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Thinking Ahead on the AHEAD Model: Primary Care AHEAD

NASHP

This blog post summarizes both the Primary Care AHEAD requirements identified by CMS and additional strategic considerations for states. Primary Care AHEAD Overview and Requirements Primary Care AHEAD is a key component of the AHEAD Model. A core aspect is a focus on alignment between payers.

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State Strategies to Support the Future of the Primary Care Physician and Nursing Workforce

NASHP

State Strategies to Support the Future of the Primary Care Physician and Nursing Workforce December 7, 2022 / by Elaine Chhean , Anita Cardwell , Lauren Block (Aurrera Health Group), and Sarah Tocher (Aurrera Health Group). High-quality primary care is foundational to a healthy society and well-functioning health care systems.

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Conceptual Framework and Strategic Considerations for Modernizing Behavioral Health Systems

NASHP

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.

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Behavioral Health Networks: What We Know Now

NCQA

Improving Accountability for Behavioral Health Care Access is our latest white paper summarizing savvy measurement of behavioral health networks. Regulators in different places and at different levels of authority use different methodologies, data sources and transparency standards. Models of care. And they matter.

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Debunking 4 Myths About Virtual Care to Drive Health Equity

HIT Consultant

Achieving health equity is now a primary goal for providers, payers, regulators, and patient advocates seeking to ensure that healthcare is accessible and effective for all. And, after COVID-19 further exposed deeply rooted health disparities across communities, the Quintuple Aim.

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Disrupting Hospital Price Increases: Using Growth Caps in Insurance Rate Review

NASHP

As major payers of health care for those enrolled in public programs and for government employees, states have a financial interest in and justification for taking action to rein in high prices. Additionally, in their role as market regulators, policymakers recognize the need to protect consumers from unchecked hospital price growth.

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The PACE Solution to Increasing Demands for Long-Term Services and Supports in the U.S.

Sheppard Health Law

According to the Congressional Research Service, which analyzed data from the Centers for Medicare & Medicaid Services (“CMS”) National Health Expenditure Accounts (“NHEA”) on the personal health expenditures for LTSS by payer, in 2021, an estimated $467.4 trillion spent on personal health care. [3] billion was spent on LTSS.