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. 3,000 noncompliant for variety of preventive care screenings or follow-up. “The Why”.

Quality Improvement 79

Quality Improvement Medicaid Population Health Medicare 79

NASHP

SEPTEMBER 8, 2023

from maternal-related causes , with more than 80 percent of these deaths being preventable. Factors that can lead to a pregnancy-related death include access to care and timeliness of diagnoses. American Indian, Alaskan Native, and Black women are two to three times more likely to die of pregnancy-related causes than White women.

Medicaid 80

Medicaid Performance improvement Quality Improvement Accountable Care 80

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. CDC Centers for Disease Control and Prevention. PH-MCO Physical Health Managed Care Organization. RAE Regional Accountable Entity. USPSTF United States Preventative Services Task Force. Acronym Guide.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

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. There are currently some Accountable Care Organizations (ACOs) that cover the cost of CHW services through Medicaid administrative payments.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

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

AUGUST 23, 2021

[ii] These shortages of primary care providers (PCPs), who serve as the entry point to medical care and often play a large role in coordinating patient care, create challenges for residents of rural areas, the PCPs who serve them, and the Medicaid agencies responsible for providing access to services for program participants throughout the state.

Primary Care 65

Primary Care Medicaid Accountability Quality Improvement 65