Healthcare ECONOMIST

SEPTEMBER 24, 2024

For instance, risk adjustment occurs based on patient characteristics and social determinants of health collected before the start of an episode; the authors argue that risk adjustment could take into account clinical or social needs changes during an episode. The authors also argue for more reimbursement for information sharing activities.

Accountability 40

Accountability Quality Improvement Accountable Care Integration 40

Sheppard Health Law

OCTOBER 27, 2021

The five strategic objectives for advancing this systemwide transformation include (1) Drive Accountable Care, (2) Advance Health Equity, (3) Support Innovation, (4) Address Affordability, and (5) Partner to Achieve System Transformation. Strategic Objective 3: Support Care Innovations.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

NCQA

MARCH 22, 2023

As part of our drive to improve health equity , most toolkit resources are available in Spanish. Have you used the toolkit? Let us know how it’s going! We welcome your feedback.

Primary Care 52

Primary Care Population Health Pharmaceuticals Accountable Care 52

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. RAE Regional Accountable Entity. Acronym Guide. APM Alternative Payment Model. CBO Community Based Organization.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

NASHP

OCTOBER 20, 2022

Partnerships are strongest when they are based on a collective impact model, focusing on a common vision and developing shared accountability. As a result, services were better aligned and the MCOs referred CYSHCN to the Title V CYSHCN program for care coordination given the program staff’s expertise in serving this population.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

Healthcare Leadership Council

MAY 25, 2022

Some of the demonstrations included an alignment algorithm for assigning patients to providers within an accountable care organization (ACO), at least one of which assigned patients depending upon their previous use of participating providers in the ACO.

Medicare 75

Medicare Medicaid Accountable Care Quality Improvement 75

Accountable Care Doctors

FEBRUARY 1, 2021

Employers also collectively shoulder the biggest share of national health care costs, which regularly rise faster on an annual basis than overall inflation.

Primary Care 52

Primary Care Accountability Patient Experience Integration 52

Accountable Care Doctors

OCTOBER 21, 2020

The COVID-19 pandemic has upended health care in America, and as of this writing, is still raging on. A quick snapshot reveals how decades-long investments by CAPP groups to better integrate their care delivery systems is paying off. Fast track the movement from the fragmented fee-for-service system toward value-based payment.

Primary Care 59

Primary Care Integration Remote Care Population Health 59

NASHP

AUGUST 31, 2023

State leaders play a critical role in convening key internal and external partners, implementing engagement and input processes that foster shared ownership and accountability toward goals at the state and community levels.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

NASHP

AUGUST 23, 2021

Payment to improve capabilities. Regional accountable entities. For example, to move from tier 3 to tier 4, the provider must meet all the requirements of tier 3 and several new requirements, such as having a well-established quality improvement process. Using payment to create incentives to improve performance.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

Accountable Care Doctors

AUGUST 31, 2021

Finally, providers and employers have an opportunity collaborate on strategies to reduce low-value care and increase high-value care. Integrating behavioral health into primary care is only one piece of this work. The delivery of low-value care often begins when care is not supported by evidence-based medicine.

Primary Care 52

Primary Care Integration Doctors Accountability 52

Accountable Care Doctors

AUGUST 31, 2021

Finally, providers and employers have an opportunity collaborate on strategies to reduce low-value care and increase high-value care. Integrating behavioral health into primary care is only one piece of this work. The delivery of low-value care often begins when care is not supported by evidence-based medicine.

Primary Care 52

Primary Care Integration Doctors Accountability 52

NASHP

FEBRUARY 27, 2024

Rather, the flexible services program offers accountable care organizations (ACOs) a limited amount of funding to test whether they can reduce the total cost of care and improve health outcomes by meeting enrollees’ health-related social needs through targeted evidence-based programs.

Medicaid 40

Medicaid Quality Improvement Accountable Care Accountability 40

NASHP

NOVEMBER 29, 2021

The Department of Health Care Policy and Financing (the Medicaid program administrator) does not specifically require the Regional Accountable Entities (RAEs), care coordinating entities contracted with Colorado’s Medicaid program, or other managed care entities to cover CHW services, nor does the Department pay for CHW services under FFS.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

HIT Consultant

JANUARY 22, 2024

Implementation (model years 4-8): States will implement a Medicaid payment model that rewards practices for delivering integrated care, while selected practices can also participate in an additional Medicare payment model. Performance-based incentives will further encourage quality improvement throughout the implementation period.

Medicaid 97

Medicaid Quality of Care Integration Medicare 97

NASHP

MAY 8, 2023

Transformation at the agency or whole government level can also include establishing organizational policies that address health disparities, systemic and shared accountability, designing culturally appropriate health care, and diversifying decision-makers. Many are changing how government and state partners do business.

Medicaid 52

Medicaid Accountability Integration Accountable Care 52