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ACO Reporting- A Patient-Centered Approach

p3care

An ACO (Accountable Care Organization) works for the better care of patients. Consider it as a group that combines hospitals, doctors, and other healthcare specialists for the sake of providing healthcare and is a team in care decisions. Complying with all these regulations helps in avoiding penalties.

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MIPS 2022 Measures for the Certified Nurse Midwife Category

p3care

MIPS (Merit-based Incentive Payment System) was launched by the Quality Payment Program (QPP) for the Medicare Part B healthcare providers. There are four categories in this category of QPP reporting , which are: Quality. Improvements Activities. Categories. Promoting Interoperability.

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State Community Health Worker Models

NASHP

The map identifies state approaches for Medicaid reimbursement of CHW services and the chart provides details about other ways that states are supporting a CHW workforce. ACO Accountable Care Organizations. RAE Regional Accountable Entity. At least one MCO does reimburse providers for CHW services on a FFS basis.

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Community Health Worker Models

NASHP

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.

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CMS Promotes Competition, Transparency, Health Equity and More in the CY2025 Medicare Advantage and Part D Proposed Rule

Sheppard Health Law

Enhance Guardrails for Agent and Broker Compensation Over the last few years, CMS has issued new regulations and subregulatory guidance intended to address abusive marketing practices by third party marketing organizations (“TPMOs”) that sell MA and Part D plans.

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

NASHP

Recruit providers to support system improvements. Support quality improvement efforts. Guide quality measurement and evaluation. Advise on evidence-based improvement practices. [1] 1] National Improvement Partnership Network. Establishing a Child Health Improvement Partnership: A How-to Guide.