Briggs Healthcare

JULY 1, 2022

The overall policy goal of this proposed rule is to establish Conditions of Participation (CoPs) to ensure the health and safety of patients who will receive REH services in the most efficient manner possible, while taking into consideration the access and quality of care needs of an REH’s patient population.

Performance improvement 52

Performance improvement Hospitals Nursing Prevention 52

NASHP

OCTOBER 2, 2023

Additional Considerations Requires budget neutrality (note that budget neutrality calculations for health-related social needs were recently updated ) Typically involves extensive negotiations with the Centers for Medicare & Medicaid Services (CMS). State Example Virginia Medallion 4.0

Medicaid 72

Medicaid Performance improvement Integration Nursing 72

NASHP

MARCH 29, 2024

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. 25] Centers for Medicare and Medicaid Services.

Medicaid 124

Medicaid Quality of Care Quality Assurance Nursing 124

NASHP

OCTOBER 22, 2021

As part of contract and systems oversight, states engage in a range of quality assessment and improvement strategies. Federal state and regulations require that states track the quality of care received by enrollees and particularly the care received by enrollees with special health care needs.

Medicaid 102

Medicaid Hospice Care Regulations Integration 102

NASHP

DECEMBER 23, 2022

With more than 40 percent of births financed by Medicaid, the Centers for Medicare & Medicaid Services (CMS) has developed an action plan that corresponds with goals outlined in the White House blueprint. Implement quality and performance initiatives. The U4 modifier is used for both codes. Implement Medicaid Benefit.

Medicaid 59

Medicaid Nursing Regulations Hospitals 59

NASHP

SEPTEMBER 25, 2023

Overview of SPAs and 1115 waivers State Plan Amendment : When a state is planning to make a change to its Medicaid program policies or operational approach, they can submit state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. Leverage the Maternity Core Set.

Medicaid 80

Medicaid Performance improvement Prevention Health Data 80

NASHP

AUGUST 24, 2023

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. Providers received bonus payments for achieving process measures indicating that certain facets of palliative care (e.g.,

Medicaid 52

Medicaid Quality Assurance Quality of Care Hospitals 52

Briggs Healthcare

OCTOBER 25, 2022

Today’s announcement is part of a series of new actions the Biden-Harris Administration is taking to increase accountability of bad actors in the nursing home industry, improve the quality of nursing homes and make them safer. and face increasingly severe enforcement actions if improvement is not demonstrated.

Nursing 40

Nursing Accountability Quality Improvement Quality of Care 40

NASHP

MAY 17, 2022

These specialized MMC programs are designed to exclusively serve either CYFC [27] or Medicaid populations with chronic and complex conditions, [28] including those in foster care. Standard MMC: Standard MMC is a type of health care delivery system designed to manage costs, utilization, and quality of care. MMC or FFS).

Medicaid 64

Medicaid Integration Medicare Primary Care 64

NASHP

MARCH 22, 2024

North Carolina’s comprehensive behavioral health approach included efforts to increase uptake of CoCM through additional training and practice supports and Medicaid rate increases to 120% of Medicare rates for behavioral health providers. An action plan dashboard tracks targets. CMS’s Birth to 5: Watch Me Thrive!

Medicaid 52

Medicaid Integration Primary Care Nursing 52

NASHP

AUGUST 23, 2021

Perhaps the most important is to identify specific goals and objectives early on to guide the details of design, such as the choice of quality metrics for incentive payments. In addition, it is important to build in measurement at the start and to think of state efforts as iterative — moving to tackle new priorities as performance improves.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

Vie Healthcare

JULY 26, 2023

This show is sponsored by VIE Healthcare Consulting, A SpendMend company, which provides leading-edge financial and operational consulting for hospitals, healthcare institutions, and other providers of patient care. The last time we spoke, you mentioned to me that we need to view families as part of the care team.

Hospitals 52

Hospitals Nursing Doctors Healthcare 52