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Learning Intensive on State Oversight of Medicaid Managed Long-Term Services and Supports for Older Adults and Adults with Disabilities: Request for State Applications

NASHP

rebalancing spending to improve access to home and community-based services, improving care transitions, or encouraging greater care coordination) Innovative oversight approaches for Medicare/Medicaid integrated models What’s In It for States?

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WellSky Taps Google Cloud to Build Gen AI Tools for Providers

HIT Consultant

Streamlining Care and Empowering Providers WellSky envisions integrating AI tools into their solutions to automate repetitive tasks, freeing up valuable time for human interaction and personalized care.

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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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Why Value-Based Care Begins with Quality Education

Home Health Care

The shift to value-based care. Connecting training with outcomes serves patients and staff, but the shift to value-based care means attention to outcomes is imperative as home-based care transitions to rewarding providers for the quality of the care they deliver.

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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. About Russell Graney.

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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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Q&A: Using an Alternative Payment Model to Support Community Health Worker Sustainability in Maine’s Primary Care Plus Program

NASHP

In July 2022, Maine launched the first phase of its new PCPlus initiative, which is an APM through MaineCare, Maine’s Medicaid program, that provides a higher per member per month (PMPM) rate for a whole-person care approach that includes services such as care coordination, health and oral screenings, and care transition.