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Progress toward accountablecare is halting. Technologies that "protect the nurses and facilitate their clinicalpractice will go a long way to build trust and help retain and recruit these essential workers that we all need now and in the future." Financial and revenue cycle disruptions are significant.
States that use existing billing codes may want to provide guidance to providers and explain how to use these codes to better track uptake of these services and support best clinicalpractices. California provided an example of billing codes associated with specified palliative care services in its December 2017 guidance.
States interested in expanding accountable health approaches have a variety of strategies at their disposal, including the Accountable Communities for Health (ACH) model and accountablecare organizations (ACOs). Health Hubs grew out of the state’s Medicaid AccountableCare Organization Demonstration Project.
The executives also spoke about gaining greater control over multiple settings in order to better coordinate care and manage population health. Certainly, at-home care providers have spoken repeatedly about the need for greater scale in order to be empowered participants in value-based care and Medicare Advantage.
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