NCQA

JANUARY 25, 2024

The expansion of services and provider types in behavioral health creates a need for quality standards and quality improvement. Newer regulations put access to mental health and substance use-related services on an equal footing with medical and surgical services. Payers funding integrated healthcare models.

Primary Care 52

Primary Care Quality Improvement Integration Population Health 52

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

Sheppard Health Law

JANUARY 10, 2022

Refining Definitions for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2 In the preamble of the Proposed Rule, CMS states that it hopes to improve the integration of Medicare and Medicaid programs for individuals enrolled in D-SNPs. Additional Opportunities for Integration through State Medicaid Agency Contracts.

Medicare 98

Medicare Medicaid Integration Regulations 98

Sheppard Health Law

NOVEMBER 13, 2023

Enhance Guardrails for Agent and Broker Compensation Over the last few years, CMS has issued new regulations and subregulatory guidance intended to address abusive marketing practices by third party marketing organizations (“TPMOs”) that sell MA and Part D plans.

Medicare 59

Medicare Medicaid Regulations Integration 59

HIT Consultant

JULY 19, 2023

Although these tenants remain integral, trust is often broken in more ways than one. To serve the unique requirements of a sensitive industry that is bound by stringent regulations, we require a customized healthcare system that grants legitimacy to all participants within the blockchain. What is Proof of Competence (PoC)?

Healthcare 75

Healthcare Doctors Healthcare Providers Rehabilitation 75

NASHP

MAY 8, 2023

29 State health policy leaders may consider regulation a barrier to collecting race and ethnicity data in their health equity program development. 35 Data Collection Many states have specific regulations on the collection of race and ethnicity data. In addition, each state has its own laws protecting patient health information.

Medicaid 52

Medicaid Regulations Prevention Medicare 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. States have a range of tools and policy levers at their disposal to build capacity for integrated behavioral health approaches.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Accountable Care Doctors

OCTOBER 21, 2020

The 31 multi-specialty medical groups and integrated health systems that are part of the Council of Accountable Physician Practices (CAPP), their 85,000 physicians, and hundreds of thousands of staff are at the forefront of the battle for their patients’ lives. Embrace, expand, and pay for telehealth at the same level as in-person visits.

Primary Care 59

Primary Care Integration Remote Care Population Health 59

Sheppard Health Law

JANUARY 5, 2023

In addition, fully integrated dual eligible special needs plans (“FIDE SNPs”), highly integrated dual eligible special needs plans (“HIDE SNPs”), and applicable integrated plans (“AIPs”) as defined at 42 C.F.R. This requirement would also apply to individualized plans of care for special needs plans.

Medicare 52

Medicare Primary Care Medicaid Integration 52

NASHP

MARCH 11, 2022

State experience indicating that payment is an effective lever for improving service delivery. State officials viewed their efforts as part of broader efforts to improve behavioral health and better integrate it with primary care. " > Why Use Payment to Improve Delivery of SUD Services. Retrieved from [link].

Medicaid 59

Medicaid Integration Quality Improvement Primary Care 59

HIT Consultant

MARCH 14, 2023

This is evident in the US with the insurgence of both IDNs and ACOs, in France with the development of GHTs, and in the UK with the growth of ICSs (Integrated Care Systems). The mandate of these healthcare networks is clear – to improve patient experiences and population health outcomes while simultaneously reducing costs.

Healthcare 52

Healthcare Patient Safety Population Health Integration 52

Cloud Blogs

OCTOBER 28, 2020

Microsoft Cloud for Healthcare provides trusted and integrated capabilities that deliver automation and efficiency on high-value workflows as well as deep data analysis functionality for both structured and unstructured data, that enable healthcare organizations to turn insight into action.

Healthcare 52

Healthcare Integration Rehabilitation Health Data 52

NASHP

MAY 26, 2023

With caregivers increasingly asked to perform more intense and complex care , respite care is integral to giving caregivers a much-needed break. Self-Direction : Study states used self-direction programs to integrate family members and friends into the direct care workforce as respite care providers.

Medicaid 121

Medicaid Nursing Regulations Integration 121

NASHP

MARCH 22, 2024

As major purchasers, administrators, and regulators of behavioral health treatment and supports, states play a critical role in system transformation. In addition, through its new 1115 demonstration extension and “Roadmap for Behavioral Health Reform,” the state is phasing in a new integrated primary care payment and reimbursement structure.

Medicaid 52

Medicaid Urgent Care Primary Care Hospitals 52

Sheppard Health Law

MAY 16, 2022

Refining Definition for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2 Additional Opportunities for Integration through State Medicaid Agency Contracts (§ 422.107). and 422.107). CMS believes this will help individuals better understand their coverage.

Medicare 52

Medicare Medicaid Accountability Integration 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. Will quality improve or be maintained?

Hospitals 52

Hospitals Prevention Quality Improvement Quality of Care 52

NASHP

DECEMBER 10, 2021

integrating?CHWs 7022), in existence for over fifteen years, is a statewide network of NCQA certified Patient Centered Medical Homes (PCMHs) which are supported by regional program managers, quality improvement managers, self-management program coordinators, and a regional Community Health Team (CHT).

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

NASHP

DECEMBER 20, 2022

These coordinated state efforts, often formalized in governor’s task forces, cross-agency workgroups, and legislative commissions, are predicated on an ideological shift away from solely punitive responses and toward integrating treatment into the criminal legal system. Integrate peers into crisis response teams.

Medicaid 52

Medicaid Prevention Integration Hospitals 52

NASHP

JUNE 22, 2022

Recruit providers to support system improvements. Support quality improvement efforts. Guide quality measurement and evaluation. Advise on evidence-based improvement practices. [1] 1] National Improvement Partnership Network. Establishing a Child Health Improvement Partnership: A How-to Guide.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52

NASHP

MARCH 28, 2022

The shortage of direct care workers undermines a state’s ability to serve people with disabilities in the most integrated setting appropriate to a person’s needs and preferences. Some regulate PCA training, while others have different standards depending on the program. Care team integration that engages front-line workers.

Nursing 98

Nursing Medicaid Home Care Rehabilitation 98

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. Kentucky Department for Public Health houses the CHW Program within the Division of Prevention and Quality Improvement.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

Patient Safety Movement

FEBRUARY 27, 2024

So as well as needing the knowledge of Quality Improvement we also need the consequent skills of understanding implementation science and as important as ever, the intricacies of ergonomics and human factors and the science of behaviour when under stress.

Patient Safety 52

Patient Safety Prevention Hospitals Healthcare 52