HIT Consultant

FEBRUARY 8, 2024

Elissa Toder, MBA, VP of Quality Improvement Strategy & Solutions at Reveleer In the ongoing transition to value-based care (VBC), provider contracting poses challenges for health plans and providers. If the provider successfully delivers care and prevents complications or errors, they keep a portion of the savings.

Quality Improvement 105

Quality Improvement Data Acquisition Medicaid Performance improvement 105

GoMoHealth

OCTOBER 20, 2022

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. While most managed care organizations go to great lengths to comply with Medicaid and Medicare mandates, many are still struggling to meet their goals.

Quality Improvement 88

Quality Improvement Medicaid Medicare Population Health 88

NASHP

NOVEMBER 15, 2021

Immunization Barriers in the United States: Targeting Medicaid Partnerships Fact Sheet: Using New and Existing Federal Funds to Modernize IIS. The COVID-19 pandemic underscored the need to improve IIS systems and use, including enhancing interoperability with other agencies, functionality, and staffing. Provide Public Data Access.

Medicaid 52

Medicaid Quality Improvement Prevention Integration 52

HIT Consultant

JULY 24, 2022

It’s time to shine some light on PAD and start taking coordinated, proactive action to prevent this condition from advancing in people with diabetes. Through a combination of policy, education, and technology, we can start to turn the tide on PAD and improve health outcomes for vulnerable communities.

Prevention 98

Prevention Medicaid Medicare Quality Improvement 98

HIT Consultant

DECEMBER 5, 2023

Hospitals and health systems have long understood the need to reduce preventable hypoglycemia, yet despite a renewed sense of urgency, many of them lack comprehensive glycemic management measures that can drive success.

Hospitals 98

Hospitals Patient Safety Quality Improvement Prevention 98

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.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

NASHP

APRIL 17, 2023

Performance measurement is a pillar of state quality improvement and oversight. In addition, starting in 2024, federal rules will require states to report performance on some measures, including some behavioral health measures, to the Centers for Medicare & Medicaid Services (CMS).

Medicaid 52

Medicaid Quality Assurance Quality Improvement Quality Review 52

NASHP

JANUARY 10, 2022

As a result, vaccination coverage rates plummeted, leaving many children vulnerable to preventable diseases. Additionally, vaccination requirements for school entry can be very effective at driving vaccination rates and protecting students, staff, and communities from vaccine-preventable diseases. percent and 71.3

Prevention 97

Prevention Medicaid Quality Improvement Hospitals 97

NASHP

SEPTEMBER 27, 2024

As part of a continuum of home- and community-based services (HCBS), respite can improve families’ quality of life [4] , [5] and help improve outcomes, including promoting more stable living situations. [6] Additional state examples from Colorado and Massachusetts were gleaned from NASHP’s Respite Summit, held in February 2024.

Medicaid 59

Medicaid Nursing Medicare Quality Improvement 59

NASHP

SEPTEMBER 8, 2023

from maternal-related causes , with more than 80 percent of these deaths being preventable. Over the past two years, the seven state teams that participated in the MCH PIP Policy Academy, comprised of officials from state Medicaid, public health, and other relevant agencies/groups (e.g., Over 800 women die each year in the U.S.

Medicaid 80

Medicaid Performance improvement Quality Improvement Accountable Care 80

NASHP

APRIL 15, 2022

CalAIM: Leveraging Medicaid Managed Care for Housing and Homelessness Supports April 15, 2022 / by Allie Atkeson. Driven by challenges facing individuals with complex care needs, states are increasingly working to address the physical, behavioral, and social needs of their Medicaid beneficiaries. Eviction prevention.

Medicaid 59

Medicaid Public Hospital Hospitals Nursing 59

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. Strategic Objective 2: Advance Health Equity.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 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] public health, Medicaid, mental health) and other stakeholders (e.g., Nearly 20 percent of children in the U.S.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

NASHP

SEPTEMBER 28, 2022

As states are not required to include dental services for adults in their Medicaid programs, the ability for low-income individuals to access dental care is often a factor of where they live. Other state Medicaid programs are adding requirements for primary care medical providers to offer similar services.

Integration 64

Integration Primary Care Medicaid Prevention 64

NASHP

AUGUST 15, 2022

Improving Oral Health Access through Managed Care Quality Initiatives in Pennsylvania By Allie Atkeson. States are engaged in a variety of efforts to improve oral health access as part of improving overall health outcomes for Medicaid members. Medicaid Managed Care Dental Performance. Fluoride varnish.

Medicaid 52

Medicaid Quality Review Prevention Quality Improvement 52

Cloud Blogs

FEBRUARY 28, 2022

In 2020, the Centers for Medicaid and Medicare Services (CMS) issued additional rules requiring that payors and providers who receive CMS funds make health information more accessible. Inaccessible and incomplete patient data creates insurmountable challenges to coordination, financial-risk arrangements, and effective preventative care.

Integration 133

Integration Healthcare Quality of Care Regulations 133

Briggs Healthcare

JANUARY 9, 2023

Centers for Medicare & Medicaid Services CMS QI Voices: Improving COVID-19 Outcomes in Nursing Homes Across America is an audio series that gives you a closer look at the projects and the people who are improving health care quality and outcomes. Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare.

Nursing 52

Nursing Prevention Medicaid Medicare 52

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

NASHP

NOVEMBER 22, 2021

IIS are utilized by all states and some large cities and territories to varying degrees as a consolidated database for immunization history that can be used on both a micro and macro level to improve vaccine rates and reduce vaccine-preventable diseases. What gaps can be filled to help facilitate public health activity?

Medicaid 52

Medicaid Quality Improvement Prevention Integration 52

Briggs Healthcare

AUGUST 22, 2022

The American Academy of Hospice and Palliative Medicine (AAHPM) developed this implementation guide to help palliative care teams implement and collect data for two patient-reported outcome performance measures (PROPMs) for quality improvement (QI) and regulatory reporting efforts.

Patient Experience 52

Patient Experience Quality Improvement Medicare Quality of Care 52

Briggs Healthcare

MAY 4, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The submission deadline for the Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) Quality Reporting Programs is approaching. All data must be submitted no later than 11:59 p.m. on May 15, 2023.

Rehabilitation 40

Rehabilitation Medicaid Medicare Prevention 40

Briggs Healthcare

MARCH 9, 2023

SAMHSA provides leadership, supports programs and services, and devotes resources to helping people act on the knowledge that behavioral health is essential to health, prevention works, treatment is effective, and people recover. The training and technical assistance provided by the COENF will be free of charge.

Nursing 52

Nursing Prevention Medicaid Performance improvement 52

NASHP

MARCH 11, 2022

The experience of the four study states (Arizona, New York, Oregon, and Pennsylvania) indicates that payment is an effective lever for improving the delivery of SUD treatment for Medicaid beneficiaries. Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration.

Medicaid 59

Medicaid Integration Quality Improvement Primary Care 59

Home Health Care

JANUARY 9, 2023

Three years later, I moved from Tucson back to Missoula to start our quality improvement department and started taking on other pieces of the business. Things like fraud prevention measures. It also is a lower cost to taxpayers, you and I, for being good stewards of the Medicaid dollar. We do primarily Medicaid services.

Home Care 98

Home Care Prevention Medicaid Quality Improvement 98

Briggs Healthcare

FEBRUARY 10, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The submission deadline for the Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) Quality Reporting Programs is approaching.

Rehabilitation 40

Rehabilitation Medicaid Quality Improvement Medicare 40

Briggs Healthcare

AUGUST 7, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The submission deadline for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) is approaching. All data must be submitted no later than 11:59 p.m. on August 15, 2023.

Medicaid 40

Medicaid Quality Improvement Medicare Nursing 40

NASHP

NOVEMBER 29, 2021

Medicaid Reimbursement. Medicaid Reimbursement. Alabama does not reimburse for CHW services through its Medicaid program. Alaska Medicaid reimburses for CHW services through MCOs as authorized under the state plan. Arizona does not currently reimburse for CHW services through its Medicaid program.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

Lexis Nexis

JULY 20, 2022

The most important to close care gaps are part of the Healthcare Effectiveness Data and Information Set (HEDIS), which measures how well a plan handles preventive care and chronic care disease management. More than 90 percent of US health plans use HEDIS measures to gauge their performance while serving more than 190 million Americans.

Prevention 52

Prevention Medicare Medicaid Health Data 52

Briggs Healthcare

APRIL 17, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Vaccines, Treatments and Promising Practices to Improve Resident Outcomes CMS QI Voices: Improving COVID-19 Outcomes in Nursing Homes Across America , a new audio series produced by the Centers for Medicare & Medicaid Services (CMS), is available for listening at [link].

Nursing 40

Nursing Prevention Quality Improvement Medicaid 40

NASHP

MARCH 22, 2024

Invest in prevention and early intervention. In addition to expanding Medicaid, North Carolina’s FY2024 budget allocates over $835 million for mental health and substance abuse investments under Medicaid. In Colorado , Medicaid leverages its medical loss ratio (MLR) policies to incentivize MCOs’ performance.

Medicaid 52

Medicaid Urgent Care Primary Care Hospitals 52

NASHP

AUGUST 31, 2023

This feedback, along with state-collected health data, helped shape Oregon’s five priority areas : institutional bias; adversity, trauma, and toxic stress; behavioral health; access to equitable preventive services; and economic drivers of health.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

Briggs Healthcare

NOVEMBER 4, 2022

must be transmitted to the Centers for Medicare & Medicaid Services (CMS) through the Assessment Submission and Processing (ASAP) system to the Quality Improvement Evaluation System (QIES). The Minimum Data Set (MDS) 3.0 No additional data submission is required for the claims-based measures.

Quality Improvement 40

Quality Improvement Medicaid Medicare Prevention 40

NASHP

MARCH 22, 2024

States such as Texas, Wyoming , and New Jersey are adopting Medicaid reimbursement of collaborative care services and are addressing capacity to transition to CoCM. Integration of Substance Use Services and Supports States can align long siloed approaches to primary care, mental health, and substance use services through integration efforts.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Briggs Healthcare

NOVEMBER 10, 2022

SNF Quality Reporting Program Data Submission Deadlines. Swingtech sends informational messages to IRFs, LTCHs, and SNFs that are not meeting Annual Payment Update (APU) thresholds on a quarterly basis ahead of each submission deadlines.

Rehabilitation 40

Rehabilitation Quality Improvement Medicaid Nursing 40

HIT Consultant

JULY 19, 2023

They must also seek membership in professional associations in combination with seeking accreditation for their respective facilities, demonstrating ongoing training, adherence to ethical standards, and commitment to quality improvement.

Healthcare 75

Healthcare Doctors Rehabilitation Healthcare Providers 75

Cloud Blogs

FEBRUARY 28, 2022

In 2020, the Centers for Medicaid and Medicare Services (CMS) issued additional rules requiring that payors and providers who receive CMS funds make health information more accessible. Inaccessible and incomplete patient data creates insurmountable challenges to coordination, financial-risk arrangements, and effective preventative care.

Integration 80

Integration Healthcare Quality of Care Regulations 80

Briggs Healthcare

OCTOBER 14, 2022

The data contained within the Preview Reports are based on quality assessment data submitted by SNFs from Quarter 2, 2021 through Quarter 1, 2022. Additionally, the Centers for Disease Control and Prevention (CDC) COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) measure reflect data from Quarter 1, 2022.

Nursing 40

Nursing Medicaid Medicare Prevention 40