Remove Accountability Remove Population Health Remove Prevention Remove Primary Care
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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.

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Thinking Ahead on the AHEAD Model: Hospital Global Budgets 

NASHP

Hospital Global Budget Key Considerations The overall goal of hospital global budgets in the AHEAD Model is to incentivize hospitals to focus on population health and health equity, limit avoidable utilization, and control total cost of care by removing FFS incentives and providing financial stability.

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Fellowship Opportunities for Advancing Health Equity

NCQA

NCQA seeks candidates who embody Phyllis’ passion for health care quality research and policy. Primary care. Preventive care. Maternal health. Behavioral health. Health care disparities. Value-based care and payment. Telehealth and health information technology.

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Population Health Management Strategies: Creative Ways to Use Population Care Managers in ACOs

Health Dialog

This is the final post in my three-part series on the successful implementation of Population Care Managers (PCMs) within Accountable Care Organization (ACO) and Patient Centered Medical Home settings. The primary objective for any ACO or at-risk provider is to deliver value-based care and reduce wasteful spending.

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CIOs' 5-year plans for precision medicine and emerging technologies

Healthcare It News

One of the next big shifts in patient care will be precision medicine will be "an emerging approach for disease treatment and prevention that takes into account individual variability in genes, environment and lifestyle for each person," as the Precision Medicine Initiative describes it. A lot of new challenges.

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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). Slowing or preventing disease progression is possible if the disease is treated early.

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Why a Focus on Behavioral Health is Key to Improving Quality Measures

HIT Consultant

healthcare system has been moving towards value-based care (VBC) which encourages health providers to improve care quality by reimbursing them based on successful outcomes rather than individual medical services. Behavioral health conditions may worsen physical symptoms or make it more difficult to comply with a treatment plan.