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 98

Medicaid Integration Quality Improvement Accountability 98

NASHP

DECEMBER 14, 2021

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.

Hospitals 113

Hospitals Primary Care Regulations Accountability 113

NASHP

OCTOBER 22, 2021

Since 2014 (first under its “Dual Demo” demonstration and then later via D-SNP contracts), the state has enabled Medicaid MCOs to participate in value-based purchasing through its Integrated Care System Partnerships (ICSP) model. In Rhode Island, MCO plans of care must include “interventions to address special needs (e.g.,

Medicaid 101

Medicaid Hospice Care Integration Regulations 101

Sheppard Health Law

JANUARY 2, 2024

At long last, the cost and market impact review (CMIR) regulations promulgated by the California Office of Health Care Affordability (OHCA) have been approved by the California Office of Administrative Law (OAL). Who is subject to the CMIR process?

Regulations 59

Regulations Healthcare Primary Care Health Science 59

Icanotes

APRIL 13, 2021

The clearinghouse should use a secure connection compliant with the Health Insurance Portability and Accountability Act (HIPAA). That efficiency saves you time and allows you to provide a higher quality of care to the people you treat. Consistency and Accountability with 835s. Do you bill electronically?

Accountability 59

Accountability Healthcare Providers Quality of Care Regulations 59

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 52

Medicaid Integration Primary Care Nursing 52

Sheppard Health Law

NOVEMBER 13, 2023

Enhance Guardrails for Agent and Broker Compensation Over the last few years, CMS has issued new regulations and subregulatory guidance intended to address abusive marketing practices by third party marketing organizations (“TPMOs”) that sell MA and Part D plans.

Medicare 59

Medicare Medicaid Regulations Integration 59

NASHP

JUNE 22, 2022

This section of the guide outlines considerations, examples, and resources for: Identifying stakeholders and establishing partnerships across care coordination and child-serving systems. Assessing care coordination system capacity, gaps, and process improvements. Financing care coordination systems. Meet quality requirements.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52