HIT Consultant

OCTOBER 31, 2022

Current barriers to patient access and quality improvement. This is especially true for underserved populations, who already face more financial, educational, and environmental barriers to quality care. Advancing care quality initiatives through bi-directional data collection. About David Voccola.

Healthcare Quality 98

Healthcare Quality Healthcare Quality Improvement Healthcare Innovation 98

NCQA

JUNE 27, 2023

Service Coordination and Monitoring: “MCOs did not adequately coordinate or monitor beneficiaries’ quality of care.” Measuring and Improving Performance: Organizations perform continuous quality improvement of their LTSS program and identify actionable steps to improve care for their members.

Medicaid 52

Medicaid Care Transition Quality Improvement Regulations 52

Briggs Healthcare

APRIL 7, 2022

“Nursing homes play a unique dual role in the long-term care continuum, serving as a place where people receive needed health care and a place they call home. The 1986 Institute of Medicine report Improving the Quality of Care in Nursing Homes identified a range of challenges to the quality of care in nursing homes.

Nursing 52

Nursing Quality of Care Quality Assurance Home Care 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 is an approach for CMS to pay physicians caring for Medicare beneficiaries based not just on volume but on value. Robustness of metrics.

Medicare 105

Medicare Quality Improvement Quality of Care Accountability 105

HIT Consultant

OCTOBER 1, 2023

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.

Life Sciences 64

Life Sciences Population Health Quality Improvement Healthcare Providers 64

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

NASHP

OCTOBER 20, 2022

For example, the Centers for Medicare & Medicaid Services Innovation Center is currently supporting the Integrated Care for Kids (InCK) model across seven sites in six states. This model aims to improve quality of care for children, including CYSHCN, through integrated care delivery systems that include care coordination.[12].

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

Briggs Healthcare

MARCH 20, 2023

And we hold facilities accountable when they fail to meet those standards. CMS deploys a range of quality measures to encourage transparency in public reporting of the quality of care in facilities and to increase accountability.

Patient Safety 40

Patient Safety Medicaid Medicare Quality of Care 40

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 3: Support Care Innovations.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

HIT Consultant

OCTOBER 26, 2021

With RPM, care can be moved into the home: value-based care here means delivering quality healthcare in the setting that works best for patients that both improve lives and lowers costs. Each patient has their own set of behaviors, motivators, and barriers that impact how they respond to their care plans.

Remote Care 52

Remote Care Healthcare Doctors Primary Care 52

NASHP

JUNE 22, 2023

paid for by Medicaid, there is growing interest in exploring how Medicaid service delivery systems can be adapted to help improve maternal health outcomes.[5] 6] VBPs, or alternative payment models, focus on reimbursement based on the quality of care provided as well as rewarding lower cost.

Medicaid 59

Medicaid Prevention Accountability Medicare 59

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

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

Patient Safety Movement

APRIL 1, 2023

Five conditions account for 39% of serious misdiagnosis-related harms: stroke, myocardial infarction, aortic aneurysm/dissection, spinal cord compression/injury, and venous thromboembolism. Working for the Ministry of Health in Yenagoa, Nigeria, his role as a program manager focuses on quality of care and patient safety.

Patient Safety 52

Patient Safety Doctors Prevention 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. Academic institutions.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52

NASHP

MARCH 22, 2024

North Carolina’s InCK program , led by Duke University and the University of North Carolina at Chapel Hill, brings together partners from Medicaid, behavioral health, child welfare, juvenile justice, education, Title V, mobile crisis, and more to coordinate care and address the health and social needs of children in five counties.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Briggs Healthcare

OCTOBER 25, 2022

Today’s announcement is part of a series of new actions the Biden-Harris Administration is taking to increase accountability of bad actors in the nursing home industry, improve the quality of nursing homes and make them safer. and face increasingly severe enforcement actions if improvement is not demonstrated.

Nursing 40

Nursing Accountability Quality Improvement Quality of Care 40

NASHP

DECEMBER 23, 2022

Monitor and evaluate quality improvement and outcomes and address barriers to care. Trainings must include community-based and cultural competency for delivering person-centered care and facilitating access to community-based resources. Monitor and Evaluate Quality Improvement and Outcomes and Address Barriers to Care.

Medicaid 59

Medicaid Nursing Hospitals Regulations 59

HIT Consultant

JANUARY 22, 2024

Value-based care: Practices will be compensated based on the quality of care and improved patient outcomes, incentivizing a focus on comprehensive, holistic well-being. Performance-based incentives will further encourage quality improvement throughout the implementation period.

Medicaid 97

Medicaid Quality of Care Medicare Integration 97

NASHP

NOVEMBER 8, 2024

A growing trend in state health policy is developing capitated managed care programs to provide long-term services and supports (LTSS) to Medicaid beneficiaries who are older and/or have disabilities. Tennessee operates a VBP program called the Quality Improvement in Long Term Services and Supports initiative (QuILTSS ).

Medicaid 52

Medicaid Nursing Quality Improvement Accountability 52

Sheppard Health Law

NOVEMBER 13, 2023

Thus, beginning in 2025, the FMV would be increased to account for administrative payments included under the compensation rate, beginning at $31 and updated annually. 2] A NOMNC ordinarily outlines the appeal process as well as a deadline by which an enrollee should submit his/her appeal. [3]

Medicare 59

Medicare Medicaid Regulations Integration 59

Briggs Healthcare

MARCH 1, 2022

Despite the tens of billions of federal taxpayer dollars flowing to nursing homes each year, too many continue to provide poor, sub-standard care that leads to avoidable resident harm. These initiatives will help ensure adequate staffing, dignity and safety in their accommodations, and quality care.

Quality of Care 40

Quality of Care Nursing Accountability Medicaid 40