Accountability, Care Transition and Primary Care

Accountability

Care Transition

Primary Care

Digital Transformation 101: A handy primer

Healthcare It News

MARCH 21, 2025

If the aim is a strategic, enterprise, long-term reimagination of the business, it must be led from the top of the organization: The CEO should be responsible and accountable to create a compelling, clear vision for the direction and collaborate with their leadership team to gain support for the new direction across the entire organization.

Hospitals

Hospitals Health Science Accountability Care Transition

Optum, LHC Group Put Pedal Down On Home-Based Care Efforts

Home Health Care

DECEMBER 4, 2024

Home Care remains deeply fragmented, disconnected and too difficult to navigate,” Proffitt said Wednesday. “It It accounts for about $150 billion of the health sector today, and we expect this figure to climb substantially by the end of the decade. UnitedHealth Group’s (NYSE: UNH) Optum acquired LHC Group last year for $5.4

Care Transition

Care Transition Primary Care Urgent Care Home Care

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Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

MORE WEBINARS

Trending Sources

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

NASHP

FEBRUARY 27, 2023

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. Including a scan also helps the state assess practices’ needs and take their varying knowledge of CHW roles into account.

Primary Care

Primary Care Medicaid Care Transition Medicare

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

MORE WEBINARS

From Telemedicine to Complete Virtual Care and Beyond

HIT Consultant

FEBRUARY 15, 2023

Today, physicians, patients and payers benefit from virtual care options that can be scaled to provide users with access to a wide range of providers, healthcare services and diagnostics that enable remote monitoring and testing which is especially important for chronic condition management.

Telemedicine

Telemedicine Urgent Care Primary Care Prevention

CMS Announces Strategy on Value-Based Payments for Specialty Care

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

Accountable Care Accountability Medicare Primary Care

Effective Strategies to Reduce Hospital Readmissions Through Medical Call Center

Sequence Health

FEBRUARY 20, 2025

Effective communication during care transitions, along with proper medication reconciliation, is vital for preventing readmissions and improving overall patient outcomes. Effective discharge planning involves ensuring that patients understand their care instructions and have the necessary resources to manage their health at home.

Hospitals

Hospitals Care Transition Primary Care Prevention

Centers for Medicare and Medicaid Innovation Center: Equity and Vision

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

Medicaid Medicare Accountable Care Accountability

Updates and FAQs: Developing and Implementing a Medicaid State Plan Amendment to Authorize Community Health Worker Reimbursement

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

Medicaid Primary Care Prevention Accountability

How State Medicaid Programs Serve Children and Youth in Foster Care

NASHP

MAY 17, 2022

In 2007, 29 states provided health care services to children in child welfare through MMC. [24] managed care organizations, primary care case management, prepaid ambulatory health plans, and prepaid inpatient health plans) to serve some or all CYFC. One-time financial stipends. Evaluation of educational options.

Medicaid

Medicaid Integration Medicare Primary Care

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

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. Team-Based Communication. How to Use This Guide.

Care Transition

Care Transition Medicaid Doctors Regulations

What Hospital Success Looks Like Under Value-Based Care

HIT Consultant

JUNE 22, 2022

With the right technology, providers can monitor patients across the continuum, identify when patients present to the ED, intervene in a timely manner, and reroute patients to a less costly level of care. As touched on above, post-acute care delivered in the SNF setting accounts for a significant portion of Medicare fee-for-service costs.

Hospitals

Hospitals Medicare Primary Care Care Transition

Unlock efficiency and quality of care with Microsoft Cloud for Healthcare Care management

Cloud Blogs

AUGUST 2, 2023

Enhance health team coordination and collaboration Care coordination is a complex process involving multiple stakeholders, including primary care physicians, specialists, nurses, and allied healthcare professionals. Modern care management platforms facilitate seamless collaboration and information sharing among care teams.

Quality of Care

Quality of Care Healthcare Care Transition Primary Care

State Community Health Worker Models

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

Medicaid Primary Care Prevention Nursing

Community Health Worker Models

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

Medicaid Primary Care Prevention Nursing

Health Care Quality Digest

Digital Transformation 101: A handy primer

Optum, LHC Group Put Pedal Down On Home-Based Care Efforts

Webinars

Trending Sources

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

Webinars

From Telemedicine to Complete Virtual Care and Beyond

CMS Announces Strategy on Value-Based Payments for Specialty Care

Effective Strategies to Reduce Hospital Readmissions Through Medical Call Center

Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Updates and FAQs: Developing and Implementing a Medicaid State Plan Amendment to Authorize Community Health Worker Reimbursement

How State Medicaid Programs Serve Children and Youth in Foster Care

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

What Hospital Success Looks Like Under Value-Based Care

Unlock efficiency and quality of care with Microsoft Cloud for Healthcare Care management

State Community Health Worker Models

Community Health Worker Models

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