NCQA

OCTOBER 31, 2023

And then we’re also developing an approach for certification based on quality improvement and patient experience.” NCQA is eager to continue the conversation on multi-payer alignment and tracking state innovations.

Primary Care 52

Primary Care Quality Improvement Medicaid Accountable Care 52

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. FOOTNOTES. [1]

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

NASHP

AUGUST 23, 2021

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. ii] Rural areas are highly likely to suffer from shortages of primary care and other providers.

Primary Care 62

Primary Care Medicaid Accountability Quality Improvement 62

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. MHP Medicaid Health Plans. NCQA National Committee for Quality Assurance. NIH National Institutes of Health. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization.

Medicaid 120

Medicaid Primary Care Prevention Nursing 120

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

Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program. The PCCM program incentivizes primary care providers to incorporate CHWs into their care coordination model by offering a higher per-member per-month (PMPM) case management payment.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

HIT Consultant

JANUARY 22, 2024

The IBH Model aims to bridge the gap between behavioral and physical health by: Empowering community-based behavioral health practices: These practices, including mental health centers, opioid treatment programs, and safety net providers, will become the central point of care, offering integrated services for both mental and physical health needs.

Medicaid 97

Medicaid Quality of Care Integration Medicare 97