Healthcare It News

JUNE 24, 2024

"The existing systems were fragmented, with each care setting operating in a silo ," he explained. "This lack of integration led to incomplete information being passed along at each stage of patient transfer, resulting in suboptimal post-discharge care.

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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).

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Medicaid Regulations Care Transition Primary Care 52

NASHP

SEPTEMBER 20, 2022

State health policies help to shape these services through legislation, funding, and regulation. With person-centered care as a key focus of HCBS, Hawaii is working on a community-based palliative care benefit for beneficiaries with serious illnesses through Hawaii ’s QUEST Integration Medicaid 1115 waiver.

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Medicaid Nursing Regulations Care Transition 93

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. In Rhode Island, MCO plans of care must include “interventions to address special needs (e.g.,

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Medicaid Hospice Care Regulations Integration 102

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. Financing care coordination systems.

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Care Transition Medicaid Doctors Regulations 52