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…
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 improve health…
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,…
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 in Medicaid…
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…
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 Health emergency,…
Monitoring chronic absence data is essential for ensuring educators are equipped to support their students effectively. Amidst the busy school year, it can be easy to lose track of how…
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 managed care,…
Maryland Physicians Care (MPC) Provider Relations Representatives Maryland Physicians Care
This dataset contains the total number of Medi-Cal Managed Care enrollees based on the reported month, plan type, county, and health plan.
Various reports from the State of California regarding the quality of care provided by Medi-Cal managed care health plans. Plan-specific evaluation reports are also prepared for each individual health plan…
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…
Contract modeling, or analyzing potential scenarios of reimbursements to understand financial outcomes, provides a proactive approach to financial management by analyzing the impact of different elements such as methodologies, rate…
Agenda Managed Care 101 for healthcare entrepreneurs seeking to do business in the California market.