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It is increasingly clear that any program’s ability to improve care value is critically reliant on targeting the right patients — not too many, not too few, but the right ones.” — Diane E. The state began implementation of palliative care legislation with an analysis of state Medicaid claims and encounter data.
integrating?CHWs CHWs into evolving health care systems in key areas such as financing, education and training, certification , and state definitions, roles and scope of practice. ACO AccountableCare Organizations. CBCM Community Based Care Management Program. MCO Managed Care Organizations.
Medicaid reimbursement for CHW services has been added to the state plan, and some of Rhode Island’s AccountableCare Entities also employ CHWs in managed care settings. The CHWs were an integral part of the vaccine equity team and helped NMDOH develop a Community Resource Center and a set of flipcharts about vaccination.
From 2015 to 2018, Colorado Medicaid operated the enhanced primary care medical provider (PCMP-E) program, which rewarded those PCCM providers (referred to in Colorado as PCMPs) that met at least five of nine enhanced factors with a $0.50 Value care organizations may participate under a risk or shared savings only option.
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