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Policy & Procedure Components You Need For Your Organization’s Success
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Writing and organizing accessible policies and procedures for an organization, its employees, and contractors is essential. Policies and procedures lay the foundation upon which organizations are built, reflecting your values, and guiding your employees.
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North Carolina’s Tailored Plan: To Contract or Not to Contract
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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 your contracting strategies and decisions. This is particularly timely because one key date is coming up very quickly – July 16, 2022 – providers must have executed contracts with Tailored Plans to be included in the initial beneficiary choice period.
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State Directed Payments: Part II– Medicaid Supplemental Payments
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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
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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 financing. And a brief introduction of state-directed payments that play an important role in state Medicaid financing strategies and are the focus of upcoming policy recommendations to Congress by the Medicaid and CHIP Payment and Access Commission (MACPAC).
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Say Yes To Making Good Things Happen
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April is National Volunteer Month in the U.S. and there are a lot of wonderful organizations that could use a helping hand. You can find opportunities within the organizations and communities you are already engaged.
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National Patient Recognition Week: Building Trust and Improving the Doctor-Patient Relationship
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In health care, we are all seeking to make some big, positive changes. This week, as we celebrate National Patient Recognition week, Atrómitos’ Vice President of Operations, Sarah Jagger reminds us why that doesn’t happen without recognizing patients and the role they play in transformation – and how we can tie it all back to the lessons of Groundhog Day.
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NC Medicaid Tailored Plans: We Gotta Get this Right
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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 disabilities (I/DDs) next July. Reflecting on lessons learned from other states, DHHS has the opportunity to take action NOW to ensure provider, plan, and system readiness.
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Establishing a Data-Driven Organizational Culture Using SMART Goals and KPIs
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Whether it’s thrust upon us by external forces or internally conceived, change is a necessary part of growth and success for any organization. Here’s what you need to know.
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The “Hospital-at-Home” Model: A Care Delivery Innovation with Traditional Roots
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It’s National Hospital Week, so we’re taking a closer look at the “Hospital-at-Home” Model — a care delivery innovation with traditional roots. Here’s what you need to know.
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Women in Leadership: The Business Edition
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As a woman-owned small business, the topic of opportunities for female leadership in business and industry is one that is personal for us.
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Work Smarter, Not Harder: How to Leverage Technology to Make your Work Life Easier
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Here at Atrómitos, we decided 2021 was the year to Work Smarter Not Harder. Here’s how we’re using technology to do just that (and you can too!)
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Telehealth Series #4: Temporary Flexibilities in Telehealth Regulation: A Green Light to Adoption
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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 an example that falls into the more questions than answers category.
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Telehealth Series #3: A Totally Unbiased and Impartial Assessment of Barriers to Telehealth Adoption in the United States
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We present this article to advise patients, providers, payers, and other stakeholders on the barriers to telehealth adoption and to inform a contextual understanding of the issues that can be leveraged to advocate for change with the respective federal and state authorities.
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Telehealth Series #2: Advance Guidance on Connected Care Pilot Application Released
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The Pandemic and the need for social distancing has engendered a rapid and exponential uptick in the use of telehealth services. The Connected Care Pilot Program has thus taken on increased importance as a resource available to providers responding to the acute and chronic challenges of our fragmented health care system. Here are our thoughts.
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USPS: An Integral Part of the U.S. Healthcare System
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Access to mail-order medications can significantly impact vulnerable populations‘ health and quality of life, which is why we view the USPS as an integral part of the U.S. healthcare system.
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Telehealth Series #1: A Primer on Telehealth Terminology from Your Resident Xennial
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Today, I’m beginning with common definitions for all the terms you are hearing used out there. And later on, we can dive into some of the other interesting and innovating happenings in telehealth, like how government agencies and payers are further refining definitions to regulate what is reimbursable as a telehealth visit or service.
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New Rules for Hospital Pricing Transparency: What They Mean for Healthcare Systems and Consumers
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When insurers don’t cover the cost of out-of-network care, the patient is “balance billed” the difference between the total cost of services being charged and the amount the insurer pays.
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COVID-19: Section 1135 Waiver Flexibilities to Support State and Provider Needs
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Shortly after the presidential declaration on March 13, the Centers for Medicare and Medicaid Services (CMS) announced a set of blanket waivers specific to the COVID-19 pandemic (COVID-19 waivers). Here’s what you need to know.
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Small Businesses and Nonprofits Can Now Apply for SBA Economic Injury Disaster Loan Program
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Small businesses that need cash to offset lost revenues and keep their business afloat can access relief funding now through the U.S. Small Business Administration Economic Injury Disaster Loan (EIDL) program. Here’s what you need to know.
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NCDHHS Seeks Comments On Changes to Value-Based Payment Program and Two New Accountable Care Organization Models by February 19
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On January 8, 2020, the Department released two Medicaid Managed Care Policy Papers that advance its design of the value-based payment program and incorporate two new Accountable Care Organization (ACO) models into the overall programmatic strategy for Medicaid Transformation.
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A Tale of Two Policies
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A look at new changes to the Supplemental Nutrition Assistance Program (SNAP) and its potential impact on low-income families.
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Our Perspective: North Carolina Medicaid Rollout Suspended
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On November 19, the North Carolina Department of Health and Human Services (NCDHHS) announced that the transition to Medicaid managed care would be indefinitely suspended. Here’s what you need to know and our perspective on the right path forward.
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Medicare 2020: Spotlight on Supplemental Benefits
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Medicare Open Enrollment is back with projected growth and premium reductions for the 2020 Medicare Advantage market. Here’s what you need to know about supplemental benefits and how it impacts beneficiaries.
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Budget Impasse Causes Delay in NC’s Medicaid Transformation
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On September 3, NCDHHS Secretary Mandy Cohen, announced that implementation of the state’s Medicaid Transformation would be delayed.
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Stakeholders Provide Feedback to Changes in CMS Hospital Star Ratings
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On August 19, the Centers for Medicare and Medicaid Services (CMS) announced its plans to change the controversial methodology used for its hospital star ratings on Hospital Compare. However, changes won’t occur until 2021.
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FCC Seeks Comment on $100M Connected Care Pilot Program Approved in Support of Expanding Telehealth Adoption
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This article summarizes some of the key programmatic elements that health care providers, associations, and other stakeholders are being asked to provide comment on by the FCC.
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North Carolina Republicans Introduce Bill to Expand Medicaid
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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 Cares” legislation that was introduced in the 2017-2018 legislative session.
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Opportunities for Behavioral Health Transformation: Making Change
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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 when one transformation finishes, it’s time to start over again.
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Medicare Advantage: Seeing the Value in Addressing the Social Determinants of Health
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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 a new MA plan, or opting for a different benefit package.