Remove Population Health Remove Primary Care Remove Quality Improvement
article thumbnail

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

article thumbnail

NCQA Fireside Chat: A Conversation With Kate McEvoy of NAMD

NCQA

Data Is Key to Unlocking Quality Improvement Another focal point of the conversation was the need to standardize quality measures across Medicaid programs and improve health care data.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

CMMI Prioritizes Multi-Payer Alignment in New Models

NCQA

And then we’re also developing an approach for certification based on quality improvement and patient experience.” NCQA is eager to continue the conversation on multi-payer alignment and tracking state innovations.

article thumbnail

The cornerstone of continuous, integrated, and value-based healthcare

Cloud Blogs

To improve care coordination, close gaps of care, and accelerate both quality and financial agendas, tactics to access, exchange, and analyze datain near real-timefrom disparate and disconnected systems are required. Shortage of primary care professionals, unequal access to care.

article thumbnail

Fifth Free Tool in Kidney Toolkit Helps Fight Kidney Disease

NCQA

Adding the Population Health Roadmap for Chronic Kidney Disease to our Kidney Health Toolkit means there’s a fifth free resource from NCQA to help manage chronic kidney disease (CKD) or end-stage renal disease (ESRD). As part of our drive to improve health equity , most toolkit resources are available in Spanish.

article thumbnail

State Community Health Worker Models

NASHP

MHP Medicaid Health Plans. NCQA National Committee for Quality Assurance. NIH National Institutes of Health. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. PHW Pandemic Health Worker. PCMH Patient Centered Medical Home .

Medicaid 122
article thumbnail

3 Focus Areas to Improve Behavioral Health

NCQA

For example, primary care providers are playing a larger role in mental health care. We’re also seeing what we call “ workforce extenders” provide behavioral health care. This includes care by unlicensed providers. Costs Costs of behavioral health care continue to rise.