Healthcare ECONOMIST

JANUARY 14, 2022

Before the merger, funding was lacking for technology and infrastructure investments to support quality improvement. To account for changes in patient mix, the authors control for patient demographics, insurance type, DRG mix, and Elixhauser comorbidities. How were these quality improvement achieved?

Hospitals 75

Hospitals Rehabilitation Accountability Quality Improvement 75

HIT Consultant

OCTOBER 31, 2022

Director of Global Strategy at the RWTS Integrated Health Practice at IQVIA. Patient advocacy organizations and medical specialty societies can serve as a liaison between patients and providers in bi-directional engagement, closing gaps in the patient journey and ultimately driving innovation for higher quality care. David Voccola, Sr.

Healthcare Quality 98

Healthcare Quality Healthcare Quality Improvement Healthcare Innovation 98

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

OCTOBER 21, 2022

This work occurs alongside evaluating how to integrate the medical device into the hospital system’s diagnostic paradigms, including in relation to quality improvement programs. Sepsis accounts for the highest in-patient deaths and costs and is additionally the most under-reimbursed for diagnosis and treatment.

Hospitals 98

Hospitals Quality Improvement Medicaid Clinical Practice 98

HIT Consultant

FEBRUARY 14, 2024

The pressing need to invest in, and protect, technologies without the time or staffing resources to maintain and support mission-critical platforms and applications poses enterprise growth and care-quality improvement obstacles. Enterprise-wide growth may be inhibited due to limited internal IT resources.

Hospitals 112

Hospitals Quality Improvement Integration Healthcare 112

Accountable Care Doctors

NOVEMBER 17, 2020

Earlier this year, CAPP asked the Institute for Accountable Care (IAC) Executive Director Rob Mechanic to conduct a scan of the latest literature on accountable care entities, programs, and payment models in an effort to understand the factors that influence participation in such arrangements and on cost and quality performance.

Accountable Care 52

Accountable Care Accountability Medicare Integration 52

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.

Medicaid 75

Medicaid Nursing Medicare Integration 75

Accountable Care Doctors

NOVEMBER 17, 2020

Earlier this year, CAPP asked the Institute for Accountable Care (IAC) Executive Director Rob Mechanic to conduct a scan of the latest literature on accountable care entities, programs, and payment models in an effort to understand the factors that influence participation in such arrangements and on cost and quality performance.

Accountable Care 52

Accountable Care Accountability Medicare Integration 52

NASHP

MARCH 22, 2024

State Medicaid programs, behavioral health authorities, public health, departments of insurance, human and social service agencies, departments of education, departments of corrections, housing, and employment can collaborate to align overlapping efforts, align policies, and braid funding and accountability mechanisms.

Accountability 52

Accountability Medicaid Primary Care Quality Improvement 52

Healthcare ECONOMIST

SEPTEMBER 24, 2024

For instance, risk adjustment occurs based on patient characteristics and social determinants of health collected before the start of an episode; the authors argue that risk adjustment could take into account clinical or social needs changes during an episode. The authors also argue for incentivizing integrated practice units (IPUs).

Accountability 40

Accountability Quality Improvement Accountable Care Integration 40

NCQA

OCTOBER 9, 2024

Value-based care requires integration and alignment—among payers and clinicians, and within the care delivery team. Find out how to build win-win, value-based payment models with specialty care that align clinical and financial incentives and enhance the quality of life for people with chronic conditions.

Primary Care 52

Primary Care Medicaid Integration Quality Improvement 52

NCQA

OCTOBER 31, 2023

Fowler put it, “ We’re really thinking about health system transformation and really putting more of an emphasis on quality improvement. And then we’re also developing an approach for certification based on quality improvement and patient experience.”

Primary Care 52

Primary Care Quality Improvement Medicaid Accountable Care 52

Accountable Care Doctors

OCTOBER 21, 2020

The 31 multi-specialty medical groups and integrated health systems that are part of the Council of Accountable Physician Practices (CAPP), their 85,000 physicians, and hundreds of thousands of staff are at the forefront of the battle for their patients’ lives.

Primary Care 59

Primary Care Integration Remote Care Population Health 59

HIT Consultant

MAY 22, 2023

Under the Health Insurance Portability and Accountability Act of 1996 ( HIPAA ), patient data is a protected information class with strict storage, entry, and security requirements. These added requirements have been shown to significantly contribute to clinical burnout in the decade-and-a-half since Congress passed the HITECH Act.

Healthcare 52

Healthcare Data Acquisition Integration Hospitals 52

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 2: Advance Health Equity. Strategic Objective 3: Support Care Innovations.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Accountable Care Doctors

AUGUST 31, 2021

These discussion forums generated many promising and innovative solutions including improving healthcare by integrating behavioral health with primary care, pursuing strategies for reducing low-value care and increasing high-value care, and developing better metrics for measuring performance in alternative payment models.

Primary Care 52

Primary Care Integration Doctors Accountability 52

Accountable Care Doctors

AUGUST 31, 2021

These discussion forums generated many promising and innovative solutions including improving healthcare by integrating behavioral health with primary care, pursuing strategies for reducing low-value care and increasing high-value care, and developing better metrics for measuring performance in alternative payment models.

Primary Care 52

Primary Care Integration Doctors Accountability 52

NASHP

DECEMBER 10, 2021

integrating?CHWs ACO Accountable Care Organizations. RAE Regional Accountable Entity. Rhode Island’s Medicaid Accountable Entities (similar to ACOs) may use funds earned through the Health System Transformation Project Incentive Fund to fund CHW services. Acronym Guide. APM Alternative Payment Model.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

NCQA

MARCH 22, 2023

DaVita Integrated Kidney Care. As part of our drive to improve health equity , most toolkit resources are available in Spanish. Sources and Inspiration We developed the Roadmap in partnership with Bayer Healthcare Pharmaceuticals, Inc. Fresenius Health Partners—InterWell Health. Healthmap Solutions. Luke’s University Health Network.

Primary Care 52

Primary Care Population Health Pharmaceuticals Accountable Care 52

Sheppard Health Law

MAY 16, 2022

Considering the impact social risk factors and unmet social needs can have on health, CMS asserts these changes will help better identify the risk factors that may inhibit enrollees from accessing care and achieving optimal health outcomes, enabling MA SNPs to take these risk factors into account in enrollee care plans. and 422.107).

Medicare 52

Medicare Medicaid Accountability Integration 52

Accountable Care Doctors

FEBRUARY 1, 2021

At the Council of Accountable Physician Practices (CAPP), we define and practice value-based care as care that is coordinated through teams, connected with health information technology, led by physicians, and paid based on quality and cost outcomes. demanding more transparency from insurers and other intermediaries.

Primary Care 52

Primary Care Accountability Patient Experience Integration 52

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

NASHP

MAY 26, 2023

With caregivers increasingly asked to perform more intense and complex care , respite care is integral to giving caregivers a much-needed break. Self-Direction : Study states used self-direction programs to integrate family members and friends into the direct care workforce as respite care providers.

Medicaid 121

Medicaid Nursing Regulations Integration 121

NASHP

AUGUST 23, 2021

Payment to improve capabilities. Regional accountable entities. For example, to move from tier 3 to tier 4, the provider must meet all the requirements of tier 3 and several new requirements, such as having a well-established quality improvement process. Using payment to create incentives to improve performance.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

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. States have a range of tools and policy levers at their disposal to build capacity for integrated behavioral health approaches.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Sequence Health

OCTOBER 2, 2024

Understanding what workforce management in a call center is crucial for maintaining service quality, improving customer satisfaction, and controlling operational costs. This approach advances overall employee fulfillment as well as accountability throughout their roles.

Accountability 52

Accountability Patient Experience Prevention Healthcare 52

NASHP

MARCH 22, 2024

This includes alignment across the state Medicaid and behavioral health administrations, including shared systems and shared accountability, and a unified contracting approach across all relevant state agencies to create a unified network. Colorado Colorado is engaged in multi-pronged behavioral health reform.

Medicaid 52

Medicaid Urgent Care Primary Care Hospitals 52

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. In addition, CHWs are often included in Accountable Communities for Health (ACH).

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

NASHP

DECEMBER 20, 2022

These coordinated state efforts, often formalized in governor’s task forces, cross-agency workgroups, and legislative commissions, are predicated on an ideological shift away from solely punitive responses and toward integrating treatment into the criminal legal system. Integrate peers into crisis response teams.

Medicaid 52

Medicaid Prevention Hospitals Integration 52

NASHP

JUNE 22, 2022

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.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52

NASHP

MARCH 28, 2022

The shortage of direct care workers undermines a state’s ability to serve people with disabilities in the most integrated setting appropriate to a person’s needs and preferences. The Institute of Medicine (IOM) has recommended that the minimum number of hours be increased to 120 hours to account for the increased complexity of direct care.

Nursing 98

Nursing Medicaid Home Care Rehabilitation 98

NCQA

OCTOBER 26, 2023

But you can use it for quality improvement. There can be no quality without equity. NCQA has committed to integrating health equity into all of measures and programs. That means almost 30 million Medicaid enrollees are in a plan that NCQA Health Equity Accreditation helps hold accountable.

Medicaid 52

Medicaid Quality Improvement Accountability Integration 52

NCQA

NOVEMBER 7, 2024

To drive impact and return on investment, health equity strategy must be integrated within the broader operations and business goals of an organization. Here are four ways health care organizations can integrate health equity as a foundation for doing business.

Integration 52

Integration Quality Improvement Accountability 52

Sheppard Health Law

JANUARY 10, 2022

Refining Definitions for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2 In the preamble of the Proposed Rule, CMS states that it hopes to improve the integration of Medicare and Medicaid programs for individuals enrolled in D-SNPs. Additional Opportunities for Integration through State Medicaid Agency Contracts.

Medicare 98

Medicare Medicaid Integration Regulations 98

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

NCQA

NOVEMBER 22, 2024

The use of clinical data to measure health care quality in close to real-time creates new value for health plans, including: More complete, accurate and generally higher quality rates. Improved ability to drive meaningful quality improvement programs with better data. Reduced costs of quality measurement.

Quality Improvement 59

Quality Improvement Quality Leadership Measurable Quality Integration 59

NASHP

NOVEMBER 8, 2024

Tennessee operates a VBP program called the Quality Improvement in Long Term Services and Supports initiative (QuILTSS ). In 2024, quality categories include satisfaction (35 points), culture change/quality of life (30 points), staffing/staff competency (25 points), and clinical performance (10 points).

Medicaid 52

Medicaid Nursing Quality Improvement Accountability 52