Are you keeping up with the NC Medicaid Managed Care provider updates? Don't worry -- we've got you. Here's the latest info from NCDHHS: + The Healthy Opportunities Pilot (HOP) program expanded on May 15th. This made another 14,000+ patients eligible for services that address SDoH like housing, food, transportation, and safety. + As of May 19th, there are changes to the NCTracks reverification process. + There are new fact sheets for providers to prepare for the July 1st Tailored Plan launch. + NC AHEC is still offering NC Medicaid webinars to help providers stay informed. Read the full bulletin:
CHESS Health Solutions
Hospitals and Health Care
Winston-Salem, North Carolina 2,960 followers
Building healthy communities through coordinated and sustainable care.
About us
CHESS is a physician-led health care services company that empowers clinicians and health systems to make the transition to value-based medicine. Practicing medicine in a model where providers are financially rewarded for improving the quality of care and reducing the cost of care they deliver to patients allows for the introduction of innovative care models that improve outcomes. With careful attention to high quality and efficiency, CHESS negotiates payer contracts that enable physicians to share in cost savings and leverages advanced analytics to build and measure the success of the value transformation. CHESS creates a healthcare environment that is both patient-centered and clinician-friendly.
- Website
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http://www.chesshealthsolutions.com/
External link for CHESS Health Solutions
- Industry
- Hospitals and Health Care
- Company size
- 51-200 employees
- Headquarters
- Winston-Salem, North Carolina
- Type
- Privately Held
- Founded
- 2011
- Specialties
- value-based care, Pharmacy, care coordination, contracting, quality, Clinical Documentation Integrity, Medicare, and Medicaid
Locations
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Primary
165 Kimel Park Dr
Suite B
Winston-Salem, North Carolina 27103, US
Employees at CHESS Health Solutions
Updates
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In our recent Move to Value Podcast, Wilson Gabbard from Advocate Health highlights the shift from fee-for-service to value-based care. It's about: ✅ Quality ✅ Utilization ✅ Premium Lives This approach ensures better patient care and outcomes. #podcast #nowstreaming #healthcarepodcast
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Tailored Plans are a new kind of NC Medicaid Managed Care health plans 🩺 Patients might be eligible if they have NC Medicaid and health needs related to: + Serious Mental Illness + Severe Substance Use Disorders + Intellectual/Developmental Disabilities + Traumatic Brain Injuries Some patients were automatically enrolled on July 1st. Others have to request to be moved to NC Medicaid Direct. To make sure you're prepared post-launch, the NC Department of Health and Human Services make a quick reference: https://lnkd.in/eK94k7ma
download
medicaid.ncdhhs.gov
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Our Health Care Champion this month is Katie Osbeck, the Manager of Compliance and Information Privacy for CHESS. Katie has been part of the CHESS family for over 18 years! Her passion for HIPAA privacy and compliance education ensures our work continues to exceed the high standards set forth by our regulatory partners. Please join us in congratulating Katie for all her hard work ⬇️
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Not following a doctor's orders doesn't necessarily mean a patient is non-compliant. You usually have to dig deeper to discover whether or not there are other factors at play. Kari Curry shares an example of what a barrier to compliance can look like. #SDOH #SocialDeterminantsOfHealth #HealthEquity
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Are your patients non-compliant? Or do they have other priorities that are getting in the way of their health? North Carolina's Healthy Opportunities Pilot is addressing #socialdeterminantsofhealth that get in the way of quality care. To qualify for these services, patients must have co-occuring physical/behavioral and social needs and live in a Pilot region. If they qualify, they'll gain access to housing, food, transportation, and interpersonal safety programs that will help them focus on the number on goal: their health. #SDOH #SocialDeterminantsofHealth #HealthEquity #HealthyOpportunitiesPilot
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We've heard your concerns: it's challenging to staff for the full scope of care management required for complex Medicaid patients. That's why CHESS Health Solutions has developed a comprehensive care management delegation offering. Our experienced team leverages over a decade of experience in care management, care coordination, and transitional care management to provide individualized support for Medicaid beneficiaries. Interested in learning more? Send us a message! #CareCoordination #NCManagedMedicaid
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One big priority in patient population management is moving to digital quality measurement. That's why we capture patient data in EHRs. It allows us to quickly extract any patient data needed for quality reporting. It also makes sure we're not creating additional work for providers. You can avoid manual chart reviews and data submissions whenever possible so you can spend more time where it counts: working directly with the patient.
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Another month, another list of incredible employees that are celebrating their anniversaries with CHESS. We are so grateful for their commitment and contributions towards cultivating a value-oriented, compassionate, and health-aligned care community. Here's to many more years of collaboration and achievement together! #EmployeeAnniversary
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