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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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Managing Managed Care: Closing Gaps in Care for Payers, Providers and Members

GoMoHealth

Partnering with Managed Care Organizations and Provider Networks to reduce costs and better manage utilization of health services. By Nakecia Taffa, Quality Improvement and Health Equity Director for GoMo Health. This led me to GoMo Health, where we create, activate and scale these improvements daily.

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State Community Health Worker Models

NASHP

The information on this map comes from a 50-state survey of a variety of stakeholders, ranging from Medicaid officials to Community Health Workers, on their states’ approaches?to?integrating?CHWs HRSA Health Resources and Services Agency. MHP Medicaid Health Plans. NCQA National Committee for Quality Assurance.

Medicaid 122
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Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

NASHP

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. million Medicaid participants. million Medicaid enrollees.

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Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Sheppard Health Law

On October 20, 2021, the Centers for Medicare and Medicaid (“ CMS ”) Innovation Center (“ Innovation Center ”) published a white paper detailing its vision for the next ten years: a health system that achieves equitable outcomes through high quality, affordable, person-centered care. Strategic Objective 2: Advance Health Equity.

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The cornerstone of continuous, integrated, and value-based healthcare

Cloud Blogs

Passed in 2016, The Cures Act requires that electronic health record (EHR) systems provide patient-facing application programming interfaces (APIs) to maintain federal certifications. Microsoft Cloud for Healthcare was built with the understanding that interoperability is the cornerstone of VBC.

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National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

NASHP

This substandard access to quality care can lead to poor health outcomes.[6]. have a special health care need, and an estimated 44 percent of CYSHCN are enrolled in Medicaid.[7] In June 2022, NASHP convened a national forum with state health officials (e.g., Nearly 20 percent of children in the U.S.