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Most risk-bearing organizations, including health plans, accountablecare organizations (ACOs), and self-funded employers deploy some form of analytical strategy to inform their approach to population health management. But what that means could be as wide-ranging as: Using registries to track compliance with quality measures.
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. CHWs are reimbursed through the ACOs, which are part of the managed care delivery system in Massachusetts. Managed Care Contracts.
Blue Shield offers a range of palliative care services, including: Value-based purchasing: Over the past decade, state Medicaid agencies have designed and implemented a range of initiatives focused on value, using payment to incentivize provider behaviors that can reduce unnecessary care and improve outcomes.
ACO AccountableCare Organizations. CBCM Community Based Care Management Program. MCO Managed Care Organizations. MCE Managed Care Entities. NCQA National Committee for QualityAssurance. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization.
This program was intended to ready providers to meet increased expectations under phase 2 of Colorado’s accountablecare collaborative (ACC), [iii] which was under development at that time. The Healthy Connections Value Care program went live July 1, 2021, and requires participation for PCCM providers.
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