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

HIT Consultant

SEPTEMBER 11, 2024

What You Should Know: – Aledade , the nation’s largest network of independent primary care, has launched a new service to accelerate practices’ ability to hire physicians, advanced practice providers and new staff, addressing the ongoing nationwide workforce challenges that primary care practices encounter.

Primary Care 105

Primary Care Quality of Care Healthcare Population Health 105

Health Populi

MARCH 15, 2018

Also see the poverty rate, percent of the population below poverty, is highest in the U.S. Now turn your eyes to the second chart, which is titled “Population Health” in the report. Access and quality of care in the U.S. varied, with that 10% of health citizens lacking coverage for basic health care.

Primary Care 85

Primary Care Healthcare Pharmaceuticals Population Health 85

HIT Consultant

JUNE 12, 2024

VBC: A Shift from Quantity to Quality VBC represents a paradigm shift in healthcare, moving away from fee-for-service models that reward the number of patients seen and procedures performed. Instead, VBC incentivizes healthcare providers based on patient outcomes and the quality of care delivered.

Population Health 71

Population Health Primary Care Prevention Quality of Care 71

Cloud Blogs

FEBRUARY 28, 2022

These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care. Passed in 2016, The Cures Act requires that electronic health record (EHR) systems provide patient-facing application programming interfaces (APIs) to maintain federal certifications.

Integration 127

Integration Healthcare Quality of Care Regulations 127

NCQA

JULY 16, 2024

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.

Medicaid 86

Medicaid Quality Improvement Integration Population Health 86

HIT Consultant

JULY 23, 2024

Closing the Gap: The Pivotal Role of FQHCs in Improving Cancer Screening Federally Qualified Health Centers (FQHCs) are uniquely positioned to play a vital role in bridging the gap in cancer screening for underserved populations.

Prevention 96

Prevention Primary Care Quality of Care Telemedicine 96

HIT Consultant

SEPTEMBER 21, 2021

With electronic healthcare records (EHRs) , provider organizations can more easily manage population health and meet the needs of stakeholders. Disconnected healthcare data results in poor accessibility to records and translates into fragmented care delivery for patients. About the Authors.

Integration 97

Integration Population Health Remote Care Healthcare 97

Home Health Care

AUGUST 11, 2022

“Our dedicated hospice and personal care company is focused on improving access, equity and quality of care for patients while remaining an employer of choice for health care professionals.”.

Primary Care 59

Primary Care Quality of Care Population Health Healthcare 59

HIT Consultant

DECEMBER 28, 2023

Fragmented Care : The fragmentation of health care services poses a significant barrier to dually diagnosed patients. Many healthcare systems are designed to address either mental health or substance use, leading to disjointed care. Related to this is the need for coordinated care.

Integration 104

Integration Primary Care Quality of Care Healthcare 104

Cloud Blogs

FEBRUARY 28, 2022

These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care. Passed in 2016, The Cures Act requires that electronic health record (EHR) systems provide patient-facing application programming interfaces (APIs) to maintain federal certifications.

Integration 73

Integration Healthcare Quality of Care Regulations 73

NCQA

SEPTEMBER 20, 2024

This session demonstrates the framework in action, and gives real-life examples of the transformation of Carelon’s quality department that resulted in improvement in HEDIS measures and increased employee engagement and satisfaction. You’ll learn about staffing opportunities, billing, coding and best practices for enhancing revenue.

Measurable Quality 52

Measurable Quality Primary Care Population Health Integration 52

Health Dialog

JANUARY 17, 2017

Every day, our nurse health coaches receive calls like these from members with urgent health concerns. In these instances, a nurse line program becomes an extension of the member’s pediatrician, primary care physician, nurse, or other trusted health professional.

Nursing 40

Nursing Urgent Care Primary Care Quality of Care 40

Sheppard Health Law

OCTOBER 27, 2021

Strategic Objective 1: Drive Accountable Care. The National Academy of Medicine reported that high-quality primary care forms the foundation of a high-functioning health system and is key to improving the experience of patients and care teams, as well as population health, and reducing costs. [1]

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

NASHP

AUGUST 31, 2023

Figure 1 displays a consolidated overview of the “Framework for Public Health-Health Care System Collaboration.” Specific examples taken from a variety of states will be examined in greater detail throughout the toolkit. One example is Live Well San Diego.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

NASHP

OCTOBER 20, 2022

For example, the Centers for Medicare & Medicaid Services Innovation Center is currently supporting the Integrated Care for Kids (InCK) model across seven sites in six states. This model aims to improve quality of care for children, including CYSHCN, through integrated care delivery systems that include care coordination.[12].

Medicaid 98

Medicaid Integration Accountability Quality Improvement 98

Healthcare Leadership

SEPTEMBER 18, 2023

Have you gone through the anxiety and uncertainty associated with waiting to see a specialist and wondered whether you or your family member’s health condition is getting progressively worse while you wait? PCPs, who are typically family physicians and nurse practitioners, are the first people seen by many patients requiring specialist care.

Primary Care 137

Primary Care Quality of Care Population Health Healthcare 137

HIT Consultant

JANUARY 22, 2024

The IBH Model aims to bridge the gap between behavioral and physical health by: Empowering community-based behavioral health practices: These practices, including mental health centers, opioid treatment programs, and safety net providers, will become the central point of care, offering integrated services for both mental and physical health needs.

Medicaid 97

Medicaid Quality of Care Integration Medicare 97