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Impact of hospital mergers on quality: a case study

Healthcare ECONOMIST

Before the merger, NYULH consisted of a multispecialty academic acute care hospital (450 beds) and a specialized orthopedic, rheumatic, and neurologic treatment and rehabilitation hospital (190 beds). Before the merger, funding was lacking for technology and infrastructure investments to support quality improvement.

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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. 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.

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CalAIM: Leveraging Medicaid Managed Care for Housing and Homelessness Supports

NASHP

In January 2021, the Centers for Medicare and Medicaid Services (CMS) released a roadmap for states to address social determinants of health that includes several options for supportive housing services. ECM will be delivered through the managed care 1915(b) waiver and contracting with MCPs and is accounted for in capitation rates.

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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!

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The Direct Care Workforce

NASHP

A certified nurse assistant (CNA) is qualified to work in a Medicare-certified nursing facility. A Medicare-certified HHA is qualified to provide services through a Medicare-certified home health agency. A Medicare-certified HHA is qualified to provide services through a Medicare-certified home health agency.

Nursing 98
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CMS Promotes Competition, Transparency, Health Equity and More in the CY2025 Medicare Advantage and Part D Proposed Rule

Sheppard Health Law

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).

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State Strategies to Support OUD Treatment across the Criminal Legal System

NASHP

Notably, an earlier 2018 language amendment for the program added “promotion of effective rehabilitation” to stated purposes of the bill, emphasizing the behavioral health aspects of this approach while minimizing the punitive aspects. Support drug court budgets with cross-systems resources. Leverage policy to support MOUD.