Accountability, Integration, Primary Care and Quality Improvement

CMMI Prioritizes Multi-Payer Alignment in New Models

NCQA

OCTOBER 31, 2023

The Innovation Center also released the Making Care Primary (MCP) model and the GUIDE model this year, innovative solutions to achieve multi-payer alignment and focus on populations that have historically been underfunded in health care.

Primary Care

Primary Care Quality Improvement Medicaid Accountable Care

Conceptual Framework and Strategic Considerations for Modernizing Behavioral Health Systems

NASHP

MARCH 22, 2024

State Medicaid programs, behavioral health authorities, public health, departments of insurance, human and social service agencies, departments of education, departments of corrections, housing, and employment can collaborate to align overlapping efforts, align policies, and braid funding and accountability mechanisms.

Accountability

Accountability Medicaid Primary Care Quality Improvement

CAPP Shares Insights of Employer Dialogues at WHCC and SIIA

Accountable Care Doctors

AUGUST 31, 2021

These discussion forums generated many promising and innovative solutions including improving healthcare by integrating behavioral health with primary care, pursuing strategies for reducing low-value care and increasing high-value care, and developing better metrics for measuring performance in alternative payment models.

Primary Care

Primary Care Integration Doctors Accountability

CAPP Shares Insights of Employer Dialogues at WHCC and SIIA

Accountable Care Doctors

AUGUST 31, 2021

These discussion forums generated many promising and innovative solutions including improving healthcare by integrating behavioral health with primary care, pursuing strategies for reducing low-value care and increasing high-value care, and developing better metrics for measuring performance in alternative payment models.

Primary Care

Primary Care Integration Doctors Accountability

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

NASHP

OCTOBER 20, 2022

The “National Forum on Advancing High-Quality, Equitable Care Coordination for Children and Youth with Special Health Care Needs” centered on two key topics for improving care coordination systems for CYSHCN: integrated care coordination and the care coordination workforce.

Medicaid

Medicaid Integration Quality Improvement Accountability

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 3: Support Care Innovations.

Medicaid

Medicaid Medicare Accountable Care Accountability

Behavioral Health System Modernization: Comprehensive Approaches and Cross-Cutting Tools

NASHP

MARCH 22, 2024

This includes alignment across the state Medicaid and behavioral health administrations, including shared systems and shared accountability, and a unified contracting approach across all relevant state agencies to create a unified network. Colorado Colorado is engaged in multi-pronged behavioral health reform.

Medicaid

Medicaid Urgent Care Primary Care Hospitals

Aligning the Interests of Employer Purchasers and Physicians to Accelerate Value

Accountable Care Doctors

FEBRUARY 1, 2021

Employers also collectively shoulder the biggest share of national health care costs, which regularly rise faster on an annual basis than overall inflation. demanding more transparency from insurers and other intermediaries.

Primary Care

Primary Care Accountability Patient Experience Integration

Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

NASHP

AUGUST 23, 2021

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. ii] Rural areas are highly likely to suffer from shortages of primary care and other providers.

Primary Care

Primary Care Medicaid Accountability Quality Improvement

State Community Health Worker Models

NASHP

DECEMBER 10, 2021

integrating?CHWs CHWs into evolving health care systems in key areas such as financing, education and training, certification , and state definitions, roles and scope of practice. ACO Accountable Care Organizations. CBCM Community Based Care Management Program. NCQA National Committee for Quality Assurance.

Medicaid

Medicaid Primary Care Prevention Nursing

Behavioral Health System Modernization along the Continuum

NASHP

MARCH 22, 2024

It includes examples from various states organized by the framework buckets: integrated primary and behavioral health care, crisis continuum of care, in-home and in-community based, and out-of-home and community.

Medicaid

Medicaid Integration Primary Care Nursing

Community Health Worker Models

NASHP

NOVEMBER 29, 2021

This map highlights state activity to integrate CHWs into evolving health care systems in key areas such as financing, education and training, certification, and state definitions, roles and scope of practice. Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program.

Medicaid

Medicaid Primary Care Prevention Nursing

CMS Unveils “Innovation in Behavioral Health” Model to Tackle Dual Mental and Physical Health Challenges

HIT Consultant

JANUARY 22, 2024

By focusing on integrated care, addressing social determinants, and promoting health equity, the IBH Model has the potential to significantly improve the lives of millions of Americans. Performance-based incentives will further encourage quality improvement throughout the implementation period.

Medicaid

Medicaid Quality of Care Integration Medicare

Public Health Modernization Toolkit: Key Commitments, Priorities, and Strategies to Advance Collaboration between Public Health and Health Systems

NASHP

AUGUST 31, 2023

State leaders play a critical role in convening key internal and external partners, implementing engagement and input processes that foster shared ownership and accountability toward goals at the state and community levels.

Medicaid

Medicaid Accountability Public Health services Population Health

COVID-19 Lessons: A Path to a Better Health Care System

Accountable Care Doctors

OCTOBER 21, 2020

The 31 multi-specialty medical groups and integrated health systems that are part of the Council of Accountable Physician Practices (CAPP), their 85,000 physicians, and hundreds of thousands of staff are at the forefront of the battle for their patients’ lives.

Primary Care

Primary Care Integration Remote Care Population Health

Fifth Free Tool in Kidney Toolkit Helps Fight Kidney Disease

NCQA

MARCH 22, 2023

DaVita Integrated Kidney Care. As part of our drive to improve health equity , most toolkit resources are available in Spanish. Sources and Inspiration We developed the Roadmap in partnership with Bayer Healthcare Pharmaceuticals, Inc. Fresenius Health Partners—InterWell Health. Healthmap Solutions. Somatus, Inc. “In-the-Field

Primary Care

Primary Care Population Health Pharmaceuticals Accountable Care

State Strategies to Support OUD Treatment across the Criminal Legal System

NASHP

DECEMBER 20, 2022

These coordinated state efforts, often formalized in governor’s task forces, cross-agency workgroups, and legislative commissions, are predicated on an ideological shift away from solely punitive responses and toward integrating treatment into the criminal legal system. Integrate peers into crisis response teams.

Medicaid

Medicaid Prevention Integration Hospitals

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

NASHP

JUNE 22, 2022

On the other hand, a health plan may use the guide to implement a high-quality screening and assessment process through primary care providers. Recruit providers to support system improvements. Conduct research on best practices for care coordination. Support quality improvement efforts. Social needs.

Care Transition

Care Transition Medicaid Doctors Regulations

Health Care Quality Digest

CMMI Prioritizes Multi-Payer Alignment in New Models

Conceptual Framework and Strategic Considerations for Modernizing Behavioral Health Systems

Trending Sources

CAPP Shares Insights of Employer Dialogues at WHCC and SIIA

CAPP Shares Insights of Employer Dialogues at WHCC and SIIA

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Behavioral Health System Modernization: Comprehensive Approaches and Cross-Cutting Tools

Aligning the Interests of Employer Purchasers and Physicians to Accelerate Value

Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

State Community Health Worker Models

Behavioral Health System Modernization along the Continuum

Community Health Worker Models

CMS Unveils “Innovation in Behavioral Health” Model to Tackle Dual Mental and Physical Health Challenges

Public Health Modernization Toolkit: Key Commitments, Priorities, and Strategies to Advance Collaboration between Public Health and Health Systems

COVID-19 Lessons: A Path to a Better Health Care System

Fifth Free Tool in Kidney Toolkit Helps Fight Kidney Disease

State Strategies to Support OUD Treatment across the Criminal Legal System

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

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