By considering how each social determinant of health (SDOH) affects a member’s daily life, health outcomes, and managed care costs, we can determine ways to address SDOH and reduce costs on both an individual and a collective basis.
Posts Categorized: Payer
With the increasing popularity of self-direction has also come several misconceptions. In this article, we’ll set the record straight on some of the top myths surrounding self-direction.
As more individuals within the Medicaid population choose to receive home and community-based services (HCBS), the success of EVV systems for self-direction programs hinges on the participant experience.
As the homecare industry continues to grow, state Medicaid agencies and contracted MCOs must work to prevent improper payments from occurring. Here are six ways to approach fraud, waste, and abuse proactively.
With budget shortfalls, growing enrollment, and the COVID-19 pandemic creating the perfect storm, states are looking to LTSS MCOs for a path forward through innovation. Aligning with the shift toward value-based care, here are eight ways LTSS MCOs can ensure better care for members while reducing costs.
Since the passage of the Cures Act in 2016, the entire healthcare industry has been gearing up to comply with the EVV mandate. However, for most states, full EVV compliance has just begun. Three industry veterans discuss the status of EVV in 2021 and how payers and providers can shift from an implementation mindset to one of continuous improvement.
Over the last decade, Payers have begun to recognize the value in addressing social determinants of health (SDOH) within their beneficiary populations, both from a member health and cost perspective. To share more about the concept of SDOH and its potential, we spoke with Lisa Dugan, Senior Director of Integrated Network Development at HHAeXchange.
Your success in meeting new regulations is largely dependent upon your perspective and approach, as well as on the resources you choose to utilize. We’ll share how payers can succeed in complying with the Cures Act’s EVV mandate with the right tools and the right mindset.
As we turn the corner on 2020, it’s time to look ahead. What opportunities can your organization leverage in 2021? What challenges should you be ready to tackle? We’ve gathered insights from our HHAeXchange leadership team to give you a comprehensive picture of what’s to come in the homecare industry this year.
HHAeXchange reflects on the 2020 National Association of Medicaid Directors (NAMD) Conference’s themes of flexibility, innovation, and resiliency, and discusses changes and challenges to come in 2021.