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The National Imperative to Improve Nursing Home Quality

Briggs Healthcare

Nursing homes play a unique dual role in the long-term care continuum, serving as a place where people receive needed health care and a place they call home. The 1986 Institute of Medicine report Improving the Quality of Care in Nursing Homes identified a range of challenges to the quality of care in nursing homes.

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Public Comment Open: Changes to 2025 and 2026 Health Plan Ratings

NCQA

About Health Plan Ratings and Public Comment NCQA’s Health Plan Ratings evaluate the quality of care provided by commercial, Medicare Advantage and Medicaid health plans. HEDIS ® is a registered trademark of the National Committee for Quality Assurance (NCQA). For details on proposed changes, visit the NCQA website.

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How to Improve Your VBP Scores and Boost Medicare Payments

Home Health Care

Yet while home-based care providers certainly have many excellent, technical questions, one sits above all others: How will the expansion of HHVBP affect their reimbursement? Since CMS standardized it in 2018, Quality Assurance and Performance Improvement program, or QAPI, has served as a guiding light for home-based care providers.

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Seven Steps for Building a Community-Based Palliative Care Benefit Within Medicaid

NASHP

STEP 3: Define Staffing and Service Standards The National Consensus Project’s Palliative Care Guidelines advise delivering palliative care through an interdisciplinary team that may include professionals such as: Physician. Nurse Practitioner. Advance Practice Registered Nurse. Care Manager. Social Worker.

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Voices: Kris Novak, Managing Director, The Braff Group

Home Health Care

The right partner can also be an asset going forward, offering access to capital markets or advising in areas such as IT, recruiting, or quality assurance to capture growth or implement necessary investments. These organizations often have similar objectives regarding employees, quality of care and access to care.

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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. T)he benefit will be made available in all care settings including the community, nursing facilities, and assisted living facilities.”

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

NASHP

Oklahoma’s care management and quality departments support the PCCM providers. The nurses in the care management department support PCCM providers by helping their enrollees with complex needs navigate the health care system to access the specialized services needed to treat their conditions.