Cloud Blogs

FEBRUARY 28, 2022

Shortage of primary care professionals, unequal access to care. Inaccessible and incomplete patient data creates insurmountable challenges to coordination, financial-risk arrangements, and effective preventative care. It empowers users to take a giant leap towards continuous, integrated care.

Integration 140

Integration Healthcare Quality of Care Regulations 140

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. CDC Centers for Disease Control and Prevention. CHW Community Health Worker. CHA/P Community Health Aid/ Practitioner. NIH National Institutes of Health. PCCM Primary Care Case Management.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

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. ii] Rural areas are highly likely to suffer from shortages of primary care and other providers.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

Cloud Blogs

FEBRUARY 28, 2022

Shortage of primary care professionals, unequal access to care. Inaccessible and incomplete patient data creates insurmountable challenges to coordination, financial-risk arrangements, and effective preventative care. It empowers users to take a giant leap towards continuous, integrated care.

Integration 88

Integration Healthcare Quality of Care Regulations 88

Sheppard Health Law

OCTOBER 27, 2021

In addition, only four models met the requirements to be expanded in duration and scope: Home Health Value-Based Purchasing Model; Pioneer ACO Model; Repetitive, Prior Authorization of Repetitive, Schedule Non-Emergent Ambulance Transport Model; and Medicare Diabetes Prevention Program Expanded Model. FOOTNOTES. [1]

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

NASHP

NOVEMBER 29, 2021

Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program. The PCCM program incentivizes primary care providers to incorporate CHWs into their care coordination model by offering a higher per-member per-month (PMPM) case management payment.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

NASHP

OCTOBER 20, 2022

As a result, services were better aligned and the MCOs referred CYSHCN to the Title V CYSHCN program for care coordination given the program staff’s expertise in serving this population. Data are central to both direct care coordination service provision, as well as care coordination system monitoring and quality improvement efforts.

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98