Remove Accountability Remove Population Health Remove Quality Improvement
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Managing Managed Care: Closing Gaps in Care for Payers, Providers and Members

GoMoHealth

Partnering with Managed Care Organizations and Provider Networks to reduce costs and better manage utilization of health services. By Nakecia Taffa, Quality Improvement and Health Equity Director for GoMo Health. Decreased gaps in care and population disparities : closed gaps in care for engaged members of a U.S.

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5 Ways Federated Computing Can Reshape Public Health

HIT Consultant

Unlocking data silos using Federated Computing (FC) has the potential to achieve a positive impact across the healthcare industry, ranging from clinical care quality improvement and accreditation to population health management, precision public health and equitable drug development.

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CMMI Prioritizes Multi-Payer Alignment in New Models

NCQA

And then we’re also developing an approach for certification based on quality improvement and patient experience.”

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Fifth Free Tool in Kidney Toolkit Helps Fight Kidney Disease

NCQA

Adding the Population Health Roadmap for Chronic Kidney Disease to our Kidney Health Toolkit means there’s a fifth free resource from NCQA to help manage chronic kidney disease (CKD) or end-stage renal disease (ESRD). As part of our drive to improve health equity , most toolkit resources are available in Spanish.

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Lessons Learned From Leading Health Plans Implementing Digital Quality

NCQA

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. Value-Based Care.

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State Community Health Worker Models

NASHP

ACO Accountable Care Organizations. PH-MCO Physical Health Managed Care Organization. PHW Pandemic Health Worker. 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.

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National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

NASHP

Partnerships are strongest when they are based on a collective impact model, focusing on a common vision and developing shared accountability. As a result, services were better aligned and the MCOs referred CYSHCN to the Title V CYSHCN program for care coordination given the program staff’s expertise in serving this population.