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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U.S. Health Reform: A Century of Groundhog Days
Months ago, when we started our series on the Affordable Care Act (ACA), we intended to acknowledge an important anniversary (the failure of the 2017 Republican Congress’ efforts to repeal…
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Texas v. California and the Doctrine of Judicial Exhaustion
Today we are, in remembrance of Thanksgiving Dinners’ Past, reminded of the wisdom of letting an argument go and turning to less fiery topics. We will focus on bringing us…
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Medicaid Work Requirements: Who Exactly Are They Working For?
This week all eyes were on the Supreme Court as it heard arguments in Texas v. California, a case that once again challenges the constitutionality of the Affordable Care Act…
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Telehealth Series #4: Temporary Flexibilities in Telehealth Regulation: A Green Light to Adoption
In healthcare, there are (almost always) going to be more questions than answers. Every so often there is an issue where the solution is transparent and compelling. However, telehealth is…
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Reflections on The Affordable Care Act and the Politics of Healthcare
As may be expected in an election year in the midst of a pandemic (and following the recent death of Justice Ruth Bader Ginsburg and the precipitate nomination of Judge…
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Untangling the Procedural History and Legal Arguments of Texas v. California
This week, we dive into the case itself, which is now scheduled to appear before the Supreme Court on November 10th, one week after the November 3rd election. In this…
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