What Is The Future Of Alzheimer’s Treatment?

“After billions of dollars in research and hundreds of failed drugs, the race to come up with a treatment for Alzheimer’s keeps hitting wall after wall after wall.” This quote from a recent article, The Outlook For Alzheimer’s Research Keeps Getting Bleaker, by Sam Baker of Axios hit me hard this week. Alzheimer’s and dementia affects a large portion of the population—and prevalence is expected to grow. Already, in 2019 about 10% of Americans age 65 and older (5.8 million people) are living with Alzheimer’s dementia (see 10% Of Americans Aged 65 & Older Have Alzheimer’s Disease), and among people…
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The plan was released on March 18, 2019 by the North Carolina Department of Health and Human Services (DHHS). It presents final policy guidance on eligibility and enrollment for the upcoming Medicaid Behavioral Health Intellectual/Developmental Disability (BH/IDD) Tailored Plans. Download Resource

I’ve been thinking a lot about financial risk for health and human services over the past month. While the shift in “who is at risk” has been glacial, the effects on the service delivery landscape are becoming increasingly apparent. At the payer level, the shift of financial risk from employers,…

To increase the adoption of value-based reimbursement (VBR) models, the Centers for Medicare and Medicaid (CMS) Administrator Seema Verma announced extensive proposed changes to the federal Stark Law. What is the Stark Law? It is a series of federal laws that regulate the financial relationships between health care professionals and…

On March 21, 2019, the Arizona Department of Economic Security (DES) Division of Developmental Disabilities (DDD) awarded UnitedHealthcare Community Plan and Mercy Care managed care organization (MCO) contracts for the new integrated “DDD Health Plans.” The contracts go live on October 1, 2019. The initial contract term will run for…

On March 22, 2019, the New Mexico Governor Michelle Lujan Grisham instructed the Department of Health (DOH) and the Human Services Department (HSD) to develop a new Medicaid home- and community-based services (HCBS) supports waiver program for people with intellectual/developmental disabilities (I/DD) waiting for supportive services. The purpose of the…

About 4.4% of commercially insured Americans in 2016 were diagnosed with depression, representing more than nine million of the 216.2 million with commercial health insurance that year. The number of commercially insured Americans with depression rose by 33% between 2013 and 2016. In 2013, about six million were diagnosed with…

We’ve written a lot about the challenge of addressing health plan “pain points”—Pain Points Matter, Health Plan Relationship Building Skills Key To VBR Success, and Solve The Problem, Gain A Partner. Understanding health plan needs and the ability to present them with a “solution” to their problems is key to…

Community-based care—or delivering health care and social services to the consumer wherever they are—comes in a wide range of program models, which vary in enrollment of consumers, the clinical professionals included on the care team, and the payer. But while different programs can vary significantly in their individual parts, most…

Some of the best-practices for delivering home- and community-based services include the need to create interdisciplinary teams to deliver consumer-centric, personalized services across “flexible” service locations. For more on what a “best-practice” program looks like, we had a chance to sit down with Merakey Clinical Lead Specialist Kristin Cline, and…

By Samantha Haun, Market Intelligence Analyst; Athena Mandros Director, Market Intelligence; Cody Brumgard RFP Database Manager, OPEN MINDS The majority of the population in the state of Georgia is enrolled in a commercial health insurance plan (58%)—this is above the national average of 56%. About 12% of the population is…

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