The Centers for Medicare & Medicaid Services (CMS) has proposed three new HCPCS G-codes under Advanced Primary Care Management (APCM) to support behavioral health integration. These changes aim to reduce administrative burden and expand access, especially in underserved areas. Now’s the time for providers to review your processes and prepare for implementation. Learn more from Windham Brannon’s Healthcare Consulting Practice: https://lnkd.in/eGFmshAD #CMS #BehavioralHealth #Healthcare

The Centers for Medicare & Medicaid Services (CMS) has proposed three new HCPCS G-codes under Advanced Primary Care Management (APCM) to support behavioral health integration. These changes aim to reduce administrative burden and expand access, especially in underserved areas. Now’s the time for providers to review your processes and prepare for implementation. Learn more from Windham Brannon’s Healthcare Consulting Practice: https://lnkd.in/gZDdhGDW #CMS #BehavioralHealth #Healthcare

The Centers for Medicare & Medicaid Services (CMS) has proposed three new HCPCS G-codes under Advanced Primary Care Management (APCM) to support behavioral health integration. These changes aim to reduce administrative burden and expand access, especially in underserved areas. Now’s the time for providers to review your processes and prepare for implementation. Learn more from Windham Brannon’s Healthcare Consulting Practice: https://lnkd.in/eJ_d2qNE #CMS #BehavioralHealth #Healthcare

Virtual care is transforming how Medicaid populations access health care, offering scalable solutions that improve outcomes while controlling costs. Learn how health plans and their members benefit in this Teladoc Health white paper: https://lnkd.in/gXHbq34H. #VirtualCare #Telehealth #ChronicCare #MedicaidMCOs #HealthEquity

Today, Civitas Networks for Health® announced its readiness to help states implement the newly launched Rural Health Transformation Program (RHT) — a historic $50 billion federal initiative aimed at reimagining care delivery in rural communities nationwide. Civitas applauds the Centers for Medicare & Medicaid Services and the White House for prioritizing rural health through this unprecedented investment. Our members are uniquely positioned to help states act quickly and effectively, leveraging decades of experience in health data modernization, care coordination, and community collaboration. Read the full release and learn how Civitas and its members are preparing to drive sustainable, transformative change: https://lnkd.in/eehwR5UN #RuralHealth #HealthTransformation #Interoperability #CivitasMembers #PublicHealth

While compiling the next Health Policy Shop Update, I came across an interesting item that highlights the fiscal challenges states will face as they implement the Medicaid provisions of the One Big Beautiful Bill Act (OBBBA). Florida’s Deputy Secretary for Medicaid presented an overview of the OBBBA to the Florida House of Representative’s Health Care Facilities & Systems Subcommittee. A slide on the fiscal impact of the OBBBA’s cap on State Directed Payments (SDPs) read, “By the time of the full implementation of reductions of SDP to 110%, the overall decrease to Florida’s SDP programs will be $3,838,653,192.” The slide attached to this post shows the programs that will be impacted. The Health Policy Shop Update provides insight on health policy discussions in the states, with a focus on state Medicaid budgets. To subscribe to the update, visit healthpolicyshop.com

Garnet Health Plans to Join Montefiore Health System: Here’s What We Know Garnet Health has announced plans to join forces with Montefiore Health System, signing a Letter of Intent to begin the affiliation process. Garnet Health President and CEO Jonathan Schiller says the move is about “ensuring the long-term strength and sustainability of healthcare in our region.” The partnership aims to expand clinical resources and services while preserving Garnet’s community-centered care model. Headquartered in Middletown, Garnet Health serves over half a million residents across Orange, Sullivan, and Ulster Counties. The affiliation comes as hospitals statewide face financial pressures from rising costs and potential Medicaid cuts. If approved, the partnership is expected to be finalized by the end of 2025. 🔗 Read the full story: https://lnkd.in/eegHVrEQ #HudsonValley #Healthcare #GarnetHealth #Montefiore #LocalNews #PublicRadio #RadioCatskill

Centers for Medicare & Medicaid Services Final Rule CMS-0057-F: Many #API deliverables now Jan 1, 2027. This final rule emphasizes the need to improve health information exchange and focuses on efforts to improve prior authorization through policies and technology. #HealthIT #HealthPolicy #DigitalHealth 📄 https://lnkd.in/gfiD8Qwn

An interesting data-sharing thought piece from Sarah Kwon that lays out previous efforts and the challenges faced. Particularly thought-provoking as the Centers for Medicare & Medicaid Services considers its Rural Health Transformation Program. https://lnkd.in/e2_Z3h7n