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CMMI Prioritizes Multi-Payer Alignment in New Models

NCQA

And then we’re also developing an approach for certification based on quality improvement and patient experience.”

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Managing Managed Care: Closing Gaps in Care for Payers, Providers and Members

GoMoHealth

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.

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Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Sheppard Health Law

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.

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National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

NASHP

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.

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State Community Health Worker Models

NASHP

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. There are currently some Accountable Care Organizations (ACOs) that cover the cost of CHW services through Medicaid administrative payments. Acronym Guide. APM Alternative Payment Model. CBO Community Based Organization.

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Public Health Modernization Toolkit: Key Commitments, Priorities, and Strategies to Advance Collaboration between Public Health and Health Systems

NASHP

Figure 1 displays a consolidated overview of the “Framework for Public Health-Health Care System Collaboration.” Such models can incentivize health, public health, and social service partners to work collectively to address health-related social needs and work to improve population health outcomes.

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CMS Unveils “Innovation in Behavioral Health” Model to Tackle Dual Mental and Physical Health Challenges

HIT Consultant

Implementation (model years 4-8): States will implement a Medicaid payment model that rewards practices for delivering integrated care, while selected practices can also participate in an additional Medicare payment model. Performance-based incentives will further encourage quality improvement throughout the implementation period.