NASHP

MARCH 1, 2024

rebalancing spending to improve access to home and community-based services, improving care transitions, or encouraging greater care coordination) Innovative oversight approaches for Medicare/Medicaid integrated models What’s In It for States?

Medicaid 80

Medicaid Care Transition Medicare Integration 80

Sheppard Health Law

DECEMBER 12, 2022

CMS’s strategic refresh initiative aims to meet five objectives: drive accountable care, advance health equity, support care innovations, improve access and affordability, and establish partnerships to achieve these objectives. Why align specialty care with value-based models?

Accountable Care 52

Accountable Care Accountability Medicare Primary Care 52

HIT Consultant

AUGUST 13, 2024

While discharge communication directly with the patient drives most of these success metrics, the post-acute providers must also be well informed so they can be accountable to the delivery of intended outcomes. vs. 13.5%), higher adherence to treatment regimen (86.1% vs. 79.0%), and higher patient satisfaction (60.9% vs. 49.5%).

Hospitals 96

Hospitals Care Transition Nursing Accountability 96

Cloud Blogs

AUGUST 2, 2023

Modern care management platforms facilitate seamless collaboration and information sharing among care teams. With care coordination, providers can more effectively orchestrate care, leading to improved care transitions and reduced medical errors.

Quality of Care 84

Quality of Care Healthcare Care Transition Primary Care 84

Readiness Rounds

OCTOBER 16, 2023

The Negatives Where there is much room for improvement is in the responsiveness of hospital staff (65% average HCAHPS score), communication about medications (61%), the quietness of the hospital environment (62%), and the patient’s care transitions (51%). Plus many more strategies.

Care Transition 52

Care Transition Patient Safety Patient Experience Hospitals 52

HIT Consultant

AUGUST 5, 2024

Message statuses such as “sent,” “delivered,” and “read” ensure accountability and clarity. Enhanced teamwork: Tailor real-time notifications to different roles, prioritizing information to facilitate rapid response and efficient collaboration, particularly during critical scenarios.

Nursing 111

Nursing Hospitals Care Transition Telemedicine 111

HIT Consultant

DECEMBER 9, 2021

The private health plans, which are an alternative to traditional Medicare, account for 42% of the total Medicare population. A study by the Kaiser Family Foundation found that four in five Medicare Advantage enrollees are in plans that require them to obtain authorization from insurers prior to receiving care. About Russell Graney.

Medicare 52

Medicare Accountability Nursing Care Transition 52

HIT Consultant

OCTOBER 25, 2021

No matter the practice’s type or patient volume, there are so many ways things can go wrong with a fax-dependent process that is nearly impossible to standardize, has no real built-in accountability and is dependent on significant levels of coordinated communication. Increase visibility into the patient’s care coordination.

Accountability 52

Accountability Care Transition Regulations Doctors 52

Home Health Care

JUNE 9, 2022

The shift to value-based care. Connecting training with outcomes serves patients and staff, but the shift to value-based care means attention to outcomes is imperative as home-based care transitions to rewarding providers for the quality of the care they deliver.

Care Transition 105

Care Transition Quality of Care Accountability Medicaid 105

Home Health Care

JANUARY 26, 2022

“I look forward to collaborating with our team and our colleagues at Optum as we enter a new phase of care delivery, explore new growth opportunities and seek new ways to achieve our mission of helping seniors live more fulfilling lives.”. Paul, Minnesota-based health care spending account (HSA) administrator.

Regulations 98

Regulations Care Transition Medicaid Medicare 98

NASHP

MARCH 22, 2024

States are hoping to achieve a number of goals with their MLTSS programs, including increasing access to home and community-based services, promoting care coordination, enhancing quality and beneficiary satisfaction, and mitigating cost growth.

Medicaid 75

Medicaid Nursing Medicare Integration 75

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 1: Drive Accountable Care.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

HIT Consultant

FEBRUARY 15, 2023

There is a greater emphasis on care coordination and diminished focus on siloed, add-on remote monitoring solutions that simply mirror the fragmentation and unreliable care transitions of our existing system.

Telemedicine 98

Telemedicine Urgent Care Primary Care Integration 98

NASHP

FEBRUARY 27, 2023

In July 2022, Maine launched the first phase of its new PCPlus initiative, which is an APM through MaineCare, Maine’s Medicaid program, that provides a higher per member per month (PMPM) rate for a whole-person care approach that includes services such as care coordination, health and oral screenings, and care transition.

Primary Care 52

Primary Care Medicaid Care Transition Medicare 52

Medical GPS

JUNE 23, 2021

The receptionist who answered the phone informed me I could set up an account through their online patient portal and retrieve all of the notes taken during his appointment, as well as contact his doctor, and review his medical records.

Doctors 52

Doctors Care Transition Healthcare Hospitals 52

HIT Consultant

OCTOBER 7, 2021

CAQH CORE (Committee on Operating Rules for Information Exchange) conducted years of research and identified key opportunity areas in the industry that could smooth the implementation of value-based care payments, making communication between payers and providers more effective and sustainable.

Healthcare 98

Healthcare Nursing Care Transition Accountability 98

NASHP

AUGUST 5, 2024

Outside of the SPA context, Massachusetts met with CHW interested parties to better understand how to support CHWs (which could be supported with Delivery System Reform Incentive Payment Program funding paid to accountable care organizations authorized through the state’s previous 1115 Demonstration Waiver, rather than a SPA).

Medicaid 52

Medicaid Primary Care Prevention Accountability 52

NASHP

MAY 17, 2022

Additionally, many specialized MMC programs require the contracted MMC entity to meet certain reporting and quality benchmarks, which may include documentation of services provided and timeliness of those services, health outcomes, or foster care-specific performance improvements. personal care items or electronics). 17] Ibid. [18]

Medicaid 64

Medicaid Integration Medicare Primary Care 64

NASHP

OCTOBER 22, 2021

In addition to a range of metrics related to promoting prevention and reducing utilization related to ambulatory care-sensitive conditions, ICSP measures have included advanced care planning, evidence of physician order for life-sustaining treatment (POLST), effective care transitions, and assessment and management of chronic pain.

Medicaid 102

Medicaid Hospice Care Regulations Integration 102

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. In addition, CHWs are often included in Accountable Communities for Health (ACH). Acronym Guide.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

NASHP

JUNE 22, 2022

Shared Plan of Care. Care Coordination Workforce. Care Transitions. health plans, providers, families of CYSHCN) in using, adapting, and implementing the National Care Coordination Standards for CYSHCN to develop or improve care coordination systems. Accountable Person. Domain 2: Shared Plan of Care.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52

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

JUNE 22, 2022

Equipped with the right tools, providers can make the appropriate post-acute care decision for their patients to mitigate readmission risk and reduce potential post-acute care spending. As touched on above, post-acute care delivered in the SNF setting accounts for a significant portion of Medicare fee-for-service costs.

Hospitals 98

Hospitals Medicare Primary Care Care Transition 98

HIT Consultant

MAY 17, 2022

The result is setting up in advance very predictable role accountabilities, clear technology-enabled processes, and best practices to optimize the transfer operations while reducing workforce stress. There are patient flow barriers that come up frequently in the acute care management of patients.

Tertiary Care 98

Tertiary Care Nursing Patient Experience Patient Safety 98

Health Populi

MAY 31, 2022

These barriers are revealed in research conducted by a team from the University of Michigan (my alma mater) published in JAMA (May 6, 2022), Patient Perspectives on Care Transitions From Hospital to Home. “We need to start respecting and accounting for unpaid caregivers.

Hospitals 93

Hospitals Care Transition Accountability Health Technology 93

HIT Consultant

JUNE 2, 2022

The result is setting up in advance very predictable role accountabilities, clear technology-enabled processes, and best practices to optimize the transfer operations while reducing workforce stress. There are patient flow barriers that come up frequently in the acute care management of patients.

Tertiary Care 52

Tertiary Care Nursing Patient Experience Patient Safety 52