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CMMI Prioritizes Multi-Payer Alignment in New Models

NCQA

“ It’s a marathon, not a sprint ,” said Liz Fowler, Director at the Center of Medicare and Medicaid Innovation (CMMI), during a recent Fireside Chat with NCQA Executive Vice President Eric Schneider. And then we’re also developing an approach for certification based on quality improvement and patient experience.”

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Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Sheppard Health Law

On October 20, 2021, the Centers for Medicare and Medicaid (“ CMS ”) Innovation Center (“ Innovation Center ”) published a white paper detailing its vision for the next ten years: a health system that achieves equitable outcomes through high quality, affordable, person-centered care.

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

NASHP

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.

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

NASHP

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.

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How Healthcare Facilities Can Prepare for Expanded Inclusion Criteria for Telehealth and RPM Solutions in Value-Based Care Settings

HIT Consultant

As patients move from the acute to post-acute care setting, they are often discharged without the proper tools to successfully support their transition of care. In fact, 57% of Medicare patients are released from the hospital without any post-discharge monitoring. Another benefit of RPM? The same applies to an RPM program.

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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

In spite of these barriers, and to help address them, states have implemented innovations to improve integrated care coordination for CYSHCN. Federal agencies have also prioritized and supported advancing integrated care. Assessing existing strategies, capacity, and gaps. Leveraging Data and Technology.

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Homebound Seniors Remain Disproportionately Costly For Medicare

Home Health Care

Homebound seniors contribute to higher overall Medicare spending compared to their non-homebound counterparts, according to a recent study from researchers at the Icahn School of Medicine at Mount Sinai. Additionally, Medicare spending is $11,346 higher among homebound seniors. Homebound patients heavily utilize hospital-based care.

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