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红领巾瓜报 Insights: Your source for healthcare news, ideas and analysis.

红领巾瓜报 Insights 鈥� including our new podcast 鈥� puts the vast depth of 红领巾瓜报鈥檚 expertise at your fingertips, helping you stay informed about the latest healthcare trends and topics. Below, you can easily search based on your topic of interest to find useful information from our podcast, blogs, webinars, case studies, reports and more.

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88 Results found.

Webinar

Webinar Replay: Treatment of Substance Use Disorders During the COVID-19 Pandemic

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This webinar was held on April 2, 2020.

The COVID-19 pandemic has significantly impacted the treatment of individuals with substance use disorder (SUD), including changes in the administration of Medications for Addiction Treatment (MAT), new telehealth rules and billing procedures, and other emerging protocols and regulations designed to ensure individuals with SUD continue to receive the best care possible.

During this webinar, 红领巾瓜报 addiction experts Scott Haga and Shannon Robinson outlined how providers and patients can best navigate this changing landscape, with a special emphasis on the opportunities and risks associated with treating SUD during the pandemic.

Learning Objectives

  • Find out how the COVID-19 pandemic significantly increases the risk of SUD relapse and overdose-related fatalities.听
  • Understand federal regulatory changes to the practice of prescribing MAT for opioid use disorder, including changes from DEA, SAMHSA, Office of Civil Rights and more.
  • Obtain best practices and billing guidelines for the use of telehealth to treat individuals with SUD remotely.

红领巾瓜报 Speakers

Scott Haga, MPAS PA-C, Senior Consultant, Lansing, MI
Shannon Robinson, MD, FASAM, Principal, Costa Mesa, CA

As mentioned in the webinar, the听Telehealth Readiness Questionnaire听is also available.

Webinar

Webinar Replay: Telehealth and the COVID-19 Response: Policy Changes and Implementation Strategies

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This webinar was held on March 31, 2020

Telehealth services have become a key strategy for expanding access to care during the COVID-19 pandemic, driven in part by significant changes in laws and regulations to encourage the adoption of technologies that support telehealth. With these rapid changes, providers are struggling to understand how to best serve their patients using telehealth technologies.

During this webinar, 红领巾瓜报 experts described the different modalities of telehealth and laid out the policy and reimbursement implications for the Medicare and Medicaid programs. Speakers detailed changes to HIPAA enforcement and policy changes that ensure ongoing support for prescribers and recipients of controlled substances. The webinar also reviewed how recent policy changes impact key provider decisions with regards to selecting, implementing, and building a business case for new telehealth services to support patients during the pandemic.

As mentioned in the webinar, the is also available.

Learning Objectives

  • Understand the different modalities of telehealth services and how to bill for them.
  • Find out about recent changes in Medicare and Medicaid reimbursement policy stemming from the COVID-19 response.
  • Learn the key steps in selecting a telehealth platform, building a business case, adapting workflows, and other implications for physician practices.

红领巾瓜报 Speakers

Jean Glossa, MD, Managing Principal for Clinical Services, Washington, DC

David Bergman, MPA, Principal, New York

Zach Gaumer, Senior Consultant, Washington, DC

Webinar

Webinar Replay: 红领巾瓜报 Analysis of Medicare Advantage Advance Notice and Part C/D Proposed Rule

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This webinar was held on February 18, 2020.

On February 6, the Centers for Medicare & Medicaid Services (CMS) issued Part II of the Advance Notice of Methodological Changes for Calendar Year (CY) 2021 which includes proposed updates to Medicare Advantage (MA) payment rates. In a departure from previous years, the agency did not release a separate Call Letter which typically includes Part C and Part D policy guidance and bidding instructions. Instead, the agency released a proposed rule which includes proposed policy and technical changes, most of which are scheduled to go into effect in the 2022 plan year. CMS also issued separate bidding instructions for plans as they prepare their bids for CY2021.

During this webinar, an 红领巾瓜报 team of Medicare experts including Jonathan Blum, Eric Hammelman, Julie Faulhaber, and Narda Ipakchi presented an overview of the payment rate updates and proposed policy changes included in the Advance Notice and Proposed Rule. They provided interested stakeholders with an overview and analysis of the proposed changes as well as what these changes mean for Medicare Advantage plans’ existing strategies and opportunities.

Learning Objectives

  • Understand what the expected 2021 rate increase for Medicaid Advantage plans means for continued industry growth and financial performance.
  • Learn about updates to the Medicare Advantage Star Ratings system, including proposals to increase measure weights for patient experience and complaints.
  • Learn about the proposed changes to network adequacy requirements and how the agency is promoting further use of telehealth among plans.
  • Understand CMS鈥� efforts to implement requirements that expand Medicare Advantage coverage to beneficiaries with ESRD.

红领巾瓜报 Speakers

Jon Blum, Managing Principal, Washington, DC
Eric Hammelman, Principal, Chicago
Narda Ipakchi, Senior Consultant, Washington, DC
Julie Faulhaber, Principal, Chicago

Webinar

Webinar Replay: Lessons from Colorado Community-Based Organizations Engaged in Provider Partnerships that Address Social Determinants of Health

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This webinar was held on January 31, 2020.

红领巾瓜报’s how-to session last year on development and implementation of social determinants of health (SDOH) partnerships for vulnerable Colorado populations was a tremendous success, offering frameworks and tools for effective SDOH initiatives among community-based organizations (CBOs), health systems, and other providers. As a follow-up to this discussion, 红领巾瓜报 hosted a “lessons learned” session, in which two CBOs who have implemented innovative SDOH partnerships outlined the results of their programs and provided insights on how to develop an effective SDOH collaboration.

Learning Objectives

  1. Learn how CBOs and health systems are successfully collaborating on SDOH services, payment models, and payer-provider relationships.
  2. Understand the opportunities and challenges related to contracting between CBOs and healthcare systems, including referrals, coordinated care, and pay-for-performance models.
  3. Find out how to engage and support local communities by activating and financing Community Health Workers (CHWs) for payment by health plans within the Pathways HUB framework.
  4. Learn how to assess potential partnerships and arrangements that address whole person health, including SDOH.

Speakers

  • Grace Damio, Center Director, Hispanic Health Council, Hartford, CT. The Hispanic Health Council has contracted with multiple healthcare provider systems to implement its community CHW-led, home-based diabetes intervention – Diabetes Among Latinos Best Practices Trial (DIALBEST).
  • Giovanna Rogow, Chief Executive, , Newburgh, NY. MISN has contracted individually with healthcare providers and serves as the backbone organization leading a 30-member CBO consortium called . This consortium addresses social determinants of health throughout a seven-county region through capacity building and collective action. The HVCCW is presently forming an Independent Practice Association to collectively contract for CHWs to conduct outreach and provide care coordination services on behalf of member organizations via the Pathways HUB model.

Who Should Listen

Representatives of Colorado state and county governments, Colorado Regional Accountable Entities, hospitals, providers, and CBOs working to address SDOH.