NASHP

MARCH 22, 2024

States are hoping to achieve a number of goals with their MLTSS programs, including increasing access to home and community-based services, promoting care coordination, enhancing quality and beneficiary satisfaction, and mitigating cost growth.

Medicaid 76

Medicaid Nursing Medicare Integration 76

Sheppard Health Law

OCTOBER 27, 2021

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 3: Support Care Innovations.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Healthcare ECONOMIST

OCTOBER 4, 2021

The Government Accountability Office (GAO) last week published a report evaluating the Merit-based Incentive Payment System (MIPS). MIPS is an approach for CMS to pay physicians caring for Medicare beneficiaries based not just on volume but on value. Robustness of metrics.

Medicare 86

Medicare Quality Improvement Quality of Care Accountability 86

NASHP

AUGUST 31, 2023

State leaders play a critical role in convening key internal and external partners, implementing engagement and input processes that foster shared ownership and accountability toward goals at the state and community levels.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

HIT Consultant

OCTOBER 26, 2021

With RPM, care can be moved into the home: value-based care here means delivering quality healthcare in the setting that works best for patients that both improve lives and lowers costs. Each patient has their own set of behaviors, motivators, and barriers that impact how they respond to their care plans.

Remote Care 52

Remote Care Healthcare Doctors Primary Care 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 Quality Improvement Accountability 98

NASHP

JUNE 22, 2023

paid for by Medicaid, there is growing interest in exploring how Medicaid service delivery systems can be adapted to help improve maternal health outcomes.[5] 6] VBPs, or alternative payment models, focus on reimbursement based on the quality of care provided as well as rewarding lower cost.

Medicaid 59

Medicaid Prevention Accountability Medicare 59

Patient Safety Movement

APRIL 1, 2023

Five conditions account for 39% of serious misdiagnosis-related harms: stroke, myocardial infarction, aortic aneurysm/dissection, spinal cord compression/injury, and venous thromboembolism. Working for the Ministry of Health in Yenagoa, Nigeria, his role as a program manager focuses on quality of care and patient safety.

Patient Safety 52

Patient Safety Doctors Prevention Hospitals 52

NASHP

AUGUST 23, 2021

Payment to improve capabilities. Regional accountable entities. For example, to move from tier 3 to tier 4, the provider must meet all the requirements of tier 3 and several new requirements, such as having a well-established quality improvement process. Using payment to create incentives to improve performance.

Primary Care 65

Primary Care Medicaid Accountability Quality Improvement 65

NASHP

DECEMBER 23, 2022

Monitor and evaluate quality improvement and outcomes and address barriers to care. Trainings must include community-based and cultural competency for delivering person-centered care and facilitating access to community-based resources. Monitor and Evaluate Quality Improvement and Outcomes and Address Barriers to Care.

Medicaid 59

Medicaid Nursing Regulations Hospitals 59

HIT Consultant

JANUARY 22, 2024

Value-based care: Practices will be compensated based on the quality of care and improved patient outcomes, incentivizing a focus on comprehensive, holistic well-being. Performance-based incentives will further encourage quality improvement throughout the implementation period.

Medicaid 97

Medicaid Quality of Care Integration Medicare 97

NASHP

JUNE 22, 2022

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.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52

HIT Consultant

OCTOBER 31, 2022

Current barriers to patient access and quality improvement. This is especially true for underserved populations, who already face more financial, educational, and environmental barriers to quality care. Advancing care quality initiatives through bi-directional data collection. About David Voccola.

Healthcare Quality 98

Healthcare Quality Healthcare Quality Improvement Healthcare Innovation 98

NASHP

MARCH 22, 2024

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.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Sheppard Health Law

NOVEMBER 13, 2023

Thus, beginning in 2025, the FMV would be increased to account for administrative payments included under the compensation rate, beginning at $31 and updated annually. 2] A NOMNC ordinarily outlines the appeal process as well as a deadline by which an enrollee should submit his/her appeal. [3]

Medicare 59

Medicare Medicaid Regulations Integration 59