p3care

MAY 31, 2024

An ACO (Accountable Care Organization) works for the better care of patients. They aim to improve your health by ensuring that you get custom care according to your needs while cutting costs. Enhancing Quality By examining doctors’ performance, ACOs identify strengths and weaknesses in the service of healthcare delivery.

Quality of Care 130

Quality of Care Doctors Medicare Patient Experience 130

Home Health Care

NOVEMBER 22, 2022

Government Accountability Office (GAO) has signed off on the home health payment rule finalized by the Centers for Medicare & Medicaid Services (CMS) last month. CMS argues that alternatives to mitigate the payment reductions would be contrary to the intent of the rule.

Medicare 105

Medicare Medicaid Quality Improvement Accountability 105

NASHP

DECEMBER 10, 2021

The information on this map comes from a 50-state survey of a variety of stakeholders, ranging from Medicaid officials to Community Health Workers, on their states’ approaches?to?integrating?CHWs ACO Accountable Care Organizations. MHP Medicaid Health Plans. NCQA National Committee for Quality Assurance. integrating?CHWs

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

GoMoHealth

OCTOBER 20, 2022

By Nakecia Taffa, Quality Improvement and Health Equity Director for GoMo Health. This led me to GoMo Health, where we create, activate and scale these improvements daily. While most managed care organizations go to great lengths to comply with Medicaid and Medicare mandates, many are still struggling to meet their goals.

Quality Improvement 88

Quality Improvement Medicaid Medicare Population Health 88

NASHP

SEPTEMBER 8, 2023

Over the past two years, the seven state teams that participated in the MCH PIP Policy Academy, comprised of officials from state Medicaid, public health, and other relevant agencies/groups (e.g., The state Medicaid agency is in the process of standing up this case management program based on input received during these sessions.

Medicaid 80

Medicaid Performance improvement Quality Improvement Accountable Care 80

NASHP

SEPTEMBER 27, 2024

As part of a continuum of home- and community-based services (HCBS), respite can improve families’ quality of life [4] , [5] and help improve outcomes, including promoting more stable living situations. [6] Additional state examples from Colorado and Massachusetts were gleaned from NASHP’s Respite Summit, held in February 2024.

Medicaid 59

Medicaid Nursing Medicare Quality Improvement 59

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

NASHP

OCTOBER 20, 2022

This substandard access to quality care can lead to poor health outcomes.[6]. have a special health care need, and an estimated 44 percent of CYSHCN are enrolled in Medicaid.[7] public health, Medicaid, mental health) and other stakeholders (e.g., Nearly 20 percent of children in the U.S.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

Home Health Care

OCTOBER 28, 2022

How did you measure the quality of that data and quantify those values in a comparable and accessible way? Longo : There are nearly 11,000 home health agencies that report data to the Centers for Medicare and Medicaid Services. The relationship between higher star ratings and accreditation seems to reflect that commitment to quality.

Patient Safety 97

Patient Safety Performance improvement Quality Improvement Accountability 97

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

NCQA

OCTOBER 9, 2024

They’ll explain how to leverage data to uncover members who are experiencing health disparities, identify the clinical and social drivers of those disparities, develop strategic partnerships with clinicians and care delivery systems and implement quality improvement efforts.

Primary Care 52

Primary Care Medicaid Integration Quality Improvement 52

Healthcare ECONOMIST

OCTOBER 4, 2021

The Government Accountability Office (GAO) last week published a report evaluating the Merit-based Incentive Payment System (MIPS). MIPS evaluates provider value along four dimensions: (1) quality, (2) improvement activities, (3) promoting interoperability, and (4) cost.

Medicare 105

Medicare Quality Improvement Quality of Care Accountability 105

NASHP

MARCH 22, 2024

In addition to expanding Medicaid, North Carolina’s FY2024 budget allocates over $835 million for mental health and substance abuse investments under Medicaid. They focus on crucial areas such as managed care contracting, achieving coverage parity, and enhancing workforce capacity to improve both quality and access to care.

Medicaid 52

Medicaid Urgent Care Primary Care Hospitals 52

NASHP

MARCH 22, 2024

States such as Texas, Wyoming , and New Jersey are adopting Medicaid reimbursement of collaborative care services and are addressing capacity to transition to CoCM. Integration of Substance Use Services and Supports States can align long siloed approaches to primary care, mental health, and substance use services through integration efforts.

Medicaid 52

Medicaid Integration Primary Care Nursing 52