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Medicaid and Children with Chronic and Complex Needs

NASHP

State Roles in Preventing and Improving Foster Care Placements for Children with Medical Complexity How State Medicaid and Title V Partnerships Improve Care for Children with Special Health Care Needs in Medicaid Managed Care Performance and Quality Measurement Quality measurement is a critical component of many state programs, including Medicaid.

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P3Care Investigates: QPP MIPS 2021 Proposed Rules

p3care

For instance, CMS asks physicians to focus on the quality of care rather than the volume of patients. However, with the pandemic, there was no choice left other than catering to the volume of patients while being careful and value-driven to every extent possible. Quality Category: Weighs 50%.

Medicare 243
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5 Ways Federated Computing Can Reshape Public Health

HIT Consultant

The resulting improved transparency on quality of care then allows for identifying best practices for others to learn from and is likely to attract the interest of public funding bodies who are increasingly interested in reimbursing for value.

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AHRQ’s research agenda for tackling patients with multiple chronic conditions

Healthcare ECONOMIST

People living with MCC account for a disproportionate share of health care utilization and costs, 64% of all clinician visits, 70% of all inpatient stays, 83% of all prescriptions, 71% of all health care spending, and 93% of Medicare spending…Nearly all readmissions among Medicare beneficiaries occur among those with MCC.

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

NASHP

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. Meet quality requirements.