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UnitedHealthcare Community & State

Details: At UnitedHealthcare (UHC) Community & State we serve millions of Americans, many of whom contend with complex medical conditions, on top of a daily struggle to make ends meet. Recognizing the significance of Medicaid in providing managed care across America, we support governments in their efforts to manage and deliver care for their citizens.

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Partnering with Health Centers UnitedHealthcare

Details: Community health centers are meeting an increased demand for direct care and treatment, while expanding the types of services available to patients, including: medical, dental, behavioral health, and vision services. The number of behavioral health staff at health centers has tripled over the past 10 years and more than 95,000 patients received

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Medicaid Made Clear UnitedHealthcare Community & State

Details: Medicaid is a federal and state program that provides health care coverage to qualified individuals. Medicaid programs are state-run. However, the federal government has rules and regulations under which all states must comply. The federal government also provides at least 50% of the funding for their Medicaid requirements.

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The Link Between Employment & Health UnitedHealthcare

Details: The health plan is then responsible for managing the benefits and ensuring the individual receives his/her needed services while meeting access and quality requirements. If service utilization for an individual is above the rate, the health plan must cover the cost of care. If utilization is below the rate, the health plan will retain the

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The Intersection of Health and Housing UnitedHealthcare

Details: The intersection of health and housing has come to a crossroads. UnitedHealthcare Community & State, Corporation for Supportive Housing (CSH) and Council for Large Public Housing Agencies (CLPHA) are coming together to share data and develop partnerships to better address the health needs of those living in publicly-assisted housing.

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Committed to a Healthy Tennessee UnitedHealthcare

Details: The primary objective of THL is to coordinate health care services for TennCare members with the highest behavioral health needs. Through better coordinated behavioral and physical health services, THL is meant to produce improved member outcomes, greater provider accountability, flexibility when it comes to delivery of appropriate care for each individual and improved cost …

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Massachusetts Profile UnitedHealthcare Community & State

Details: We address social determinants of health (SDOH) needs by reviewing claims data, provider referrals and direct feedback from our members. The valuable information this provides is the ultimate guide to determine where investments will be made to …

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Eviction Moratorium Ends, Health Care Crisis Looms

Details: Andy McMahon is the Vice President of Health and Human Services Policy at UnitedHealthcare Community & State. UnitedHealthcare Community & State proudly serves nearly 6.4 million Medicaid members in 32 states, plus Washington D.C. UnitedHealthcare is a division of UnitedHealth Group, a health and well-being company with a mission to help people live healthier lives and help make the health

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Value-Based Programs UnitedHealthcare Community & State

Details: As defined by CMS, value-based programs reward health care providers for the quality of care they give to patients, as opposed to the quantity of billable services they provide. [4] Under value-based models, payment is linked to quality and outcomes. In addition to holding providers accountable for the care they provide, there are many benefits

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DSNP Agent Information Session

Details: Joe Domagala. Start: Oct 29 2018 08:18 PM CDT. End: Oct 30 2018 08:18 PM CDT. 580 N. 4th Street, Buffalo NY

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Family Caregiving in the United States UnitedHealthcare

Details: There are an estimated 43 million family caregivers nationwide 1 providing support or assistance for loved ones with acute, chronic and/or disabling health conditions. Caregiving is defined as the action needed as a result of a medical, behavioral, or other condition or disability. 2 $470 Billion in care provided by informal caregivers in 2013. As more than half of the family …

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Emerging Trend 2021: Reforming the Delivery of Health Care

Details: 2021 Emerging Trend: Reforming the Delivery of Health Care. Delivery system reform includes a variety of activities designed to change the way care is delivered and paid for to promote more efficient and effective health care. At its core, delivery system reform involves “altering care delivery, payment incentives, or both to stimulate and

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Protecting the Health of Individuals with I/DD

Details: Rapidly changing options for delivering needed health care services required states to exercise their ability to use Medicaid waivers. While Appendix K waivers normally address short-term emergencies, like tornados, the pandemic showed how these short-term changes work over an extended period of time.

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Trusted Care Rooted in the Communities We Serve

Details: Community health centers are meeting an increased demand for direct care and treatment, while expanding the types of services available to patients including: medical, dental, behavioral health and vision services. The number of behavioral health staff at health centers has tripled over the past 10 years and more than 64,000 patients received

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Importance of Integrating Physical and Behavioral Health

Details: Health Plan Operations – Plans should be well-versed in both physical and behavioral health and be positioned to manage services in an integrated manner. Decisions by the health plans should be informed by integrated information, and materials shared with members should be inclusive of both physical and behavioral health and well-being.

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Value-Based Purchasing UnitedHealthcare Community & State

Details: At UnitedHealthcare we believe the transition to value-based payment arrangements provides the best path to better health, better care and lower costs – for our Medicaid members and state partners. Today, 3.5 million of our Medicaid members are seeking care from health professionals who participate in value-based arrangements.

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UnitedHealthcare Community Grants UnitedHealthcare

Details: Grant Writing 101 Presentation Deck. Grant Writing 201. During this training, we’ll take you deeper by elaborating on the core elements of a strong proposal—including using quantitative and qualitative data to create a more compelling program description, needs assessment, and program evaluation. Take Grant Writing 201.

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2020 Emerging Trends in Public Programs UnitedHealthcare

Details: In 2018, health care spending in the United States reached $3.6 trillion.¹ According to the Centers for Medicare and Medicaid Services (CMS), health care spending is projected to grow at an average annual rate of 5.4% between 2019 and 2028, reaching over $6 trillion in total spend by 2028.² Of the over $3.6 trillion spent in 2018, Medicaid’s share was …

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Missouri Profile UnitedHealthcare Community & State

Details: Building a Healthier Missouri. In Missouri, our team has been entrusted to provide high-quality, affordable and individualized care, and we work every day to ensure we deliver on this commitment for our 230,000+ MO HealthNet members. The State of Missouri’s goal is to empower Missourians to live safe, healthy, and productive lives and we are

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FQHC National Advisory Board UnitedHealthcare Community

Details: The goals of the FQHC National Advisory Board are to: Elevate provider voice and perspective. Advance awareness and knowledge of best practices to support access to high quality health care for the populations served by FQHCs. Identify emerging trends, best practices, and policy issues in health care and human services.

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The Challenges and Opportunities Facing Medicaid

Details: UnitedHealthcare Community & State proudly serves 6.4 million Medicaid members in 32 states, plus Washington D.C. UnitedHealthcare is a division of UnitedHealth Group (NYSE: UNH) which is a diversified health and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.

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Emerging Trend: Alternative Payment Models and Value-Based

Details: The pandemic has also highlighted the impact of health disparities on health outcomes, leading state Medicaid programs, the Centers for Medicare & Medicaid Services (CMS) and the Center for Medicare and Medicaid Innovation (CMMI) to prioritize advancing health equity as part of the shift to value-based care. 1 This level of focus on health

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Knowing Where to Go For Care Not Only Saves Unnecessary

Details: Sometimes people ignore a minor a health problem until it becomes an emergency. In other cases, a patient simply doesn't know which health conditions truly require a trip to the ER. Data shows that among the reasons people on Medicaid visit the emergency room, conditions including headaches, urinary tract infections and back pain, are quite

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Improving Outcomes Through Integrated Care

Details: Integrated care programs work to better serve the health care delivery system on all levels. UnitedHealthcare is dedicated to ensuring that individuals of all ages with intellectual and developmental disabilities, physical disabilities, behavioral health diagnoses, cognitive impairments, or serious mental illness have access to the services they need to live healthier …

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The Promise of Healthcare Investing in Affordable Housing

Details: Andy McMahon is the Vice President of Health and Human Services Policy at UnitedHealthcare Community & State. UnitedHealthcare Community & State proudly serves nearly 6.4 million Medicaid members in 32 states, plus Washington D.C. UnitedHealthcare is a division of UnitedHealth Group, a health and well-being company with a mission to help people live healthier lives and help make the health

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An Introduction to Value-Based Programs UnitedHealthcare

Details: UnitedHealthcare Community and State proudly serves more than six million Medicaid members in 31 states, plus Washington D.C. UnitedHealthcare is a division of UnitedHealth Group (NYSE: UNH) which is a diversified health and well-being company with a mission to help people live healthier lives and help make the health system work better for

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SDOH: The next frontier

Details: Health is more than just a set of clinical metrics. There is an identified connection between key social determinants of health (SDOH), such as employment, housing, and transportation, and poor health. The World Health Organization (WHO) defines SDOHs as “the conditions in which people are born, grow, live, work and age.”[1] Research by the

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Partnering to Improve Maternal Health Outcomes in

Details: Reducing disparities and expanding access to care. UnitedHealthcare Community Plan of Tennessee has awarded more than $276,000 in maternal health grants to six community organizations aimed at improving maternal health outcomes, …

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Emerging Trend: Health Disparities and Inequities

Details: Stephanie Wilkinson is a Director of Policy at UnitedHealthcare Community & State. UnitedHealthcare is a division of UnitedHealth Group which is a diversified health and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.

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Looming Eviction Crisis is Precursor to Health Care Crisis

Details: Andy McMahon is the Vice President of Health and Human Services Policy at UnitedHealthcare Community & State. UnitedHealthcare Community & State proudly serves nearly 6.4 million Medicaid members in 32 states, plus Washington D.C. UnitedHealthcare is a division of UnitedHealth Group, a health and well-being company with a mission to help people live healthier lives and help make the health

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Creating a Culture of Access UnitedHealthcare Community

Details: The Board recently started the first phase of this “culture of access” initiative. One of the critical first steps was formalizing the definition of “culture of access.”. NAB developed the following: • being person-centered. • supporting a view of sustainable long-term health and well-being that is rooted in communities.

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The Importance of Integration UnitedHealthcare Community

Details: That is the guiding principle for why primary care services and behavioral health services should be integrated in our health care system. Unfortunately, the funding for these services, the service delivery, the service policies, and the education and training of physical health and behavioral health providers are different.

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New Initiative Provides Food and Support to Moms and

Details: Amy has worked at United Health group since 2013 and currently is the Women’s Health Clinical Operations and Clinical Capabilities Manager on our United HealthCare Community & State’s Healthy First Steps. She works to oversee programs and develop strategy that aid high risk pregnant mothers and high risk neonates.

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Effectively Integrating Care for the I/DD Population

Details: There are more than 7 million individuals in the United States with an Intellectual or Developmental Disability (I/DD). 1 The majority of these people rely on Medicaid for their health insurance coverage while a growing number are in Medicaid managed care. 2 Many states currently choose to provide both medical and behavioral health for individuals with I/DD …

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On-Demand Education: Long-Term Services and Supports

Details: Long-Term Services and Supports (LTSS) include a broad range of medical, functional and social services delivered to individuals who have complex health needs due to aging, chronic illness or a disability. These services can be provided in a range of settings, including nursing homes, assisted living facilities, convalescent homes, and home and

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Celebrating Children’s Health Day During National Health

Details: Dr. Arethusa Kirk is Chief Medical Officer for the UnitedHealthcare Community Plan of Maryland. Formerly a full-time, primary care pediatrician serving in a Federal Qualified Health Center (FQHC), Kirk is a featured writer and shares her perspective on how FQHCs serve the critical health care needs of the youngest members of the Medicaid population.

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Emerging Trend: State Budgets and Medicaid Funding

Details: Stephanie Wilkinson is a Director of Policy at UnitedHealthcare Community & State. UnitedHealthcare is a division of UnitedHealth Group which is a diversified health and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.

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Navigating Health Care as a "Partial Dual Eligible

Details: Partial duals are low-income by definition and have health care and social needs that differ from the broader Medicare population. For example, partial duals are considerably more likely than the broader Medicare population to have mental health needs such as depression, anxiety, bipolar disorder, and schizophrenia.

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New Pathways Program Provides $20 Million to Support FQHCs

Details: Federally-qualified health centers (FQHCs) play a critical role in serving our members. But COVID-19 has brought new challenges to these centers, leaving many struggling to provide care during the national public health emergency.To help these centers address the crisis and build capacity for their long-term sustainability, UnitedHealthcare Community & State …

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FQHCs Face New Challenges as COVID-19 Keeps Patients at

Details: The health care industry is transforming how it delivers care during the COVID-19 pandemic, and Federally Qualified Health Centers (FQHCs) are no exception. But the sudden inability to treat patients in an exam room or a shelter has caused new challenges.

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FQHC National Advisory Board Member Spotlight Dr. Dennis

Details: Cherokee Health Systems is both a Community Mental Health Center and a Federally Qualified Health Center. The company has 700 employees and two-dozen service locations including both rural and urban sites. In 2007 the National Center for Primary Care presented Cherokee Health Systems, Inc., the Best Practices in 21 st Century Primary Care Award.

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Managed Long Term Services and Supports UnitedHealthcare

Details: I have the best possible health. I feel safe. I am free from abuse and neglect. Healthy People 2020 is a science-based initiative led by the U.S. Department of Health and Human Services with the goal of improving health for all Americans. 22 Healthy People 2020 identifies the following priorities for action to address LTSS:

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Provider Partnerships: Jail Transitions Program Improves

Details: Improving health outcomes for incarcerated members. Social determinants of health (SDOH) such as socioeconomic status, education, physical environment, employment and access to health care all have drastic impacts on individual health and quality of life.

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Meeting Social Needs and Addressing Social Determinants of

Details: It is widely acknowledged that health is impacted by far more than just medical care. Housing status, access to healthy foods, ability to secure reliable transportation, and many other social and economic factors play an enormous role in overall health and well-being.

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The Medicaid Glossary: Technology Terms to Know

Details: An electronic health record (EHR) is a real-time patient health record that supports the collection of data for clinical care and decision-making as well as billing, quality management, outcome reporting and public health surveillance and reporting. EHRs are a type of health

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Advocating for Children in Foster Care and Their Families

Details: Having a health care team, pediatrician, family practice provider or specialist that understands the nuances of a child’s growth and development is important for all kids, but especially for those in the foster system who require additional supports.

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Housing Partnership Integrates Affordable Housing with

Details: Andy McMahon is the Vice President of Health and Human Services Policy at UnitedHealthcare Community & State. UnitedHealthcare Community & State proudly serves nearly 6.4 million Medicaid members in 32 states, plus Washington D.C. UnitedHealthcare is a division of UnitedHealth Group, a health and well-being company with a mission to help people live healthier lives and help make the health

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