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Seven Steps for Building a Community-Based Palliative Care Benefit Within Medicaid

NASHP

Strengthening Care for People with Serious Illness Seven Steps for Building a Community-Based Palliative Care Benefit Within Medicaid. People with complex or life-threatening conditions often need extra support to manage symptoms and make critical decisions about their care and quality of life. March 14, 2022.

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P3Care Investigates: QPP MIPS 2021 Proposed Rules

p3care

CMS (The Centers for Medicare and Medicaid Services) released the proposed rule for QPP MIPS 2021 via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM). The performance category for the APP will be scored as follows upon the fixed set of quality measures. Quality Category: Weighs 50%.

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Medicaid and Children with Chronic and Complex Needs

NASHP

Medicaid, Children’s Health Insurance Plan [CHIP]) for health coverage. State Medicaid and CHIP programs play an essential role in the coverage, structure, and delivery of care for this group of children. They are especially dependent on public insurance programs with nearly half (44.8 percent) using public health insurance (e.g.,

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NCQA Fireside Chat: A Conversation With Kate McEvoy of NAMD

NCQA

In our recent Fireside Chat, we brought together two forward-looking health care leaders united in their commitment to quality and their passion for improving care for Medicaid populations. 1115 waivers are special demonstrations that allow states to pilot new Medicaid approaches outside federal program rules.

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Impact of star ratings on provider demand

Healthcare ECONOMIST

However, there is another mechanism through which quality of care could improve provider finances: increased demand. If patients are responsive to star ratings or physicians who refer patients are sensitive to star ratings, better measured quality can increase provider revenue. due to bonus payments. A paper by Schwartz et al.

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2023 Highlights Illuminate 2024 Priorities

NCQA

How We Help Medicaid & Long-Term Services and Supports Our Public Policy team had a great 2023 helping state and federal agencies define and reach quality goals. Helping states organize how Medicaid plans manage Long-Term Services and Supports is an example of our ongoing assistance to regulators. HEDIS is always evolving.

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Conversations That Will Inspire You at the Health Innovation Summit

NCQA

Transforming Asthma Care: Bridging Gaps for Better Outcomes , sponsored by AstraZeneca Addressing Inequities and Advancing Quality in Cardiovascular Care , sponsored by Merck Enhancing Access to Diabetes Digital Therapeutics to Improve Outcomes: Insights from State Medicaid Programs , sponsored by The Helmsley Charitable Trust Lessons from Multisector (..)