SC Practical Solutions LLC

Specialized Healthcare Consulting Services

CMS Releases 2024 Value-Based Care Strategy Blog

March 14:  A new CMS blog titled “Update on the Medicare Value-Based Care Strategy: Alignment, Growth, Equity” provides a progress report on accomplishments and a look toward the future for CMS’ Value-Based Care Strategy. It also covers CMS’ strategy to move toward value-based payment, a focus on alignment across payers, growth in accountable care, and promoting equity.…

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Biden-Harris Administration Announces New Initiative to Increase Investments in Person-Centered Primary Care

Biden-Harris Administration Announces New Initiative to Increase Investments in Person-Centered Primary Care ACO Primary Care Flex Model aims to improve access to high-quality primary care for underserved Medicare populations Today, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), announced a new voluntary model that empowers…

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In 30 states, you can’t use Telehealth with Out-of-State Doctors

At the height of the COVID-19 pandemic, when all 50 states and the federal government declared public health emergencies, telehealth became a lifeline for Americans. Now, to patients’ dismay, most states have rolled back telehealth access—disrupting care and putting lives at risk.   Emergency telehealth waivers  Telehealth, or telemedicine, allows patients to have virtual appointments with…

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Ransomware & Cyberthreats

Ransomware and hacking are the primary cyber-threats in health care. Over the past five years, there has been a 256% increase in large breaches reported to OCR involving hacking and a 264% increase in ransomware. In 2023, hacking accounted for 79% of the large breaches reported to OCR. The large breaches reported in 2023 affected…

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Blue Care Network POS health plans don’t require referrals

Don’t submit referrals for members with BCN point-of-service plans. POS health plan referrals cannot be submitted via e-referral Blue Care Network POS health plans don’t require referrals. Beginning April 1, 2024, the e-referral system will reject all referrals submitted for BCN POS health plans. Blue Care Network point-of-service health care plans allow members to receive…

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