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OSF deploys care transition program, reduces readmission rate from 29% to 9%

Healthcare It News

OSF HealthCare, a health system that serves Illinois and Michigan, had a big challenge: Managing the high rate of patient readmissions from hospitals to skilled nursing facilities and eventually to home care. THE PROBLEM This issue stemmed largely from gaps in continuous care during transitions between these settings.

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The Future of Aging Policy: A Snapshot of State Priorities

NASHP

As states navigate current fiscal constraints, state policymakers are focusing on helping older adults remain in home-and community-based settings for as long as possible while also potentially reducing costly hospital and nursing home services. Michigan created a health equity project to increase the use of HCBS.

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CMS Announces Strategy on Value-Based Payments for Specialty Care

Sheppard Health Law

Value-based care is a healthcare reimbursement payment methodology based on health outcomes and the quality of care rendered to the patient. In value-based models, CMS pays for health services and items based on quality measures rather than on the volume of services or items delivered.

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State Oversight and Innovations in Medicaid-Managed Long-Term Services and Supports (MLTSS) Serving Older Adults and People with Disabilities 

NASHP

Illinois described using two dashboards to monitor performance: a population-specific dashboard that includes data on metrics such as care plan completion and care transitions and an internal-performance dashboard to examine differences in care and utilization by race, ethnicity, and region.

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Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

Serious illness is “a health condition that carries a high risk of mortality and either negatively impacts a person’s daily function or quality of life or excessively strains the caregiver.”. As part of contract and systems oversight, states engage in a range of quality assessment and improvement strategies.

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Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Sheppard Health Law

All new models must also include patients from historically underserved populations and safety net providers, such as community health centers and disproportionate share hospitals. Strategic Objective 3: Support Care Innovations.

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How State Medicaid Programs Serve Children and Youth in Foster Care

NASHP

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] personal care items or electronics). One-time financial stipends.