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CMS Medicaid Proposals Offer Transparency And Accountability, But Compensation Provision Could Cap Business For Cash-Strapped Providers

Home Health Care

Centers for Medicare & Medicaid Services (CMS) proposed a new rule that would make major changes to the way that home care workers are compensated under Medicaid. It’s a step towards additional transparency and accountability, including state, payer and provider,” he told HHCN. “I On Thursday, the U.S. and North Carolina.

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Lessons for Advancing and Sustaining State Community Health Worker Partnerships

NASHP

Medicaid reimbursement for CHW services has been added to the state plan, and some of Rhode Island’s Accountable Care Entities also employ CHWs in managed care settings. States may submit state plan amendments to the Centers for Medicare and Medicaid services to allow reimbursement for CHW services through Medicaid.

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Sustainability and Value: State Palliative Care Reimbursement Strategies

NASHP

States may want to consider how palliative care can support these efforts: Accountable care organizations (ACOs): Eleven states currently support Medicaid ACO models that require provider-led organizations to meet quality and cost benchmarks to share in savings.

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

NASHP

Lack of Access to Specialists Associated with Mortality and Preventable Hospitalizations of Rural Medicare Beneficiaries.” Regional accountable entities. This PBP will be adjusted for provider performance on no more than 10 quality measures, one of which is total cost of care and another antidepressant medication management.