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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Budget Impasse Causes Delay in NC’s Medicaid Transformation
On September 3, NCDHHS Secretary Mandy Cohen, announced that implementation of the state’s Medicaid Transformation would be delayed.
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CMS Releases State Guidance for Medicaid Implementation of SUPPORT Act
States must amend their State Plan and receive CMS approval of the application for implementation of these DUR requirements.
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North Carolina Republicans Introduce Bill to Expand Medicaid
On April 9, 2019, a group of House Republicans in North Carolina introduced House Bill (HB) 655 named the “NC Health Insurance for Working Families Act”. The bill mirrors “Carolina…
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Opportunities for Behavioral Health Transformation: Making Change
Over the past decade, public behavioral health systems across the country have undergone one transformation after another. As a result, providers and system stakeholders are often left feeling like just…
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Medicare Advantage: Seeing the Value in Addressing the Social Determinants of Health
Once a year, Medicare beneficiaries have the opportunity to renew their coverage or make changes to their Medicare enrollment. That can mean choosing to enroll in Medicare Advantage (MA), selecting…
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