NCQA

OCTOBER 31, 2023

The GUIDE model is the first of its kind to address health care costs and target reductions in federal spending on long-term nursing home placement. And then we’re also developing an approach for certification based on quality improvement and patient experience.”

Primary Care 52

Primary Care Quality Improvement Medicaid Accountable Care 52

GoMoHealth

OCTOBER 20, 2022

Partnering with Managed Care Organizations and Provider Networks to reduce costs and better manage utilization of health services. By Nakecia Taffa, Quality Improvement and Health Equity Director for GoMo Health. Decreased gaps in care and population disparities : closed gaps in care for engaged members of a U.S.

Quality Improvement 79

Quality Improvement Medicaid Population Health Medicare 79

NASHP

SEPTEMBER 8, 2023

Iowa’s Medicaid agency and Bureau of Family Health synthesized their strategic planning goals for improving maternal health outcomes and proposed policies to leadership and partners. This will enable the state to increase breastfeeding rates and improve the quality of maternity services delivered in these birthing facilities.

Medicaid 80

Medicaid Performance improvement Quality Improvement Accountable Care 80

NASHP

DECEMBER 10, 2021

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.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

NASHP

OCTOBER 20, 2022

Partnerships are strongest when they are based on a collective impact model, focusing on a common vision and developing shared accountability. As a result, services were better aligned and the MCOs referred CYSHCN to the Title V CYSHCN program for care coordination given the program staff’s expertise in serving this population.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

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

NOVEMBER 29, 2021

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.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52