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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The Monop-sony-and–oly of Healthcare: A Call to Government Action
According to an annual report by the AMA, competition within the health insurance market is decreasing. This week we explore what that means, how it impacts care delivery, and what…
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NC Medicaid Tailored Plans: We Gotta Get this Right
North Carolina is poised to implement Tailored Plans, a new managed care program, that will serve as an integrated health plan for individuals with significant behavioral health needs and intellectual/developmental…
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The Affordable Care Act Lives to Fight Another Day
Yesterday, the Supreme Court released its decision in California v. Texas, upholding the Affordable Care Act (ACA) against a challenge by Republican-controlled “Red States” and the Trump Administration.
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The New NC DHHS Foster Care Plan: What the Department, Plans, and Partners Must Do for Success
Earlier this month, NC DHHS issued its latest Medicaid Managed Care Policy Paper describing a new element of Medicaid Transformation in the state: Intent to establish a specialized managed care…
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A Call to Understand and Expand Medicaid This Year
In Atrómitos’ final article of 2020, we wrote about the need for 2021 to be the year we address the myriad wicked problems confronting our nation. In keeping with that…
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ICYMI: Big Changes Coming to NC Advanced Medical Home Program
Last week, the North Carolina Division of Health Benefits (Medicaid) launched its Advanced Medical Home (AMH) Webinar series with North Carolina Area Health Education Centers (NC AHEC) to support providers…
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