Prevention, Primary Care, Quality Improvement and Regulations

The cornerstone of continuous, integrated, and value-based healthcare

Cloud Blogs

FEBRUARY 28, 2022

Ultimately, CMS and the Office of the National Coordinator for Health Information Technology (ONC) aim to improve information access in hopes of facilitating more holistic healthcare, improved quality of care, and better support for broader federal and regional public health initiatives such as disease surveillance and health equity.

Integration

Integration Healthcare Quality of Care Regulations

CMS Final Rule: Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicare Cost Plan and Programs of All-Inclusive Care for the Elderly (PACE)

Briggs Healthcare

MAY 4, 2023

This final rule will also codify regulations implementing section 118 of Division CC of the Consolidated Appropriations Act, 2021, section 11404 of the Inflation Reduction Act, and includes provisions that will codify existing sub-regulatory guidance in the Part C, Part D, and PACE programs.

Medicare

Medicare Regulations Nursing Primary Care

State Community Health Worker Models

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. CDC Centers for Disease Control and Prevention. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. USPSTF United States Preventative Services Task Force. SPA State Plan Amendment.

Medicaid

Medicaid Primary Care Prevention Nursing

Behavioral Health System Modernization: Comprehensive Approaches and Cross-Cutting Tools

NASHP

MARCH 22, 2024

As major purchasers, administrators, and regulators of behavioral health treatment and supports, states play a critical role in system transformation. Invest in prevention and early intervention. Enhance and streamline system of care for children with complex needs and their families. See the full resource guide.

Medicaid

Medicaid Urgent Care Primary Care Hospitals

The cornerstone of continuous, integrated, and value-based healthcare

Cloud Blogs

FEBRUARY 28, 2022

Ultimately, CMS and the Office of the National Coordinator for Health Information Technology (ONC) aim to improve information access in hopes of facilitating more holistic healthcare, improved quality of care, and better support for broader federal and regional public health initiatives such as disease surveillance and health equity.

Integration

Integration Healthcare Quality of Care Regulations

Community Health Worker Models

NASHP

NOVEMBER 29, 2021

Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program. The PCCM program incentivizes primary care providers to incorporate CHWs into their care coordination model by offering a higher per-member per-month (PMPM) case management payment.

Medicaid

Medicaid Primary Care Prevention Nursing

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

NASHP

OCTOBER 20, 2022

High-quality, integrated care requires strong system-level partnerships, information and data sharing, and family-centered practices. In spite of these barriers, and to help address them, states have implemented innovations to improve integrated care coordination for CYSHCN. Leveraging Data and Technology.

Medicaid

Medicaid Integration Quality Improvement Accountability

Behavioral Health System Modernization along the Continuum

NASHP

MARCH 22, 2024

Integrated Primary and Behavioral Health Care A modern behavioral health system of care is fully integrated into the continuum of health care services, including primary and specialty care settings, and extends into homes and communities to ensure holistic and coordinated support.

Medicaid

Medicaid Integration Primary Care Nursing

COVID-19 Lessons: A Path to a Better Health Care System

Accountable Care Doctors

OCTOBER 21, 2020

“Doing more procedures is not the answer to quality care — it is building a system and a culture that puts the resources of the entire team at play in the correct way.”. We can take the time to have the important conversations about patient goals, including those about end-of-life care that were so important during the pandemic.

Primary Care

Primary Care Integration Remote Care Population Health

How States Are Leveraging Payment to Improve the Delivery of SUD Services

NASHP

MARCH 11, 2022

State experience indicating that payment is an effective lever for improving service delivery. State officials viewed their efforts as part of broader efforts to improve behavioral health and better integrate it with primary care. " > Why Use Payment to Improve Delivery of SUD Services. Integrated Primary Care.

Medicaid

Medicaid Integration Quality Improvement Primary Care

State Strategies to Support OUD Treatment across the Criminal Legal System

NASHP

DECEMBER 20, 2022

States are taking steps to provide additional prevention, treatment, and recovery services to higher-risk individuals with opioid use disorder (OUD), including those in contact with the criminal legal system. Community Services and Prevention (Intercept 0). Across states, drug violations have led to most arrests in recent years.

Medicaid

Medicaid Prevention Integration Hospitals

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

NASHP

JUNE 22, 2022

On the other hand, a health plan may use the guide to implement a high-quality screening and assessment process through primary care providers. Recruit providers to support system improvements. Conduct research on best practices for care coordination. Support quality improvement efforts.

Care Transition

Care Transition Medicaid Doctors Regulations

CMS Issues CY2024 Proposed Rule for Medicare Advantage Organizations and Part D Sponsors

Sheppard Health Law

JANUARY 5, 2023

Requiring MAOs to incorporate one or more activities into their overall Quality Improvement program that reduce disparities in health and health care among their enrollees. Codifying appointment wait time standards for primary care and behavioral health services that correspond with the Medicare Managed Care Manual.

Medicare

Medicare Primary Care Medicaid Integration

Health Care Quality Digest

The cornerstone of continuous, integrated, and value-based healthcare

CMS Final Rule: Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicare Cost Plan and Programs of All-Inclusive Care for the Elderly (PACE)

Trending Sources

State Community Health Worker Models

Behavioral Health System Modernization: Comprehensive Approaches and Cross-Cutting Tools

The cornerstone of continuous, integrated, and value-based healthcare

Community Health Worker Models

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

Behavioral Health System Modernization along the Continuum

COVID-19 Lessons: A Path to a Better Health Care System

How States Are Leveraging Payment to Improve the Delivery of SUD Services

State Strategies to Support OUD Treatment across the Criminal Legal System

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

CMS Issues CY2024 Proposed Rule for Medicare Advantage Organizations and Part D Sponsors

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