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Learning Intensive on State Oversight of Medicaid Managed Long-Term Services and Supports for Older Adults and Adults with Disabilities: Request for State Applications

NASHP

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?

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Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Sheppard Health Law

On October 20, 2021, the Centers for Medicare and Medicaid (“ CMS ”) Innovation Center (“ Innovation Center ”) published a white paper detailing its vision for the next ten years: a health system that achieves equitable outcomes through high quality, affordable, person-centered care. Strategic Objective 1: Drive Accountable Care.

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WellSky Taps Google Cloud to Build Gen AI Tools for Providers

HIT Consultant

Streamlining Care and Empowering Providers WellSky envisions integrating AI tools into their solutions to automate repetitive tasks, freeing up valuable time for human interaction and personalized care. AI technology can serve as a fundamental tool in making healthcare insights more accessible and meaningful for clinicians.

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State Oversight and Innovations in Medicaid-Managed Long-Term Services and Supports (MLTSS) Serving Older Adults and People with Disabilities 

NASHP

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. The following table provides a snapshot of the states and MLTSS programs selected for this project.

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Prior Authorizations: 3 Ways to Reduce Administrative Burden & Burnout

HIT Consultant

Medicare’s annual enrollment period has started, and you know what that means: a slew of commercials suddenly appearing on television for Medicare Advantage plans. Enrollment in Medicare Advantage has more than doubled over the past decade to more than 26 million people this year. The advertising appears to be working.

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Why Value-Based Care Begins with Quality Education

Home Health Care

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.

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Q&A: Using an Alternative Payment Model to Support Community Health Worker Sustainability in Maine’s Primary Care Plus Program

NASHP

During a recent virtual meeting focused on alternative payment approaches, Maine state officials detailed how the state intends to use its Primary Care Plus (PCPlus) program to reimburse for CHW services.­ With CMS approval, more advanced elements of the initiative will provide incentives to primary care practices that offer CHW services.