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.

Medicaid 59

Medicaid Prevention Accountability Medicare 59

HIT Consultant

NOVEMBER 29, 2021

Children went from representing around 4 percent of all cases early in the pandemic to accounting up to 25 percent of all cases more recently. As the pandemic progressed, however, the face of the pandemic evolved from a predominantly adult disease to a progressive increase in pediatric cases. GiveItAShot. About Yolande Pengetnze.

Prevention 52

Prevention Hospitals Quality Improvement Population Health 52

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

Accountable Care Doctors

OCTOBER 21, 2020

The COVID-19 pandemic has upended health care in America, and as of this writing, is still raging on. For years, accountable, progressive physicians have spotlighted the current system’s inefficiencies and incentives that create or sustain waste, fraud, and substandard health care.

Primary Care 59

Primary Care Integration Remote Care Population Health 59

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. PH-MCO Physical Health Managed Care Organization. PHW Pandemic Health Worker. RAE Regional Accountable Entity. Rhode Island’s Medicaid Accountable Entities (similar to ACOs) may use funds earned through the Health System Transformation Project Incentive Fund to fund CHW services.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

NASHP

MAY 8, 2023

Transformation at the agency or whole government level can also include establishing organizational policies that address health disparities, systemic and shared accountability, designing culturally appropriate health care, and diversifying decision-makers. Many are changing how government and state partners do business.

Medicaid 52

Medicaid Accountability Integration Accountable Care 52

NASHP

AUGUST 23, 2021

Payment to improve capabilities. Coordinated health networks. Regional accountable entities. For example, to move from tier 3 to tier 4, the provider must meet all the requirements of tier 3 and several new requirements, such as having a well-established quality improvement process. Payment to incent performance.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

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