HIT Consultant

SEPTEMBER 30, 2021

. – Using data analytics to drive high-touch, high-impact outreach to the most at-risk individuals, Wayspring’s SUD home model delivers community-based peer support, behavioral health services, and primary care.

Care Transition 52

Care Transition Primary Care Hospitals 52

HIT Consultant

DECEMBER 15, 2021

What You Should Know: – Bamboo Health announced that it has expanded its care coordination partnership with Oak Street Health intended to arm the network of value-based primary care centers (for Medicare) with an additional level of resources for managing real-time patient event notifications.

Urgent Care 52

Urgent Care Primary Care Care Transition Patient Experience 52

NASHP

DECEMBER 10, 2021

PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program. MassHealth ACOs, which are part of their managed care delivery system, serve about 1 million MassHealth members.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

Sheppard Health Law

DECEMBER 12, 2022

CMS’s 2021 report explained that “[i]n 2019, Medicare beneficiaries saw an average of 50 percent more specialists in the outpatient setting than in 2000, doubling the number of physicians with whom primary care providers must coordinate care. Create Financial Incentives within Primary Care for Specialist Engagement.

Accountable Care 52

Accountable Care Accountability Medicare Primary Care 52

NASHP

NOVEMBER 17, 2023

As a guiding framework, Pu presented an organizing framework for conceptualizing the home-based medical care landscape organized by intensity of care need and whether the care was long term, urgent, or acute , as seen below. Incorporating data to improve HCBS supports should be an ongoing, continuous activity.

Medicaid 64

Medicaid Nursing Primary Care Hospitals 64

Sheppard Health Law

OCTOBER 27, 2021

Strategic Objective 1: Drive Accountable Care. The National Academy of Medicine reported that high-quality primary care forms the foundation of a high-functioning health system and is key to improving the experience of patients and care teams, as well as population health, and reducing costs. [1] FOOTNOTES. [1]

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

NASHP

MAY 17, 2022

13] , [14] Moreover, few CYFC with behavioral health needs receive treatment in home or community-based settings, with many accessing care in more restrictive, residential settings (e.g., residential congregate settings or inpatient psychiatric hospitals). [15] One-time financial stipends. Evaluation of educational options.

Medicaid 64

Medicaid Integration Medicare Primary Care 64

NASHP

NOVEMBER 29, 2021

Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program. The PCCM program incentivizes primary care providers to incorporate CHWs into their care coordination model by offering a higher per-member per-month (PMPM) case management payment.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

HIT Consultant

JUNE 22, 2022

Hospitals are increasingly turning to value-based care initiatives to transform care delivery, lower the total cost of care, and improve patient outcomes. the number of patient visits), providers are reimbursed based on the quality of care delivered in value-based care. Reduce hospital admissions.

Hospitals 98

Hospitals Medicare Primary Care Care Transition 98

NASHP

AUGUST 9, 2021

5] These suggested changes often target individuals, hospitals, providers, and the broader health care system. In Illinois , the MMRC notes that health care providers must, by state law, use the Illinois Prescription Monitoring Program to review patients’ past prescriptions and identify potential dependence and drug-seeking behavior.

Medicaid 52

Medicaid Prevention Primary Care Hospitals 52

NASHP

JUNE 22, 2022

Shared Plan of Care. Care Coordination Workforce. Care Transitions. health plans, providers, families of CYSHCN) in using, adapting, and implementing the National Care Coordination Standards for CYSHCN to develop or improve care coordination systems. Primary care clinical goal (dated).

Care Transition 52

Care Transition Medicaid Doctors Regulations 52

Healthcare Leadership

APRIL 24, 2023

Over the past decade we have seen more and more specialization and levels of care introduced. We now have telehealth visits, retail clinics, direct-primary-care, and more. More fragmentation = more transitions. More transitions = more issues. Can’t wait to discuss this with the HCLDR community. Valverde, P.A.,

Care Transition 52

Care Transition Nursing Primary Care General Practice 52