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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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NCQA Discusses Behavioral Health Access at NASEM Workshop

NCQA

Many of our HEDIS measures are used in quality reporting and value-based purchasing by Medicare, Medicaid and commercial insurance plans. Defining the Behavioral Health Access Problem The need for behavioral health treatment has never been more pressing, but there are wide disparities in access to care.

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State Policy Considerations to Support Equitable Systems of Care for Children and Youth with Special Health Care Needs 

NASHP

5 Compared to white, non-Hispanic CYSHCN, CYSHCN who are Black or Latinx are at particular risk of receiving infrequent, low-quality care, 6 while American Indian and Alaska Native CYSHCN are less likely to be able to access specialty treatment or receive culturally sensitive services.

Medicaid 124
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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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Sustainability and Value: State Palliative Care Reimbursement Strategies

NASHP

State health reform efforts increasingly focus on providing comprehensive and well-coordinated care to people with serious illness to improve quality of care and drive down costs. Target Populations That Could Benefit from Palliative Care Services Use data to identify Medicaid enrollees with serious illness.

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How Tech Can Improve Health Plan Performance & Star Ratings

HIT Consultant

Fortunately, new technology can help health plans boost plan performance while promoting better care and early detection of chronic illnesses. The Star Rating system, which measures the quality of care and member satisfaction in privately managed Medicare plans, helps consumers compare the benefits and costs of different plans.

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About This Resource Guide: Promising Practices to Address Health Disparities

NASHP

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. 34 The ACA’s data collection requirements also do not extend to the private insurance market.