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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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State Community Health Worker Models

NASHP

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. CDC Centers for Disease Control and Prevention. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. RAE Regional Accountable Entity. Acronym Guide. SPA State Plan Amendment.

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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.

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From Telemedicine to Complete Virtual Care and Beyond

HIT Consultant

Today, physicians, patients and payers benefit from virtual care options that can be scaled to provide users with access to a wide range of providers, healthcare services and diagnostics that enable remote monitoring and testing which is especially important for chronic condition management.

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What Hospital Success Looks Like Under Value-Based Care

HIT Consultant

With the right technology, providers can monitor patients across the continuum, identify when patients present to the ED, intervene in a timely manner, and reroute patients to a less costly level of care. As touched on above, post-acute care delivered in the SNF setting accounts for a significant portion of Medicare fee-for-service costs.

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How State Medicaid Programs Serve Children and Youth in Foster Care

NASHP

In 2007, 29 states provided health care services to children in child welfare through MMC. [24] managed care organizations, primary care case management, prepaid ambulatory health plans, and prepaid inpatient health plans) to serve some or all CYFC. One-time financial stipends. Evaluation of educational options.

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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. Team-Based Communication. How to Use This Guide.