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. pdf On October 1, 2023, Virginia Medicaid combined its two managed care programs of Medallion 4.0

Medicaid 75

Medicaid Nursing Medicare Integration 75

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 7, 2021

Successfully navigating this junction of mandated interoperability and alternative payment arrangements will influence the future use and outcomes of value-based care models. The important question remains: how should we best approach the pivotal task of integrating two critical healthcare transformations?

Healthcare 98

Healthcare Nursing Care Transition Accountability 98

NASHP

OCTOBER 22, 2021

People with serious and life-threatening health conditions experience care needs that drive costs, including hospital admissions , emergency department utilization , and nursing home care. Rhode Island is another state that has invested in coordinated care for complex populations enrolled in Medicaid. The state and U.S.

Medicaid 102

Medicaid Hospice Care Regulations Integration 102

NASHP

DECEMBER 10, 2021

integrating?CHWs CHWs into evolving health care systems in key areas such as financing, education and training, certification , and state definitions, roles and scope of practice. ACO Accountable Care Organizations. CBCM Community Based Care Management Program. PCCM Primary Care Case Management.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

Cloud Blogs

AUGUST 2, 2023

Care management in healthcare involves a complex web of patient information, communication, and manual processes that without integration can hinder the delivery of efficient and coordinated care. Modern care management platforms facilitate seamless collaboration and information sharing among care teams.

Quality of Care 95

Quality of Care Healthcare Care Transition Integration 95

NASHP

NOVEMBER 29, 2021

This map highlights state activity to integrate CHWs into evolving health care systems in key areas such as financing, education and training, certification, and state definitions, roles and scope of practice. Colorado does not reimburse for CHW services through their Medicaid FFS program. 98961 – 2 to 4 patients.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52