Accountability, Care Transition and Quality of Care

How We Help Medicaid & Long-Term Services and Supports

NCQA

JUNE 27, 2023

Service Coordination and Monitoring: “MCOs did not adequately coordinate or monitor beneficiaries’ quality of care.” Measuring and Improving Performance: Organizations perform continuous quality improvement of their LTSS program and identify actionable steps to improve care for their members.

Medicaid

Medicaid Care Transition Quality Improvement Regulations

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

NASHP

MARCH 22, 2024

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.

Medicaid

Medicaid Nursing Medicare Integration

Why Value-Based Care Begins with Quality Education

Home Health Care

JUNE 9, 2022

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. This article is sponsored by CareAcademy.

Care Transition

Care Transition Quality of Care Accountability Medicaid

Unlock efficiency and quality of care with Microsoft Cloud for Healthcare Care management

Cloud Blogs

AUGUST 2, 2023

Modern care management platforms facilitate seamless collaboration and information sharing among care teams. With care coordination, providers can more effectively orchestrate care, leading to improved care transitions and reduced medical errors.

Quality of Care

Quality of Care Healthcare Care Transition Integration

Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Sheppard Health Law

OCTOBER 27, 2021

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.

Medicaid

Medicaid Medicare Accountable Care Accountability

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

NASHP

OCTOBER 22, 2021

In addition to a range of metrics related to promoting prevention and reducing utilization related to ambulatory care-sensitive conditions, ICSP measures have included advanced care planning, evidence of physician order for life-sustaining treatment (POLST), effective care transitions, and assessment and management of chronic pain.

Medicaid

Medicaid Hospice Care Integration Regulations

CMS Announces Strategy on Value-Based Payments for Specialty Care

Sheppard Health Law

DECEMBER 12, 2022

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. These models encourage providers to work together to coordinate care with a focus on quality.

Accountable Care

Accountable Care Accountability Primary Care Medicare

Patient Flow Challenges Contributing to Provider Burnout

HIT Consultant

MAY 17, 2022

The result is setting up in advance very predictable role accountabilities, clear technology-enabled processes, and best practices to optimize the transfer operations while reducing workforce stress. This adds stress to providers, reduces patient satisfaction, impacts the quality of care, and results in excess or avoidable days.

Tertiary Care

Tertiary Care Nursing Patient Experience Patient Safety

What Hospital Success Looks Like Under Value-Based Care

HIT Consultant

JUNE 22, 2022

Hospitals are increasingly turning to value-based care initiatives to transform care delivery, lower the total cost of care, and improve patient outcomes. the number of patient visits), providers are reimbursed based on the quality of care delivered in value-based care.

Hospitals

Hospitals Medicare Primary Care Care Transition

4 Patient Flow Challenges Contributing to Provider Burnout

HIT Consultant

JUNE 2, 2022

The result is setting up in advance very predictable role accountabilities, clear technology-enabled processes, and best practices to optimize the transfer operations while reducing workforce stress. This adds stress to providers, reduces patient satisfaction, impacts the quality of care, and results in excess or avoidable days.

Tertiary Care

Tertiary Care Nursing Patient Experience Patient Safety

How State Medicaid Programs Serve Children and Youth in Foster Care

NASHP

MAY 17, 2022

These specialized MMC programs are designed to exclusively serve either CYFC [27] or Medicaid populations with chronic and complex conditions, [28] including those in foster care. Standard MMC: Standard MMC is a type of health care delivery system designed to manage costs, utilization, and quality of care. 17] Ibid. [18]

Medicaid

Medicaid Integration Medicare Primary Care

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

NASHP

JUNE 22, 2022

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. Financing care coordination systems. Social needs.

Care Transition

Care Transition Medicaid Doctors Regulations

Health Care Quality Digest

How We Help Medicaid & Long-Term Services and Supports

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

Trending Sources

Why Value-Based Care Begins with Quality Education

Unlock efficiency and quality of care with Microsoft Cloud for Healthcare Care management

Centers for Medicare and Medicaid Innovation Center: Equity and Vision

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

CMS Announces Strategy on Value-Based Payments for Specialty Care

Patient Flow Challenges Contributing to Provider Burnout

What Hospital Success Looks Like Under Value-Based Care

4 Patient Flow Challenges Contributing to Provider Burnout

How State Medicaid Programs Serve Children and Youth in Foster Care

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

Stay Connected