Remove Care Transition Remove Quality of Care Remove Regulations
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OSF deploys care transition program, reduces readmission rate from 29% to 9%

Healthcare It News

" By implementing these strategies, OSF HealthCare aims not just to reduce readmissions but to fundamentally enhance the overall quality of care across the health system. This system is designed to ensure every patient receives continuous, high-quality care as they move through different stages of recovery and care environments.

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Navigating 2024 Healthcare Challenges: Policy, AI, and the Road Ahead

HIT Consultant

From streamlining documentation processes to facilitating care coordination between SNFs and hospitals, AI holds promise in alleviating the burdens faced by healthcare professionals. Moreover, it fosters connections and interoperability, paving the way for smoother care transitions and reduced readmission rates.

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How We Help Medicaid & Long-Term Services and Supports

NCQA

LTSS Distinction, for MCOs, and Case-Management for LTSS (CM-LTSS), for community-based organizations (CBO)— increase oversight of care for this vulnerable population. In July, NCQA will update these programs to further align with best practices and federal regulations. Why Should MCOs Earn LTSS Distinction?

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The Future of Aging Policy: A Snapshot of State Priorities

NASHP

State health policies help to shape these services through legislation, funding, and regulation. Some states are exploring whether to repurpose sections of the homes while others are trying to identify how to sustain payments while improving quality of care. With a projected population of adults age 65+ to reach 80.8

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

NCQA

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).

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

NASHP

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

NASHP

In addition to a range of metrics related to promoting prevention and reducing utilization related to ambulatory care-sensitive conditions, ICSP measures have included advanced care planning, evidence of physician order for life-sustaining treatment (POLST), effective care transitions, and assessment and management of chronic pain.

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