NCQA

OCTOBER 31, 2023

And then we’re also developing an approach for certification based on quality improvement and patient experience.” NCQA is eager to continue the conversation on multi-payer alignment and tracking state innovations.

Primary Care 52

Primary Care Quality Improvement Medicaid Accountable Care 52

Sheppard Health Law

OCTOBER 27, 2021

The five strategic objectives for advancing this systemwide transformation include (1) Drive Accountable Care, (2) Advance Health Equity, (3) Support Innovation, (4) Address Affordability, and (5) Partner to Achieve System Transformation. Strategic Objective 2: Advance Health Equity.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

NASHP

AUGUST 23, 2021

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.

Primary Care 62

Primary Care Medicaid Accountability Quality Improvement 62

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. NCQA National Committee for Quality Assurance. NIH National Institutes of Health. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. PHW Pandemic Health Worker.

Medicaid 120

Medicaid Primary Care Prevention Nursing 120

NASHP

OCTOBER 20, 2022

Partnerships are strongest when they are based on a collective impact model, focusing on a common vision and developing shared accountability. As a result, services were better aligned and the MCOs referred CYSHCN to the Title V CYSHCN program for care coordination given the program staff’s expertise in serving this population.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

NASHP

NOVEMBER 29, 2021

The Department of Health Care Policy and Financing (the Medicaid program administrator) does not specifically require the Regional Accountable Entities (RAEs), care coordinating entities contracted with Colorado’s Medicaid program, or other managed care entities to cover CHW services, nor does the Department pay for CHW services under FFS.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

NASHP

AUGUST 31, 2023

Figure 1 displays a consolidated overview of the “Framework for Public Health-Health Care System Collaboration.” Specific examples taken from a variety of states will be examined in greater detail throughout the toolkit.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52