NCQA

OCTOBER 31, 2023

The GUIDE model is the first of its kind to address health care costs and target reductions in federal spending on long-term nursing home placement. And then we’re also developing an approach for certification based on quality improvement and patient experience.”

Primary Care 52

Primary Care Quality Improvement Medicaid Accountable Care 52

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. “The Why”. Ability to Foster Trust within Community-Based Organizations and Providers.

Quality Improvement 79

Quality Improvement Medicaid Population Health Medicare 79

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. CHW services could be used for many health conditions as long as there is a care plan in place written by a physician, physician assistant, nurse practitioner, or a certified nurse midwife. Acronym Guide.

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

CHW services could be used for many health conditions as long as there is a care plan in place written by a physician, physician assistant, nurse practitioner, or a certified nurse midwife. CHTs are multi-role teams (can include RNs, Health Coaches, Substance Abuse Specialists, RDs, Pharmacists, CHWs, etc.).

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

NASHP

AUGUST 23, 2021

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. Oklahoma’s care management and quality departments support the PCCM providers.

Primary Care 65

Primary Care Medicaid Accountability Quality Improvement 65