Remove Accountability Remove Care Transition Remove Prevention Remove Regulations
article thumbnail

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 120
article thumbnail

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

NASHP

Well-coordinated care that anticipates and manages the symptoms and stressors of serious illness can help people with these and other complex conditions reduce pain and suffering , avoid receiving treatment that does not align with their wishes , and prevent overutilization of care. Goals Principles.

Medicaid 100
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

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.

article thumbnail

3 Ways to Instantly Improve the Referral-to-Appointment Ratio of Your Practice

HIT Consultant

And it’s becoming harder and harder for patients to get appointments with their PCP or the specialists they have been referred to for advanced care. A high RTA benefits all stakeholders by getting patients the care they need in a timely manner and by supporting current, and most importantly, future healthcare delivery models.

article thumbnail

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.