Healthcare It News

OCTOBER 3, 2023

Our ability to effectively communicate the value of the services we deliver (or the value of any chronic care management program) is pivotal, particularly as these models emphasize outcomes and the quality of care over volume. First, these leaders must recognize the profound transformation that virtual care represents.

Telemedicine 341

Telemedicine Quality Improvement Healthcare Providers Healthcare 341

NCQA

FEBRUARY 6, 2025

Quality improvement may not get as much attention as football, but its also a team sport. think about what football can teach us about fragmentation in health care. Fragmentation vs. Integration Measuring parts of the systemhealth care practitioners, hospitals, health plansleads to fragmentation.

Quality Improvement 59

Quality Improvement Quality of Care Accountability Integration 59

NCQA

FEBRUARY 25, 2025

In response to this crisis, NCQA proposes updates to MBHO Accreditation to better define how organizations create accessible and available networks that meet the needs of organization members and to measure the quality of care and services provided. Integrate Care Coordination into Quality Improvement and Management.

Primary Care 52

Primary Care Quality Improvement Patient Safety Quality of Care 52

Cloud Blogs

FEBRUARY 28, 2022

Today, regulatory and market forces have led to improved transparency and enhanced consumerization, changing the face of healthcare. These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care.

Integration 80

Integration Healthcare Quality of Care Regulations 80

NCQA

JULY 16, 2024

Despite ongoing challenges such as workforce limitations and federal support for staffing, Medicaid programs have made strides in improving access and quality of behavioral health services. Peggy emphasized that without standardized measures, states miss the opportunity for benchmarking, mutual learning and driving quality improvement.

Medicaid 98

Medicaid Quality Improvement Integration Population Health 98

HIT Consultant

OCTOBER 31, 2022

Director of Global Strategy at the RWTS Integrated Health Practice at IQVIA. Patient advocacy organizations and medical specialty societies can serve as a liaison between patients and providers in bi-directional engagement, closing gaps in the patient journey and ultimately driving innovation for higher quality care.

Healthcare Quality 98

Healthcare Quality Healthcare Quality Improvement Healthcare Innovation 98

NASHP

OCTOBER 20, 2022

The “National Forum on Advancing High-Quality, Equitable Care Coordination for Children and Youth with Special Health Care Needs” centered on two key topics for improving care coordination systems for CYSHCN: integrated care coordination and the care coordination workforce.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

NASHP

APRIL 20, 2023

State Medicaid agencies are taking proactive steps to ensure quality of care and access to behavioral health services. Four of these 29 states have also integrated this approach into their contracts with prepaid inpatient health plans (PIHPs) that solely deliver behavioral health services.

Medicaid 96

Medicaid Quality Improvement Quality of Care Integration 96

Sequence Health

NOVEMBER 14, 2024

In this blog, we explore effective strategies used by medical call centers to track medication schedules, focusing on how these centers support healthcare providers in delivering timely and appropriate care, enhancing patient satisfaction, and optimizing operational efficiency.

Patient Experience 52

Patient Experience Quality Improvement Integration Healthcare Providers 52

NASHP

MARCH 22, 2024

Blended capitation rates provide a strong incentive for MCOs to provide care in a less costly community setting. To assess their progress toward “rebalancing,” states are monitoring and developing quality metrics to evaluate the level of community integration, transitions, and use of nursing homes.

Medicaid 75

Medicaid Nursing Medicare Integration 75

HIT Consultant

JANUARY 12, 2023

In order to achieve the desired levels of quality improvement and labor cost savings, healthcare systems must use new care models that leverage technology and virtual care in all acute care settings. Virtual care elevates bedside care, allowing our valued clinicians to function at the top of their licenses.

Hospitals 98

Hospitals Life Sciences Patient Safety Primary Care 98

NASHP

OCTOBER 8, 2021

The Black Maternal Health Momnibus Act of 2021 , recently introduced in the House, builds on existing federal legislation to comprehensively address social and health systems that impact the care of pregnant people throughout the country.

Medicaid 64

Medicaid Clinical Practice Primary Care Quality Improvement 64

Lexis Nexis

JUNE 30, 2022

Hospitals are all about data — clinical, administrative, and operational information are key to quality improvement and financial success. Quality varies from member to member. That is the future — many more factors than just costs will influence how people perceive quality of care.”. to meet their own needs.

Quality of Care 52

Quality of Care Medicare Quality Improvement Medicaid 52

NASHP

AUGUST 15, 2022

Recently, Pennsylvania shared their work with managed care organizations (MCO)s to improve access to oral health care services through quality improvement projects, measures, and incentives. Medicaid Managed Care Dental Performance. PH-MCO Initiatives to Promote Oral Health.

Medicaid 52

Medicaid Quality Review Prevention Quality Improvement 52

Sheppard Health Law

OCTOBER 27, 2021

Innovation Center models can define success as encouraging lasting transformation and a broader array of quality investments, rather than focusing solely on each individual model’s cost and quality improvements.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

NASHP

MARCH 22, 2024

It includes examples from various states organized by the framework buckets: integrated primary and behavioral health care, crisis continuum of care, in-home and in-community based, and out-of-home and community.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

NASHP

MAY 8, 2023

31 The Patient Protection and Affordable Care Act of 2010 (ACA) also prohibits discrimination against protected persons in health care. 39 These regulations also do not apply in the context of data collection as part of quality improvement in health care. Government of the District of Columbia, 2021. Appendix B.

Medicaid 52

Medicaid Regulations Prevention Medicare 52

NASHP

JULY 24, 2023

Evidence suggests that vertical integration and growing consolidation in health care leads to higher hospital and provider prices and higher total spending — all while having little to no impact on improving quality of care for patients, reducing utilization, or improving efficiency.

Hospitals 52

Hospitals Prevention Quality Improvement Quality of Care 52

NASHP

JUNE 22, 2022

Comprehensive quality measurement of care coordination services is essential to evaluate and guide care coordination efforts, yet little agreement exists among stakeholders about how to best measure the provision and quality of care coordination services. [4] 2] Medicaid and CHIP Payment and Access Commission.

Doctors 52

Doctors Medicaid Quality of Care Healthcare Providers 52

NASHP

AUGUST 23, 2021

For example, to move from tier 3 to tier 4, the provider must meet all the requirements of tier 3 and several new requirements, such as having a well-established quality improvement process. Through this program, Colorado is seeking to both improve behavioral health services and better integrate them with physical health.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

NASHP

AUGUST 31, 2023

In many states, SHIPs serve as the driving mechanism for engaging health care systems and communities in statewide planning, implementation, and evaluation efforts. Key examples include: Washington state established nine regional Accountable Communities for Health.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

NASHP

JUNE 22, 2022

This section of the guide outlines considerations, examples, and resources for: Identifying stakeholders and establishing partnerships across care coordination and child-serving systems. Assessing care coordination system capacity, gaps, and process improvements. Financing care coordination systems. Academic institutions.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52

Home Health Care

SEPTEMBER 28, 2022

“In an increasingly competitive talent market, the attraction and retention of high performing diverse talent is key, and Adam’s depth of expertise will help us achieve this strategy so we can continue to deliver the highest quality of care to our patients and their families.”. We are honored to welcome Mag to our executive team.

Home Care 98

Home Care Urgent Care Nursing Quality Improvement 98

Patient Safety Movement

FEBRUARY 27, 2024

We are a young science which has emerged through a passion by many to improve the quality of care that we offer our patients and their families. Therefore, addressing price transparency is not only a matter of financial equity but also a critical component of ensuring patient safety and quality of care.

Patient Safety 52

Patient Safety Prevention Hospitals Healthcare 52

HIT Consultant

JANUARY 22, 2024

By focusing on integrated care, addressing social determinants, and promoting health equity, the IBH Model has the potential to significantly improve the lives of millions of Americans. Performance-based incentives will further encourage quality improvement throughout the implementation period.

Medicaid 97

Medicaid Quality of Care Medicare Integration 97

NASHP

NOVEMBER 8, 2024

A growing trend in state health policy is developing capitated managed care programs to provide long-term services and supports (LTSS) to Medicaid beneficiaries who are older and/or have disabilities. Tennessee operates a VBP program called the Quality Improvement in Long Term Services and Supports initiative (QuILTSS ).

Medicaid 52

Medicaid Nursing Quality Improvement Accountability 52

Sheppard Health Law

NOVEMBER 13, 2023

Improved care coordination has been a priority at both the state and federal level for the past decade, with some integrated care models already implemented and in use; yet the number of beneficiaries enrolled in integrated care remains relatively low.

Medicare 59

Medicare Medicaid Regulations Integration 59

Briggs Healthcare

MARCH 1, 2022

These initiatives will help ensure adequate staffing, dignity and safety in their accommodations, and quality care. The adequacy of a nursing home’s staffing is the measure most closely linked to the quality of care residents receive. The SNF-VBP program awards incentive funding to facilities based on quality performance.

Quality of Care 40

Quality of Care Nursing Accountability Medicaid 40