Integrated Care
Payers are moving to integrated care models and every provider needs an integrated-care strategy and a plan for accepting and managing value-based payments. Our integrated care resources offer information, including practical tips for delivering on the promise of integrated care. Opportunities for knowledge sharing, collaboration, and peer exchange are included. Collaboration is essential for effective integrated care. Our resources focus on the essentials of partnerships, tips for successful collaborations, and offer the expertise for executive teams to build an effective integrated care strategy.
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Hospitalizations At Least 25% Lower For Medicare Advantage Members With CKD Enrolled In A Value-Based Kidney Care Management Program
By OPEN MINDS Circle Hospitalizations over six months were about 25% lower among Medicare Advantage members with chronic kidney disease (CKD) who were enrolled in a value-based kidney care management […]
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The “Ideal” Health Home?
By Monica E. Oss, Chief Executive Officer, OPEN MINDS As we look ahead to 2022–with more integration and more value-based care, the question is how do specialty provider organizations “fit” […]
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Tennessee Announces Intent To Award Next Medicaid MCO Contracts To Incumbents; Contracts Include Changes In Coverage Options For Consumers With I/DD
By OPEN MINDS Circle On November 8, 2021, the Tennessee Division of TennCare announced intent to award Medicaid managed care organization (MCO) contracts to incumbents Anthem/Amerigroup Tennessee, Blue Cross Blue […]
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Anthem Selects Somatus To Deliver Personalized, Value-Based Kidney Care
By OPEN MINDS Circle On November 3, 2021, Somatus, which provides a value-based kidney care management model, announced it entered a long-term, multi-year partnership with Anthem, Inc. Somatus began providing […]
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California’s San Diego County Rebidding Behavioral Health & Primary Care Integration Contract
By OPEN MINDS Circle The County of San Diego, California is rebidding its county-wide behavioral health and primary care integration services contract. The current contractor, Community Clinics Health Network, dba […]
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Consumer Satisfaction = Better Reimbursement
By Monica E. Oss, Chief Executive Officer, OPEN MINDS Do you know how “satisfied” consumers are with your organization’s services? Who tracks those metrics? What does your executive team do about them? Consumer satisfaction is […]