Health Plans are at the forefront of value-based care arrangements and delivery innovations, relying on sophisticated data analytics and population health interventions to improve beneficiary health outcomes in lower clinical-level settings.
We work with nonprofit or provider-led health plans that provide coverage in public insurance programs such as Medicaid. As state agencies and CMS demand more from health plans in population health management, advanced payment models, health equity, and data sharing, we support health plans in understanding these new requirements, evaluating current operations, and identifying pathways to meeting these new expectations.
“Atrómitos’ knowledge and understanding of the local Medicaid environment, coupled with their national expertise in policy and payment reform, was the perfect match for ensuring that the tool we worked together to create acknowledged the nuances of North Carolina’s programs but also incorporated [Atrómitos’] knowledge of best practices, key concepts and operational capacities required for Medicaid contracting and payment reform.”
Read Our Ideas Related to Healthcare Plans
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No Surprises (?) in the No Surprises Act
Earlier this January, I had my yearly physical. After my visit, I paid my copay and went about my day, assuming that was the end. Then in May, I received…
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Post-Public Health Emergency: Don’t Forget the Importance of Telehealth
The COVID-19 Public Health Emergency (PHE) moved us to provide and receive telehealth services. As the PHE comes to an end, many of us are reluctant to give up the…
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North Carolina’s Tailored Plan: To Contract or Not to Contract
Are you ready for North Carolina’s Tailored Plan contracting? If not, get a quick definitional run down of the Tailored Plans and key aspects of the program to help evaluate…
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State Directed Payments: Part II– Medicaid Supplemental Payments
In the second installment of the series on State Directed Payments, Sarah Jagger shares the good, the bad, and the really (really) stupid about Medicaid Supplemental Payments.
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State Directed Payments: Part I—Medicaid Financing 101
Atrómitos Vice President of Operations, Sarah Jagger, kicks off a new 3-part series on Medicaid State Directed Payments. This first article provides an important primer on key constructs of Medicaid…
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The Intersection of Quality & Value-Based Care
Healthcare Quality Week highlights the importance of quality in the healthcare delivery system. Guest Author Lavondia Alexander with Evolve Health Strategists breaks down the basics of why quality is important,…
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