Accountability, Medicare, Quality Improvement and Quality of Care

Accountability

Medicare

Quality Improvement

Quality of Care

Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Sheppard Health Law

OCTOBER 27, 2021

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.

Medicaid

Medicaid Medicare Accountable Care Accountability

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

NASHP

MARCH 22, 2024

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.

Medicaid

Medicaid Nursing Medicare Integration

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Trending Sources

First Do No Harm

Briggs Healthcare

MARCH 20, 2023

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.

Patient Safety

Patient Safety Medicaid Medicare Quality of Care

GAO Report on MIPS

Healthcare ECONOMIST

OCTOBER 4, 2021

The Government Accountability Office (GAO) last week published a report evaluating the Merit-based Incentive Payment System (MIPS). MIPS is an approach for CMS to pay physicians caring for Medicare beneficiaries based not just on volume but on value. How did Medicare physicians fare on the MIPS program? Bonus points.

Medicare

Medicare Quality Improvement Quality of Care Accountability

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

HIT Consultant

OCTOBER 26, 2021

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.

Remote Care

Remote Care Healthcare Doctors Primary Care

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

OCTOBER 20, 2022

Federal agencies have also prioritized and supported advancing integrated care. For example, the Centers for Medicare & Medicaid Services Innovation Center is currently supporting the Integrated Care for Kids (InCK) model across seven sites in six states. Assessing existing strategies, capacity, and gaps.

Medicaid

Medicaid Integration Quality Improvement Accountability

CMS Unveils “Innovation in Behavioral Health” Model to Tackle Dual Mental and Physical Health Challenges

HIT Consultant

JANUARY 22, 2024

What You Should Know: – The Centers for Medicare & Medicaid Services (CMS) has taken a bold step towards improving care for individuals with both mental health conditions and substance use disorders (SUD), announcing the “ Innovation in Behavioral Health (IBH)” Model.

Medicaid

Medicaid Quality of Care Integration Medicare

6 Company Leaders On What The Medicaid Access Rule Means For The Future Of Home Care

Home Health Care

APRIL 30, 2024

This article is a part of your HHCN+ Membership Now that the Medicaid Access Rule has been finalized , home-based care’s company leaders have had time to digest it, and consider what it means for the future of the space. Cleamon Moorer Jr.,

Home Care

Home Care Medicaid Accountability Quality Improvement

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

NASHP

DECEMBER 23, 2022

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. Implement Medicaid benefit.

Medicaid

Medicaid Nursing Regulations Hospitals

Public Health Modernization Toolkit: Key Commitments, Priorities, and Strategies to Advance Collaboration between Public Health and Health Systems

NASHP

AUGUST 31, 2023

State leaders play a critical role in convening key internal and external partners, implementing engagement and input processes that foster shared ownership and accountability toward goals at the state and community levels.

Medicaid

Medicaid Accountability Public Health services Population Health

Connecticut and Pennsylvania’s Approaches to Maternity-Focused Value-Based Payment Models

NASHP

JUNE 22, 2023

paid for by Medicaid, there is growing interest in exploring how Medicaid service delivery systems can be adapted to help improve maternal health outcomes.[5] 6] VBPs, or alternative payment models, focus on reimbursement based on the quality of care provided as well as rewarding lower cost. Accessed May 1, 2023.

Medicaid

Medicaid Prevention Accountability Medicare

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

Briggs Healthcare

OCTOBER 25, 2022

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. and face increasingly severe enforcement actions if improvement is not demonstrated.

Nursing

Nursing Accountability Quality Improvement Quality of Care

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

NASHP

AUGUST 23, 2021

Lack of Access to Specialists Associated with Mortality and Preventable Hospitalizations of Rural Medicare Beneficiaries.” Health Care Access in Rural Areas: Evidence that Hospitalization for Ambulatory Care-Sensitive Conditions in the United States May Increase with the Level Of Rurality.” Payment to improve capabilities.

Primary Care

Primary Care Medicaid Accountability Quality Improvement

Behavioral Health System Modernization along the Continuum

NASHP

MARCH 22, 2024

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!

Medicaid

Medicaid Integration Primary Care Nursing

CMS Promotes Competition, Transparency, Health Equity and More in the CY2025 Medicare Advantage and Part D Proposed Rule

Sheppard Health Law

NOVEMBER 13, 2023

On November 6, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released the contract year 2025 proposed rule for Medicare Advantage (“MA”) organizations and Part D sponsors (the “Proposed Rule”). The UM committee was established in April 2023 in the 2024 Medicare Advantage and Part D Final Rule (CMS-4201-F).

Medicare

Medicare Medicaid Regulations Integration

Protecting Seniors and People with Disabilities by Improving Safety and Quality of Care in the Nation’s Nursing Homes

Briggs Healthcare

MARCH 1, 2022

million people live in over 15,500 Medicare- and Medicaid-certified nursing homes across the nation. Research also suggests that, despite depriving residents of quality care, private equity-owned nursing homes actually led to an uptick in Medicare costs , too. More than 1.4

Quality of Care

Quality of Care Nursing Accountability Medicaid

Health Care Quality Digest

Centers for Medicare and Medicaid Innovation Center: Equity and Vision

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

Trending Sources

First Do No Harm

GAO Report on MIPS

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

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

CMS Unveils “Innovation in Behavioral Health” Model to Tackle Dual Mental and Physical Health Challenges

6 Company Leaders On What The Medicaid Access Rule Means For The Future Of Home Care

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

Public Health Modernization Toolkit: Key Commitments, Priorities, and Strategies to Advance Collaboration between Public Health and Health Systems

Connecticut and Pennsylvania’s Approaches to Maternity-Focused Value-Based Payment Models

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

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

Behavioral Health System Modernization along the Continuum

CMS Promotes Competition, Transparency, Health Equity and More in the CY2025 Medicare Advantage and Part D Proposed Rule

Protecting Seniors and People with Disabilities by Improving Safety and Quality of Care in the Nation’s Nursing Homes

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