Remove Accountable Care 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. “The Why”. Ability to Foster Trust within Community-Based Organizations and Providers.

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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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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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State Community Health Worker Models

NASHP

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. There are currently some Accountable Care Organizations (ACOs) that cover the cost of CHW services through Medicaid administrative payments. Acronym Guide. APM Alternative Payment Model. CBO Community Based Organization.

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

Accountable Care Doctors

Such programs include: Nascent hospital-at-home programs, in which a patient’s care is managed at home instead of in the hospital. Home monitoring systems, often developed as part of population health efforts to manage patients who are at risk or who have chronic illnesses.

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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.