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Q&A: Using an Alternative Payment Model to Support Community Health Worker Sustainability in Maine’s Primary Care Plus Program

NASHP

During a recent virtual meeting focused on alternative payment approaches, Maine state officials detailed how the state intends to use its Primary Care Plus (PCPlus) program to reimburse for CHW services.­ Including a scan also helps the state assess practices’ needs and take their varying knowledge of CHW roles into account.

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Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Sheppard Health Law

The five strategic objectives for advancing this systemwide transformation include (1) Drive Accountable Care, (2) Advance Health Equity, (3) Support Innovation, (4) Address Affordability, and (5) Partner to Achieve System Transformation. Strategic Objective 1: Drive Accountable Care.

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State Community Health Worker Models

NASHP

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. RAE Regional Accountable Entity. Acronym Guide. APM Alternative Payment Model. CBO Community Based Organization.

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Community Health Worker Models

NASHP

The Department of Health Care Policy and Financing (the Medicaid program administrator) does not specifically require the Regional Accountable Entities (RAEs), care coordinating entities contracted with Colorado’s Medicaid program, or other managed care entities to cover CHW services, nor does the Department pay for CHW services under FFS.

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CMS Announces Strategy on Value-Based Payments for Specialty Care

Sheppard Health Law

CMS’s strategic refresh initiative aims to meet five objectives: drive accountable care, advance health equity, support care innovations, improve access and affordability, and establish partnerships to achieve these objectives. Why align specialty care with value-based models?

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Unlock efficiency and quality of care with Microsoft Cloud for Healthcare Care management

Cloud Blogs

Enhance health team coordination and collaboration Care coordination is a complex process involving multiple stakeholders, including primary care physicians, specialists, nurses, and allied healthcare professionals. Modern care management platforms facilitate seamless collaboration and information sharing among care teams.

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From Telemedicine to Complete Virtual Care and Beyond

HIT Consultant

Today, physicians, patients and payers benefit from virtual care options that can be scaled to provide users with access to a wide range of providers, healthcare services and diagnostics that enable remote monitoring and testing which is especially important for chronic condition management.