HIT Consultant

MARCH 28, 2023

Now, as mental health-related visits in emergency departments (EDs) continue to rise , healthcare professionals must consider: “How can we create better behavioral health supports for people in crisis?” It’s a question that has significant implications for quality of care as well as cost.

Quality of Care 98

Quality of Care Population Health Hospitals Medicaid 98

HIT Consultant

NOVEMBER 7, 2024

Jeff Geier, Cyber Security Leader at Pivotalogic California’s bold new CalAIM Medicaid transformation program is restructuring what partnership for health looks like across the state. By integrating medical and social care, the full spectrum of a patient’s needs can be better addressed, leading to a more effective healthcare ecosystem.

Medicaid 52

Medicaid Integration Quality of Care Healthcare Innovation 52

Cloud Blogs

FEBRUARY 28, 2022

These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care. Passed in 2016, The Cures Act requires that electronic health record (EHR) systems provide patient-facing application programming interfaces (APIs) to maintain federal certifications.

Integration 133

Integration Healthcare Quality of Care Regulations 133

NASHP

AUGUST 23, 2021

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.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

HIT Consultant

MAY 2, 2023

Andy Auerbach, Chief Revenue Officer of SafeRide Health As the healthcare industry continues to evolve, there is a growing need for innovative solutions that not only improve the quality of care but also make care more accessible. In a recent study , 21% of U.S.

Medicaid 96

Medicaid Regulations Medicare Integration 96

Sheppard Health Law

OCTOBER 27, 2021

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.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

HIT Consultant

JULY 13, 2022

Initially, Innovaccer will address three distinct use cases in the public sector: – Population Health: Health agencies are launching innovative programs using SDoH to better address the needs of underserved populations and move toward a whole-person care approach. Public Sector Offering Address 3 Use Cases.

Population Health 52

Population Health Medicaid Private Healthcare Quality of Care 52

HIT Consultant

APRIL 16, 2024

Through MSSP, they have demonstrably reduced healthcare costs while maintaining exceptional quality of care for over 60,000 Medicare beneficiaries. REACH Program: Reducing Barriers and Improving Outcomes The REACH program from the Center for Medicare & Medicaid Innovation (CMMI) aims to address healthcare disparities.

Accountable Care 52

Accountable Care Accountability Medicare Population Health 52

NASHP

OCTOBER 20, 2022

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.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

NASHP

JUNE 22, 2023

Medicaid covers more than 40 percent of births nationally. Given the critical role that Medicaid plays in maternal health, there is a longstanding interest in the role of Medicaid service delivery systems to improve perinatal health outcomes. All Medicaid beneficiaries served by the practice are included.

Medicaid 59

Medicaid Prevention Accountability Medicare 59

HIT Consultant

FEBRUARY 13, 2023

Tom Wriggins, Principal Industry Advisor at SAS John Maynard, CPA, CFE, AHFI Principal Solutions Architect at SAS In 2022, the Center for Medicare and Medicaid Services (CMS) established health equity as a pillar of its future work. Health outcomes and Medicaid program integrity Health outcomes are a function of the quality of care.

Patient Safety 52

Patient Safety Medicaid Integration Medicare 52

Cloud Blogs

FEBRUARY 28, 2022

These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care. Passed in 2016, The Cures Act requires that electronic health record (EHR) systems provide patient-facing application programming interfaces (APIs) to maintain federal certifications.

Integration 80

Integration Healthcare Quality of Care Regulations 80

NASHP

AUGUST 31, 2023

Figure 1 displays a consolidated overview of the “Framework for Public Health-Health Care System Collaboration.” Specific examples taken from a variety of states will be examined in greater detail throughout the toolkit. One example is Live Well San Diego.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

HIT Consultant

FEBRUARY 21, 2023

Ashish Kachru, CEO, DataLink The new healthcare realm of value-based care (VBC) , designed to reward healthcare providers with incentive payments for the quality of care and patient outcomes not simply the volume of services provided, presents both opportunities and challenges for all stakeholders.

Population Health 52

Population Health Medicaid Medicare Quality of Care 52

HIT Consultant

FEBRUARY 8, 2022

The Centers for Medicare and Medicaid services recently acted in the best interests of patients and health care providers by covering telehealth services through 2023. Telehealth also increases access to care by decreasing travel time, limiting missed workdays, and reducing the need to find alternative caregivers.

Quality of Care 52

Quality of Care Population Health Medicaid Hospitals 52

HIT Consultant

JUNE 28, 2022

They possess the resources to disseminate this information to providers for broader discussions around population health. Health plans also have a vested interest in strengthening care navigation and coordination for at-risk members, given the opportunities to improve quality of care and life while reducing care costs.

Quality Assurance 52

Quality Assurance Population Health Medicaid Hospitals 52

Home Health Care

MARCH 28, 2022

Centers for Medicare & Medicaid Services (CMS) all the time. What’s the quality of care? But the cost of care is getting higher. We try to focus on ways of working together in that health care continuum. We’ve worked really closely with the home health and hospice team.

Home Care 98

Home Care Medicare Hospitals Medicaid 98

Home Health Care

MARCH 2, 2022

Illustrating the quality of care, I don’t think is that difficult. Some of the analytics we’re pulling out now – with our Medalogix platform, for instance – is showing and illustrating the value of home health and what that can deliver. But it’s not for the faint of heart. That is the intuitive part.

Home Care 111

Home Care Pharmaceuticals Medicare Quality of Care 111

NASHP

MAY 8, 2023

Source: Centers for Medicare & Medicaid Services Health Disparities : Preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations. Social Determinants of Health-Healthy People 2030. Dutton, Melinda J.,

Medicaid 52

Medicaid Regulations Prevention Medicare 52

HIT Consultant

JANUARY 22, 2024

What You Should Know: – The Centers for Medicare & Medicaid Services (CMS) has taken a bold step towards improving care for individuals with both mental health conditions and substance use disorders (SUD), announcing the “ Innovation in Behavioral Health (IBH)” Model.

Medicaid 97

Medicaid Quality of Care Integration Medicare 97

NCQA

MARCH 5, 2025

Current Efforts to Create Accessible Systems of Care for Populations with Disabilities Featured speakers: Amena Keshawarz, Applied Research Scientist, NCQA Megan Morris, Associate Professor, New York University Langone Health Ross Owen, Director of Improvement and Integration, HealthPartners Rural Health Divide: Leveraging Virtual Care to Tackle Rural (..)

Telemedicine 52

Telemedicine Medicare Medicaid Population Health 52

HIT Consultant

NOVEMBER 7, 2024

Often, their health needs are complex, influenced by significant trauma, and exacerbated by the systemic barriers they encounter. Despite these challenges, there is an immense opportunity for the healthcare system, particularly Medicaid, to play a transformative role in addressing health equity for this population.

Healthcare 52

Healthcare Medicaid Integration Prevention 52

Home Health Care

FEBRUARY 14, 2025

Worse, it would do so based on flawed economic theory, artificially narrow geographic markets, out-of-context quotations from a handful of documents, and with zero regard for the actual improvements to patient satisfaction and quality of care that would flow from the transaction.

Medicare 45

Medicare Nursing Accountable Care Accountability 45