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State Oversight and Innovations in Medicaid-Managed Long-Term Services and Supports (MLTSS) Serving Older Adults and People with Disabilities 

NASHP

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.

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CMS Announces Strategy on Value-Based Payments for Specialty Care

Sheppard Health Law

CMS’s strategic refresh initiative aims to meet five objectives: drive accountable care, advance health equity, support care innovations, improve access and affordability, and establish partnerships to achieve these objectives. Why align specialty care with value-based models?

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Prior Authorizations: 3 Ways to Reduce Administrative Burden & Burnout

HIT Consultant

The private health plans, which are an alternative to traditional Medicare, account for 42% of the total Medicare population. A study by the Kaiser Family Foundation found that four in five Medicare Advantage enrollees are in plans that require them to obtain authorization from insurers prior to receiving care.

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From Telemedicine to Complete Virtual Care and Beyond

HIT Consultant

Since its inception, digital health services began the transformation from traditional healthcare — a reactive, disease-focused model — to a proactive, holistic system that is now recognized as virtual care. This remarkable approach to care is digitally integrated, patient-centric and focused on personalized health and wellness.

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

NASHP

Shared Plan of Care. Care Coordination Workforce. Care Transitions. health plans, providers, families of CYSHCN) in using, adapting, and implementing the National Care Coordination Standards for CYSHCN to develop or improve care coordination systems. Accountable Person. hospital admission).

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Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Sheppard Health Law

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 1: Drive Accountable Care.

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Healthcare at the Crossroads: Value-Based Care and Interoperability

HIT Consultant

Successfully navigating this junction of mandated interoperability and alternative payment arrangements will influence the future use and outcomes of value-based care models. The important question remains: how should we best approach the pivotal task of integrating two critical healthcare transformations?