement has become a popular method for physicians to provide healthcare services to employees of companies. This approach is often referred to as "Direct-to-Employer" arrangements.
Medicare Medicaid Alignment Initiative Value-based payment structures are gaining popularity for many reasons. The model can align incentives to encourage disparate providers to collaborate to achieve objectives. Cost savings can…
Business case for breast-feeding
This environmental scan was prepared at the request of the Office of the Assistant Secretary for Planning and Evaluation (ASPE) as background information to assist the Physician-Focused Payment Model Technical…
Healthcare Startups take too long to go to market hence innovations do not get to the American people in a form and fashion conducive to the aims of healthcare quality…
“The patient-centered medical home has served as a catalyst and organizing philosophy to refine our state care delivery system. It has brought stakeholders from both the public and private sector together to…
Changing Demographics & Value Based Care The U.S. is stuck in a system of volume-based (fee-for-service) care that continues to drive up costs without providing better outcomes for patients.…
Tools and Partnerships to help your organization raise awareness, reduce stigma surrounding mental illness, and facilitate help-seeking behavior. MENTAL HEALTH @ WORK Treatment can help people feel better and perform…
CASE EXAMPLE of how we breakdown contracts and tie the terms to operational alignment Because the business of healthcare is to deliver the highest quality care to patients, improving clinical…