NASHP

OCTOBER 20, 2022

The “National Forum on Advancing High-Quality, Equitable Care Coordination for Children and Youth with Special Health Care Needs” centered on two key topics for improving care coordination systems for CYSHCN: integrated care coordination and the care coordination workforce.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

HIT Consultant

JANUARY 3, 2023

While this trend has been experienced in primary care for years now and continues to grow there, payers are now experimenting with other specialties such as gastroenterology and nephrology. Value-based care is becoming more prevalent , and many in the industry expect it to become the norm in the years to come.

Healthcare 52

Healthcare Primary Care Medicare Integration 52

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. Figure 5: See all the care teams for a patient in one view.

Quality of Care 95

Quality of Care Healthcare Care Transition Integration 95

NASHP

AUGUST 23, 2021

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. ii] Rural areas are highly likely to suffer from shortages of primary care and other providers.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

HIT Consultant

OCTOBER 14, 2021

We’re looking forward to hearing about the acceleration of technology-driven performance and accountability in healthcare. This could include continuous glucose monitoring devices that are integrated with mobile apps and better pulse oximetry and cardiac rhythm detection built into wearables.

Urgent Care 98

Urgent Care Healthcare Medicare Integration 98

NASHP

MARCH 22, 2024

It includes examples from various states organized by the framework buckets: integrated primary and behavioral health care, crisis continuum of care, in-home and in-community based, and out-of-home and community.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

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. These models encourage providers to work together to coordinate care with a focus on quality.

Accountable Care 52

Accountable Care Accountability Primary Care Medicare 52

HIT Consultant

JANUARY 22, 2024

By focusing on integrated care, addressing social determinants, and promoting health equity, the IBH Model has the potential to significantly improve the lives of millions of Americans. Performance-based incentives will further encourage quality improvement throughout the implementation period.

Medicaid 97

Medicaid Quality of Care Integration Medicare 97

NASHP

AUGUST 31, 2023

State leaders play a critical role in convening key internal and external partners, implementing engagement and input processes that foster shared ownership and accountability toward goals at the state and community levels.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

HIT Consultant

MAY 16, 2022

However, “an app for everything” mentality has significant downsides, namely a complex and disjointed patient experience – and arguably, does not result in better quality of care. An integrated, systems and requirements-driven digital approach will put the whole patient back at the center of the digital ecosystem. A Way Forward.

Patient Experience 98

Patient Experience Integration Patient Safety Quality of Care 98

Home Health Care

AUGUST 15, 2021

CMMI was created through the Affordable Care Act in 2010. Its goal: to move toward a more value-based system in order to curb costs and improve the quality of care. Broadly, HHVBP is a Medicare demonstration that aims to tie reimbursement to quality of care.

Medicare 84

Medicare Medicaid Quality of Care Primary Care 84

NASHP

MAY 17, 2022

In response to the growing recognition of the value of investing in strategies that better serve children in or at-risk of out-of-home placement, a number of federal initiatives have emerged, resulting in significant changes to child welfare and spurring renewed efforts to better integrate care across child-serving systems. [5]

Medicaid 64

Medicaid Integration Medicare Primary Care 64

Sheppard Health Law

JANUARY 2, 2024

Health Care Entities Under SB 184, “health care entities”, which include (i) payers , (ii) providers and (iii) fully integrated delivery systems [2] , are potentially subject to OHCA’s CMIR authority. Who is subject to the CMIR process?

Regulations 59

Regulations Healthcare Primary Care Hospitals 59

NASHP

AUGUST 24, 2023

State health reform efforts increasingly focus on providing comprehensive and well-coordinated care to people with serious illness to improve quality of care and drive down costs. The state began implementation of palliative care legislation with an analysis of state Medicaid claims and encounter data.

Medicaid 52

Medicaid Quality Assurance Quality of Care Hospitals 52

NASHP

JUNE 22, 2022

This section of the guide outlines considerations, examples, and resources for: Identifying stakeholders and establishing partnerships across care coordination and child-serving systems. Assessing care coordination system capacity, gaps, and process improvements. Financing care coordination systems. Meet quality requirements.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52