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

NASHP

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. The following table provides a snapshot of the states and MLTSS programs selected for this project.

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First Do No Harm

Briggs Healthcare

and Jonathan Blum, Centers for Medicare & Medicaid Services – names you may recognize from CMS National Stakeholder Calls. As the nation’s largest payer for health care, the Centers for Medicare & Medicaid Services’ (CMS) mission in our National Quality Strategy includes ensuring everyone is safe when they receive care.

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Voices: Beth Ann Longo, Associate Director, Department of Research, The Joint Commission

Home Health Care

How did you measure the quality of that data and quantify those values in a comparable and accessible way? Longo : There are nearly 11,000 home health agencies that report data to the Centers for Medicare and Medicaid Services. The relationship between higher star ratings and accreditation seems to reflect that commitment to quality.

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Expanding the Perinatal Workforce through Medicaid Coverage of Doula and Midwifery Services

NASHP

With more than 40 percent of births financed by Medicaid, the Centers for Medicare & Medicaid Services (CMS) has developed an action plan that corresponds with goals outlined in the White House blueprint. Monitor and evaluate quality improvement and outcomes and address barriers to care. Determine structure of benefit.

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Administration Strengthens Oversight of Nation’s Poorest-Performing Nursing Homes

Briggs Healthcare

Today’s announcement is part of a series of new actions the Biden-Harris Administration is taking to increase accountability of bad actors in the nursing home industry, improve the quality of nursing homes and make them safer. Below is an excerpt from that Press Release.

Nursing 40
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Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

NASHP

Perhaps the most important is to identify specific goals and objectives early on to guide the details of design, such as the choice of quality metrics for incentive payments. In addition, it is important to build in measurement at the start and to think of state efforts as iterative — moving to tackle new priorities as performance improves.

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Behavioral Health System Modernization along the Continuum

NASHP

North Carolina’s comprehensive behavioral health approach included efforts to increase uptake of CoCM through additional training and practice supports and Medicaid rate increases to 120% of Medicare rates for behavioral health providers. An action plan dashboard tracks targets. CMS’s Birth to 5: Watch Me Thrive!