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NEWSFEED:
News & Market Updates
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CMS Innovation Center To End Four Payment Models Early
The Center for Medicare and Medicaid Services (CMS) announced last month that it is ending four Innovation Center models early: Primary Care First, End-Stage Renal Disease (ESRD) Treatment Choices, Making […]
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NCQA Releases Standards For Virtual Primary Care & Urgent Care Accreditation
On August 1, 2024, the National Committee for Quality Assurance (NCQA) released accreditation standards for Virtual Primary Care and Urgent Care. The standards address the structural components of virtual care […]
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CMS Unveils Person-Centered Primary Care Model, ACO Primary Care Flex, For Low-Revenue ACOs
On March 19, 2024, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced a new accountable care organization (ACO) model within the Medicare Shared Savings Program (MSSP) focused […]
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North Carolina Medicaid Tailored Plans For Behavioral Health Launch July 1, 2024
On July 1, 2024, North Carolina Medicaid launched behavioral health Tailored Plans for beneficiaries with a serious mental illness (SMI), a serious emotional disturbance (SED), a severe addiction disorder, an […]
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Centene To Exit Medicare Advantage In Six States
Centene plans to exit the Medicare Advantage (MA) marketplace for 2025 in Alabama, Massachusetts, New Hampshire, New Mexico, Rhode Island, and Vermont. This decision affects Centene’s Wellcare MA line. However, […]
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UnitedHealth Group Launches ‘Gold Card’ Program To Address Prior Authorization Requirements
Beginning October 1, 2024, UnitedHealth Group is launching a “gold card” program for provider organizations that are in-network for at least one UnitedHealth Group line of business. The goal of the program […]
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Exploring SMI Coverage & Trends In The U.S. Behavioral Health System
In this webinar, OPEN MINDS focused in on the healthcare lens on SMI coverage and affordability over the better part of the past decade.