Care Transition, Integration and Primary Care

Care Transition

Integration

Primary Care

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. Care management extender roles will fit into the existing PMPM capitation payment model.

Primary Care

Primary Care Medicaid Care Transition Medicare

Unlock efficiency and quality of care with Microsoft Cloud for Healthcare Care management

Cloud Blogs

AUGUST 2, 2023

Care management in healthcare involves a complex web of patient information, communication, and manual processes that without integration can hinder the delivery of efficient and coordinated care. Modern care management platforms facilitate seamless collaboration and information sharing among care teams.

Quality of Care

Quality of Care Healthcare Care Transition Integration

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Trending Sources

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

NCQA

JUNE 28, 2024

NCQA LTSS Distinction standards require MCOs t o identi fy individuals who might be susceptible to unplanned care transitions, which may entail reassessing the service plan. (S The Managed Care Rule affects Medicaid and Children’s Health Insurance Program enrollees, and requires states to: Adopt Appointment Wait Time s.

Medicaid

Medicaid Regulations Care Transition Primary Care

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

HIT Consultant

MARCH 8, 2022

The goal of the PHE was to help low-income people receive appropriate preventive and primary care during the pandemic without disruptions in coverage. There has never been a greater need for state and federal health and human services agencies to collaborate and take decisive action nowto be prepared.

Medicaid

Medicaid Primary Care Care Transition Federal Healthcare

AristaMD Launches Unified Care Transition Platform

HIT Consultant

APRIL 10, 2023

What You Should Know: – AristaMD , a digital healthcare company specializing in eConsult and referral management services, today announced the launch of a unified care transition platform.

Care Transition

Care Transition Primary Care Integration Healthcare

Updates and FAQs: Developing and Implementing a Medicaid State Plan Amendment to Authorize Community Health Worker Reimbursement

NASHP

AUGUST 5, 2024

Maine’s Primary Care Plus Initiative (PCPlus) is an alternative payment model (APM) through MaineCare, Maine’s Medicaid program, that provides a higher per-member per-month (PMPM) rate for a whole-person care approach that includes care delivery requirements such as care coordination, health and oral screenings, and care transition.

Medicaid

Medicaid Primary Care Prevention Accountability

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

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

Care Transition Medicaid Doctors Regulations

Centers for Medicare and Medicaid Innovation Center: Equity and Vision

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

Medicaid Medicare Accountable Care 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

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

NASHP

AUGUST 9, 2021

The Substance Abuse and Mental Health Services Administration (SAMHSA) recommends screening pregnant women for SUD in multiple settings, including the emergency department, OB/GYN visits, primary care visits, and well-child visits. [15] SBIRT) [22] in multiple health settings, including emergency rooms and pediatric primary care.

Medicaid

Medicaid Prevention Primary Care Hospitals

State Community Health Worker Models

NASHP

DECEMBER 10, 2021

integrating?CHWs CHWs into evolving health care systems in key areas such as financing, education and training, certification , and state definitions, roles and scope of practice. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. MHP Medicaid Health Plans.

Medicaid

Medicaid Primary Care Prevention Nursing

From Telemedicine to Complete Virtual Care and Beyond

HIT Consultant

FEBRUARY 15, 2023

Since its inception, digital health services began the transformation from traditional healthcare — a reactive, disease-focused model — to a proactive, holistic system that is now recognized as virtual care. This remarkable approach to care is digitally integrated, patient-centric and focused on personalized health and wellness.

Telemedicine

Telemedicine Urgent Care Primary Care Integration

Community Health Worker Models

NASHP

NOVEMBER 29, 2021

This map highlights state activity to integrate CHWs into evolving health care systems in key areas such as financing, education and training, certification, and state definitions, roles and scope of practice. Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program.

Medicaid

Medicaid Primary Care Prevention Nursing

CMS Announces Strategy on Value-Based Payments for Specialty Care

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

Accountable Care Accountability Primary Care Medicare

Health Care Quality Digest

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

Unlock efficiency and quality of care with Microsoft Cloud for Healthcare Care management

Trending Sources

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

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

AristaMD Launches Unified Care Transition Platform

Updates and FAQs: Developing and Implementing a Medicaid State Plan Amendment to Authorize Community Health Worker Reimbursement

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

Centers for Medicare and Medicaid Innovation Center: Equity and Vision

How State Medicaid Programs Serve Children and Youth in Foster Care

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

State Community Health Worker Models

From Telemedicine to Complete Virtual Care and Beyond

Community Health Worker Models

CMS Announces Strategy on Value-Based Payments for Specialty Care

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