In value-based behavioral health, partnership with primary care is paramount to better patient outcomes since people living with SMI, SUD, and dementia likely have other physical medical conditions. “If you’re actually going to move the needle in terms of total health and cost for these individuals, you have to be working not only on the behavioral health symptoms but also on their physical health needs as well,” said Author Health CEO, Dr. Katherine Hobbs, MD MPH at #AHIP2024. Thank you Fierce Healthcare for including Author Health in your recap. Learn more at the link below. #valuebasedcare #VBC #behavioralhealth https://lnkd.in/eKvYqGbB
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Working with behavioral healthcare programs to maximize revenue while helping them operate more efficiently and ethically | Recruiting, Medical Billing, Credentialing, Compliance
Navigating the world of behavioral health finances? Our latest blog dives into the essential metrics for optimizing revenue in your practice. From shorter revenue cycles to strategic payer mix, discover the key insights to elevate your financial health. Read more on the Revive BHS blog. #BehavioralHealth #RevenueOptimization #HealthcareSuccess https://lnkd.in/gSghEmER
Optimizing Behavioral Health Revenue: Monitoring Financial Performance
https://revivebhs.com
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Zocdoc CEO Oliver Kharraz has five predictions about what patients will want in 2024. Some of his forecasts include Americans seeking more cash-pay care options and an uptick in patients seeking mental health appointments before and after the presidential election. #patientpreferences #Zocdoc #convenience
Zocdoc CEO Predicts 5 Ways Patient Behavior Will Change in 2024
https://medcitynews.com
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Centers for Medicare & Medicaid Services recently unveiled the Innovative Behavioral Health (IBH) Model, a new initiative to integrate behavioral and physical healthcare for Medicare and Medicaid beneficiaries, focusing on adults with significant mental health and substance use disorders. This state-based model, piloted by CMS Innovation Center, aims to enhance healthcare quality by forming interprofessional teams in community-based settings, including Community Mental Health Centers and opioid treatment programs. These teams will address not just medical needs, but also essential social factors like housing and transportation. NABIP commends the Administration for its dedication to pioneering new approaches in mental healthcare. This commitment reflects a significant and progressive step towards addressing complex mental health challenges, showcasing a willingness to invest in and develop groundbreaking strategies and models that can potentially transform the landscape of mental health services, providing better, more integrated care for those in need. Don’t miss out on a detailed exploration of the IBH Model by Liz Fowler, Deputy Administrator and Director of the CMS Innovation Center, at our upcoming 2024 Capitol Conference. Register Here: https://lnkd.in/epNe5dNY #NABIP #CMS #MentalHealth #IBHModel #HealthcareInnovation
2024 NABIP Capitol Conference
members.nabip.org
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Hope Family Health, a 20-provider FQHC, is transforming the patient check-in process, reducing the time spent on intake from 30 minutes to 15 minutes after implementing healow CHECK-IN solutions. Learn more in this #blog ➡️ https://ecw.co/3wHdJoN
Embracing Digital Transformation: How healow is Revolutionizing the Check-In Process
plus.healow.com
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Prolonged unhealthy behavior can lead to heart attack, stroke, cancer, or diabetes. But there is good news. Living a positive lifestyle has the power to prevent and even reverse the most prevalent and costly chronic conditions. Continuing our ‘Let’s Talk About’ series, Dr. Stella George, Chief Medical Officer, International Health, Cigna Healthcare, explores the importance of making better lifestyle choices. Read more here: https://bit.ly/3vmMfEs Cigna Healthcare International Health Let's keep talking about our health. #CignaHealthcare #Lifestyle #LetsTalkAbout #HealthyLifestyle
https://www.cignaglobalhealth.com
cignaglobalhealth.com
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American insurers are preparing or colluding for ‘3 Medicare advantage HMOs for-all’ with capitated physician reimbursement. This end-game or terminal-phase for American Healthcare will convert insurers from risk-on integrated conglomerates (insurers) to highly profitable pass-through banks or profitable government subsidy clearing-houses with zero fiscal or medical risk. ‘MA for-all’ will enable life threatening and maiming rationing of care by insurers for-profit to be solely shouldered fiscally and physically by only physicians and their patients. This HC model is a copy of the Israeli 3-HMOs for-all HC System without the outcomes and costs transparency or profit neutralization mandated of the Israeli insurers HHS Office of Inspector General Centers for Medicare & Medicaid Services Jesse Ehrenfeld MD MPH Wendell Potter Physicians for a National Health Program U.S. Department of Justice
I broke a little news in HEALTH CARE un-covered yesterday. Glad to see the Wall Street Journal is catching up today. :) https://lnkd.in/ey_chHiC
Cigna said to be going after Humana to buy its way into Medicare Advantage
wendellpotter.substack.com
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Interesting... I picked up many touchpoints on the relationship between claims submissions at the pharmacy, role of ‘Switch’ software, and back-end processes. Erin L. Albert, MBA, PharmD, JD, DASPL 💊 #Pharmacy #PharmacyBenefits #PBM #PharmacySwitches #Healthcare
A little known, 'newer' innovation in #pharmacybenefits....but I'm not sure many know about it. Nor do I know if it's 'good' or not. But I did bring this up at Alliance of Community Health Plans (ACHP) yesterday - The #PharmacySwitches. You can read more about where they are and what they do here: https://lnkd.in/gf2_kxGh
Turning the Light on Pharmacy Switches
erinalbert.medium.com
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President at CareAllies – a Cigna company | Focused on connecting care between patients, providers, and payers through value-based care solutions
There are of course many factors that contribute to health care costs, but one way we can all make a difference is to ensure that we do everything in our power to prevent health issues and multiple chronic conditions. #Valuedbasecare and its inherent focus on value – beginning with a focus on helping patients live healthier and happier lives while ultimately lowering costs – is a step in the right direction, particularly when one considers that hospital care is the largest personal health care expenditure. USAFacts https://bit.ly/3ICNG4x
How much is spent on personal healthcare in the US?
usafacts.org
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For Behavioral Health Business, our CEO Shana Hoffman shares her perspectives on what needs to happen to solve the behavioral health ghost network problem once and for all. The status quo, in which payers approach ghost networks by hoping providers will offer up-to-date information, is simply not working. In her view, change needs to start at both the payer and provider level, but the impetus is on health plans to utilize existing technology to support these efforts. “If payers extend an olive branch to say, ‘We actually have a solution that can get you the patients that you want to see with less administrative burden,’ then the provider is more willing to lean in...to reduce barriers." Read more: https://lnkd.in/gjUuzj5A #BehavioralHealth #MentalHealth #GhostNetworks
‘This Isn't Just a Payer Problem’: Health Plans and Providers Must Jointly Address Ghost Networks
https://bhbusiness.com
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