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What Hospital Success Looks Like Under Value-Based Care

HIT Consultant

To appropriately address SDoH, hospitals require care coordination technology to proactively consider these roadblocks to care and connect patients with local home- and community-based organizations to reduce patients’ reliance on hospitals and prevent avoidable visits and admissions.

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Healthcare at the Crossroads: Value-Based Care and Interoperability

HIT Consultant

The aim of such an initiative is to smooth workflows, reduce unnecessary churn, and prevent data stagnation. Similarly, WEDI was named in the Health Insurance Portability and Accountability Act of 1996 (HIPAA) legislation as an advisor to the HHS Secretary. WEDI has close working relationships with both CMS and CAQH.

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State Community Health Worker Models

NASHP

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. CDC Centers for Disease Control and Prevention. PH-MCO Physical Health Managed Care Organization. RAE Regional Accountable Entity. USPSTF United States Preventative Services Task Force. Acronym Guide.

Medicaid 122
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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. Team-Based Communication.

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How Electronic Health Records Help to Engage Patients and Reduce Errors

Medical GPS

The receptionist who answered the phone informed me I could set up an account through their online patient portal and retrieve all of the notes taken during his appointment, as well as contact his doctor, and review his medical records. His school nurse can stay up-to-date regarding his medications.

Doctors 52
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Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

People with serious and life-threatening health conditions experience care needs that drive costs, including hospital admissions , emergency department utilization , and nursing home care. Promote choice and control for people with serious illness, while taking into account their unique life circumstances; 2.

Medicaid 102
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Community Health Worker Models

NASHP

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.