Medicaid

By Heather Mack October 5, 2016
New York-based Hometeam, a mobile-based, senior-focused home care company, announced they will begin accepting Medicaid in New York City. The new partnership will primarily focus on those who have Medicaid’s managed long-term care plans, which is about 150,000 people, but the service could also be used by the 15,000 people who are in dual managed care plans (through both Medicaid and another...
By Heather Mack July 6, 2016
Healthcare-focused mobile communications company mPulse Mobile has released the findings of a three-month study evaluating its interactive, two-way text message program with a Medicare and Medicaid plan in Southern California. The Encino, California-based mPulse teamed up with Inland Empire Health Plan (IEHP) and sent text messages tailored to 17,000 newly enrolled IEHP members based on...
By Jonah Comstock May 31, 2016
When the Center for Medicare and Medicaid Services announced its new Comprehensive Primary Care Plus (CPC+) payment model, the announcement was mired by protestations from prominent investor and Venrock partner and former White House policy advisor Dr. Bob Kocher and former National Coordinator for Health IT Dr. Farzad Mostashari, who called out CMS for excluding ACOs from the initiative. On...
By Jonah Comstock April 26, 2016
The Center for Medicare and Medicaid Services released its 1,425-page Managed Care Final Rule, a long-awaited update to CMS bylaws which, according to CMS, “aligns key rules with those of other health insurance coverage programs, modernizes how states purchase managed care for beneficiaries, and strengthens the consumer experience and key consumer protections.” In part, the rule opens the door...
By Jonah Comstock March 23, 2016
HHS Secretary Sylvia Burwell announced today that Medicare will cover the Diabetes Prevention Program, including digital versions like Omada Health’s. This marks the first time a preventative model from a CMS Innovation Center has been expanded into the Medicare program. “This program has been shown to reduce health care costs and help prevent diabetes, and is one that Medicare, employers and...
By Jonah Comstock March 4, 2016
Sense Health, a texting software company focused on Medicaid care managers, has signed a deal with Coordinated Behavioral Care’s (CBC) Health Home, a nonprofit that oversees more than 50 Medicaid care management agencies in New York City. CBC will deploy Sense Health in 12 of its member agencies to start. The program has a potential reach of 1,500 new Medicaid beneficiaries. With Sense Health,...
By Aditi Pai February 18, 2016
San Francisco-based Omada Health has launched a new version of its Prevent program with additional features designed for underserved populations, which include people who are Medicaid enrolled, Medicaid eligible but uninsured, as well as clinical trials for the product. The Prevent program runs 16 weeks and aims to help those that are at-risk for Type 2 diabetes make positive health behavior...
By Jonah Comstock January 28, 2016
The Centers for Medicare and Medicaid Services came out with a final rule yesterday that would require face-to-face visits prior to home health services for Medicaid patients, a rule that already exists for Medicare patients. But, as Politico spotted, the rule also includes a parenthetical allowing those "face-to-face" visits to be conducted via telehealth. Exactly what constitutes telehealth isn...
By Jonah Comstock December 14, 2015
All but eight states introduced at least one bill related to telemedicine to their state legislature in 2015, according to a new report from the National Conference of State Legislatures. State lawmakers floated a total of 200 bills across the country.   The report is meant to explore the benefits and risks of telehealth for state legislatures, as well as to provide an overview of the status of...
By Jonah Comstock August 5, 2015
Arizona Governor Doug Ducey carved out a place for mobile health in his plan for the state's new Medicaid plan this week, but some critics think the initiative could miss the mark for a low-income population less likely to have smartphones. Arizona's Medicaid system, the Arizona Healthcare Cost Containment System (AHCCCS), is a managed care system that operates on a special waiver from the...

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