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ACO Reporting- A Patient-Centered Approach

p3care

An ACO (Accountable Care Organization) works for the better care of patients. Consider it as a group that combines hospitals, doctors, and other healthcare specialists for the sake of providing healthcare and is a team in care decisions. Complying with all these regulations helps in avoiding penalties.

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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. Adopt a closed loop approach to the care delivered to communities they serve. “The Why”.

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Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Sheppard Health Law

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.

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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

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. Data are central to both direct care coordination service provision, as well as care coordination system monitoring and quality improvement efforts.

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COVID-19 Lessons: A Path to a Better Health Care System

Accountable Care Doctors

These more tightly integrated systems of care demonstrated: The ability to rapidly pivot and deliver care in new ways and venues, like video visits, drive-by testing sites, and even the conversion of public buildings into emergency hospitals. New initiatives such as hospital-at-home should be encouraged.

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Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

NASHP

iii] Also, those living in rural areas are more likely to experience a preventable hospitalization. [iv] Lack of Access to Specialists Associated with Mortality and Preventable Hospitalizations of Rural Medicare Beneficiaries.” Using payment to create incentives to improve performance. Joynt Maddox.

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States Build Capacity to Address Maternal Mortality through Policy Innovations

NASHP

Iowa is also developing a conceptual model for how alternative payment models can be used to improve maternal health outcomes using quality measures, accountable care organizations, and other methods. The state Medicaid agency is also developing an “in lieu of” services program for outpatient lactation consultations.