GoMoHealth

OCTOBER 20, 2022

Partnering with Managed Care Organizations and Provider Networks to reduce costs and better manage utilization of health services. By Nakecia Taffa, Quality Improvement and Health Equity Director for GoMo Health. Health Plan Challenges. Failure to Address Healthcare Disparities.

Quality Improvement 80

Quality Improvement Medicaid Population Health Medicare 80

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 3: Support Care Innovations.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. CHWs are included for health promotion, comprehensive transitional care, individual and family support services, and referral to community and social supports. Departments of Health serve as the major CHW employers in the state.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

NASHP

OCTOBER 20, 2022

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. Data are central to both direct care coordination service provision, as well as care coordination system monitoring and quality improvement efforts.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

NASHP

NOVEMBER 29, 2021

CHWs are included for health promotion, comprehensive transitional care, individual and family support services, and referral to community and social supports. In addition, Coordinated Care Organizations are required to include traditional healthcare workers, like CHWs, on their care teams.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

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 88

Medicaid Quality of Care Integration Medicare 88

NASHP

AUGUST 31, 2023

Figure 1 displays a consolidated overview of the “Framework for Public Health-Health Care System Collaboration.” Partners identified the misalignment of local health districts’ five-year community health planning cycles with hospital systems’ three-year CHNAs and planning cycles as a barrier to coordination on health goals.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52