Navigating value-based payments for enhanced care management (ECM)

Navigating value-based payments for enhanced care management (ECM)

CalAIM's enhanced care management (ECM) program provides a great opportunity for providers to deliver whole-person care while discovering additional revenue to reinvest in your community. A number of managed Medicaid plans (MCPs) are now offering some form of value-based payment. These value-based payments provide incentives to deliver high-quality, cost-effective care that improves patient outcomes and…

Streamlining MA supplemental benefits

Streamlining administration and reimbursement for MA plans supplemental benefits

What are supplemental benefits in Medicare Advantage? Medicare Advantage plans cover all hospital and medical services provided under original Medicare. Outside of Medicare-covered services, MA plans provide additional coverage with supplemental benefits for their enrollees' health and social needs. These benefits include vision, dental, transportation, access to meals, hearing aids, gym memberships, and more. Who…

Partnering with employees to save healthcare costs

There‚Äôs an enormous amount of waste & inefficiency in musculoskeletal benefits. The primitive benefit designs prevalent in most companies keep employees away from discovering the actual cost of care. The existing system is constantly shifting costs to employees, often without informing people of those costs in advance. This creates no incentive whatsoever for employees to…