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. Enhanced patient follow-up and engagement.

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Care Transition Prevention Integration Nursing 307

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 59

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

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. Team-Based Communication. How to Use This Guide.

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Care Transition Medicaid Doctors Regulations 52

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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HIT Consultant

DECEMBER 5, 2022

For example, both the pandemic and documentation workflows—which are often made challenging due to new regulations or changes to reimbursements—exacerbate burnout and can prompt staff to leave. OnShift is mentioned because their scheduling, HR, and payroll offerings are integrated, thus simplifying back-office processes.

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Patient Experience Telemedicine Regulations Care Transition 52

NASHP

AUGUST 5, 2024

Authority refers to the section of Medicaid regulations that the state used for the SPA. Eligible primary care practices must engage CHWs starting in 2024. The Massachusetts primary care sub-capitation model was launched in 2023 by MassHealth (Medicaid) as part of its broader ACO system.

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Medicaid Primary Care Prevention Accountability 52