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

Home Health Care

It’s a step towards additional transparency and accountability, including state, payer and provider,” he told HHCN. “I Aside from the 80% provision, the proposal also establishes a new strategy for oversight, monitoring, quality assurance and quality improvement for HCBS programs. and North Carolina.

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The National Imperative to Improve Nursing Home Quality

Briggs Healthcare

Extreme care needs to be taken to ensure that quality improvement initiatives are implemented using strategies that do not exacerbate disparities in resources, quality of care, or resident outcomes. High-quality research is needed to advance the quality of care in nursing homes.

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State Use of Behavioral Health Performance Measures in Medicaid Managed Care Contracting

NASHP

Performance measurement is a pillar of state Medicaid managed care quality improvement and oversight efforts, is often factored into plan payment, and supports public reporting.

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State Community Health Worker Models

NASHP

ACO Accountable Care Organizations. NCQA National Committee for Quality Assurance. 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. Acronym Guide.

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

NASHP

Payment to improve capabilities. 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. Using payment to create incentives to improve performance.