Social Determinants of Health Opportunities: In Practice and In Policy

Social determinants of health (1) as a measurement of a person’s, or a population’s, overall health emerged in the last decades of the 20th century and have now become a recognized metric in US healthcare delivery.   In the still-ongoing process of improving the overall access and quality levels in American healthcare, social determinants, or…

Read More

CMS Best Practices Toolbox Snapshot

This is an overview on how to expand your Risk Adjustment renovation toolbox, so you can better construct and implement your data submission program. The following are the tools and strategies needed to implement the 12 CMS Best Practices and help ensure program success. Tool #1 – Magic Bullet – Analyze transactional reports to track,…

Read More

Section 1115 Waivers Update – First Quarter 2019

1115 Waiver Activity: 2019 Q1 Overarching Developments There were some key developments in the first quarter of 2019 that have potential long-term impacts to the 1115 waivers: Federal judge blocks community engagement requirements in Kentucky and Arkansas A federal judge’s Mar. 27, ’19 ruling immediately suspended community engagement requirements for Medicaid recipients in Kentucky and…

Read More

Section 1115 Waivers-Fourth Quarter Overview

 1115 Waiver Activity : 2018 Q4 We recognize that it’s difficult to stay on top of the 1115 waiver developments across the country, and we want to help by providing a quarterly snapshot of major 1115 waiver activity and decisions. By Centauri Health Solutions Staff

Read More

Medicaid Waivers- Florida Retroactive Decision

On Friday, February 1, Florida’s recent CMS-approved request to eliminate the existing three month retroactive eligibility obligation for many Medicaid recipients goes into effect. By Centauri Health Solutions Staff

Read More