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“CMS is committed to ensuring safety and quality of care for hospital patients through a variety of initiatives,” CMS said. The law also excuses hospitals that focus on rehabilitation, long-term care, children, psychiatry, or veterans. In a statement, CMS noted it had limited ability to alter the program.
acute care hospital, long-term acute care hospital [LTAC], skilled nursing facility [SNF], inpatient rehabilitation facility [IRF]) to their home (e.g., assisted living, adult family home, group home). NOTE: This document provides a draft description of the measure. The potential measure exclusions.
“CMS is committed to ensuring safety and quality of care for hospital patients through a variety of initiatives,” CMS said. The law also excuses hospitals that focus on rehabilitation, long-term care, children, psychiatry, or veterans. In a statement, CMS noted it had limited ability to alter the program.
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 improvequality of care for children, including CYSHCN, through integrated care delivery systems that include care coordination.[12].
Evidence suggests that vertical integration and growing consolidation in health care leads to higher hospital and provider prices and higher total spending — all while having little to no impact on improvingquality of care for patients, reducing utilization, or improving efficiency.
North Carolina’s InCK program , led by Duke University and the University of North Carolina at Chapel Hill, brings together partners from Medicaid, behavioral health, child welfare, juvenile justice, education, Title V, mobile crisis, and more to coordinate care and address the health and social needs of children in five counties.
This section of the guide outlines considerations, examples, and resources for: Identifying stakeholders and establishing partnerships across care coordination and child-serving systems. Assessing care coordination system capacity, gaps, and process improvements. Financing care coordination systems. Academic institutions.
Specifically, MA enrollees enjoy an appeal right which is normally triggered when the MA organization delivers a Notice of Medicare Non-Coverage (“NOMNC”) relating to certain non-hospital provider services, including services in a home health agency, skilled nursing facility, or a comprehensive outpatient rehabilitation facility. [2]
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