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Update from California’s Office of Health Care Affordability (OHCA): Proposed Regulations re Material Change Transactions and Pre-Transaction Review

Sheppard Health Law

As we previewed in our blog article in March on the establishment of California’s new Office of Health Care Affordability (OHCA), OHCA has issued proposed regulations available on the OHCA website, that provide anticipated details on OHCA’s advance review authority regarding certain transactions in the healthcare space.

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Patient Engagement Strategies for Marketing Success

Healthcare Success

It has application in value-based care, patient population health, accountable care organizations (ACOs), and health management organizations (HMOs). As you learn how to increase patient engagement in healthcare through targeted marketing campaigns, be sure to follow all applicable laws and regulations (e.g.,

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Thinking Ahead on the AHEAD Model: Primary Care AHEAD

NASHP

Practices participating in the Medicare Shared Savings Program (MSSP) or the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) (CMS released guidance on model overlaps with these and other programs and AHEAD.)

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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

The “National Forum on Advancing High-Quality, Equitable Care Coordination for Children and Youth with Special Health Care Needs” centered on two key topics for improving care coordination systems for CYSHCN: integrated care coordination and the care coordination workforce.

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Shared Decision-Making to Support Person and Family-Centered Care: Spotlight on Washington State’s Patient Decision Aids

NASHP

HCA has certified PDAs for end-of-life care, cardiac care, cancer screening, total joint replacement, spine care, maternity and labor/delivery. Washington’s certification process for PDAs involves the Health Care Authority identifying a priority area and calling for submissions for PDA certifications.

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State Community Health Worker Models

NASHP

integrating?CHWs CHWs into evolving health care systems in key areas such as financing, education and training, certification , and state definitions, roles and scope of practice. ACO Accountable Care Organizations. CBCM Community Based Care Management Program. PCCM Primary Care Case Management.

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Community Health Worker Models

NASHP

This map highlights state activity to integrate CHWs into evolving health care systems in key areas such as financing, education and training, certification, and state definitions, roles and scope of practice. In addition, CHWs are often included in Accountable Communities for Health (ACH).