Care Transition, Integration and Medicare - Health Care Quality Digest

HealthTeam Advantage Integrates With Bamboo Health’s Pings Solution

HIT Consultant

AUGUST 24, 2022

What You Should Know: – Bamboo Health™ recently announced that HealthTeam Advantage (HTA), the business name of Care N’ Care Insurance Company of North Carolina, Inc., has integrated Bamboo Health’s Pings™ solution. Using Real-Time E-Notifications to Lower Costs and Improving High Quality Care.

Integration

Integration Medicare Care Transition Patient Experience

Learning Intensive on State Oversight of Medicaid Managed Long-Term Services and Supports for Older Adults and Adults with Disabilities: Request for State Applications

NASHP

MARCH 1, 2024

rebalancing spending to improve access to home and community-based services, improving care transitions, or encouraging greater care coordination) Innovative oversight approaches for Medicare/Medicaid integrated models What’s In It for States?

Medicaid

Medicaid Care Transition Medicare Integration

Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Sheppard Health Law

OCTOBER 27, 2021

On October 20, 2021, the Centers for Medicare and Medicaid (“ CMS ”) Innovation Center (“ Innovation Center ”) published a white paper detailing its vision for the next ten years: a health system that achieves equitable outcomes through high quality, affordable, person-centered care.

Medicaid

Medicaid Medicare Accountable Care Accountability

UHF Highlights Methods to Improve SNF-to-Home Transitions

Home Health Care

FEBRUARY 14, 2022

The aim of the partnership was to enhance care transitions. One takeaway for home health providers is the importance of working with SNFs to further strengthen SNF-to-home transitions. Centers for Medicare & Medicaid Services (CMS). self-management to patients during their stay,” the authors wrote.

Care Transition

Care Transition Nursing Medicare Medicaid

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

NASHP

MARCH 22, 2024

All states, with the exception of California and Virginia, have created at least one separate MLTSS program targeted toward adults 65 and older or individuals dually eligible for Medicare and Medicaid (dual eligibles). The following table provides a snapshot of the states and MLTSS programs selected for this project.

Medicaid

Medicaid Nursing Medicare Integration

WellSky Taps Google Cloud to Build Gen AI Tools for Providers

HIT Consultant

FEBRUARY 1, 2024

Streamlining Care and Empowering Providers WellSky envisions integrating AI tools into their solutions to automate repetitive tasks, freeing up valuable time for human interaction and personalized care. AI technology can serve as a fundamental tool in making healthcare insights more accessible and meaningful for clinicians.

Care Transition

Care Transition Healthcare Innovation Accountability Medicare

Unpacking CMS’s Final Rules on Medicaid Access and Managed Care

NCQA

JUNE 28, 2024

The Centers for Medicare & Medicaid Services (CMS) recently announced two major updates to Medicaid regulations. This blog will delve into their significance and key policy implications for states and managed care organizations (MCO). Consider Using In Lieu of Services (ILOS).

Medicaid

Medicaid Regulations Care Transition Primary Care

Prior Authorizations: 3 Ways to Reduce Administrative Burden & Burnout

HIT Consultant

DECEMBER 9, 2021

Medicare’s annual enrollment period has started, and you know what that means: a slew of commercials suddenly appearing on television for Medicare Advantage plans. Enrollment in Medicare Advantage has more than doubled over the past decade to more than 26 million people this year. The advertising appears to be working.

Medicare

Medicare Accountability Nursing Care Transition

Why The End of the Public Health Emergency is Everyone’s Problem

HIT Consultant

MARCH 8, 2022

States face the processing of an unprecedented volume of Medicaid redeterminations and will have only 60 days’ advance notice to prepare for potentially the biggest health care transition since the Affordable Care Act. With the pandemic still having a significant impact, this could become a catastrophic situation.

Medicaid

Medicaid Primary Care Care Transition Federal Healthcare

Why Value-Based Care Begins with Quality Education

Home Health Care

JUNE 9, 2022

The shift to value-based care. Connecting training with outcomes serves patients and staff, but the shift to value-based care means attention to outcomes is imperative as home-based care transitions to rewarding providers for the quality of the care they deliver.

Care Transition

Care Transition Quality of Care Accountability Medicaid

Q&A: Using an Alternative Payment Model to Support Community Health Worker Sustainability in Maine’s Primary Care Plus Program

NASHP

FEBRUARY 27, 2023

During a recent virtual meeting focused on alternative payment approaches, Maine state officials detailed how the state intends to use its Primary Care Plus (PCPlus) program to reimburse for CHW services. With CMS approval, more advanced elements of the initiative will provide incentives to primary care practices that offer CHW services.

Primary Care

Primary Care Medicaid Care Transition Medicare

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

NASHP

OCTOBER 22, 2021

Since 2014 (first under its “Dual Demo” demonstration and then later via D-SNP contracts), the state has enabled Medicaid MCOs to participate in value-based purchasing through its Integrated Care System Partnerships (ICSP) model. Enhance federal advance care planning requirements. The state and U.S.

Medicaid

Medicaid Hospice Care Regulations Integration

HHCN FUTURE Conference: Value-Based Care, Analytics, and Patient Engagement

Home Health Care

NOVEMBER 21, 2022

The really interesting thing there is that the cost savings that Medicare is looking to get out of the home health space is going to keep driving up that average length of stay in a hospital. We all know that one day in a hospital could probably pay for an entire episode of home-based care. days in 2019 to over 7 days in 2022.

Medicare

Medicare Hospitals Nursing Care Transition

Healthcare at the Crossroads: Value-Based Care and Interoperability

HIT Consultant

OCTOBER 7, 2021

Value-based care, a model that rewards better patient health outcomes, has experienced a surge in interest amid heightened consumer awareness and among payers seeking to lower costs and stabilize reimbursement. The important question remains: how should we best approach the pivotal task of integrating two critical healthcare transformations?

Healthcare

Healthcare Nursing Care Transition Accountability

How State Medicaid Programs Serve Children and Youth in Foster Care

NASHP

MAY 17, 2022

In response to the growing recognition of the value of investing in strategies that better serve children in or at-risk of out-of-home placement, a number of federal initiatives have emerged, resulting in significant changes to child welfare and spurring renewed efforts to better integrate care across child-serving systems. [5]

Medicaid

Medicaid Integration Medicare Primary Care

CMS Announces Strategy on Value-Based Payments for Specialty Care

Sheppard Health Law

DECEMBER 12, 2022

The Centers for Medicare & Medicaid Services (CMS) Innovation Center continues to move forward with its “strategic refresh” initiative. Through this shift, CMS aims to examine and enhance payments for specialty care provided to Medicare beneficiaries. Value-Based Care and ACOs.

Accountable Care

Accountable Care Accountability Primary Care Medicare

State Maternal Mortality Review Committees Address Substance Use Disorder and Mental Health to Improve Maternal Health

NASHP

AUGUST 9, 2021

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. SBIRT) [22] in multiple health settings, including emergency rooms and pediatric primary care.

Medicaid

Medicaid Prevention Primary Care Hospitals

Health Care Quality Digest

HealthTeam Advantage Integrates With Bamboo Health’s Pings Solution

Learning Intensive on State Oversight of Medicaid Managed Long-Term Services and Supports for Older Adults and Adults with Disabilities: Request for State Applications

Trending Sources

Centers for Medicare and Medicaid Innovation Center: Equity and Vision

UHF Highlights Methods to Improve SNF-to-Home Transitions

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

WellSky Taps Google Cloud to Build Gen AI Tools for Providers

Unpacking CMS’s Final Rules on Medicaid Access and Managed Care

Prior Authorizations: 3 Ways to Reduce Administrative Burden & Burnout

Why The End of the Public Health Emergency is Everyone’s Problem

Why Value-Based Care Begins with Quality Education

Q&A: Using an Alternative Payment Model to Support Community Health Worker Sustainability in Maine’s Primary Care Plus Program

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

HHCN FUTURE Conference: Value-Based Care, Analytics, and Patient Engagement

Healthcare at the Crossroads: Value-Based Care and Interoperability

How State Medicaid Programs Serve Children and Youth in Foster Care

CMS Announces Strategy on Value-Based Payments for Specialty Care

State Maternal Mortality Review Committees Address Substance Use Disorder and Mental Health to Improve Maternal Health

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