Accountable Care Doctors

JUNE 14, 2021

Primary care must be supported as the hub of integrated service delivery, with an emphasis on delivering preventive care and coordinating services through the various settings and specializations. Employers and providers find common goals.

Primary Care 52

Primary Care Integration Quality of Care Accountability 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 1: Drive Accountable Care. FOOTNOTES. [1]

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Accountable Care Doctors

AUGUST 31, 2021

These discussion forums generated many promising and innovative solutions including improving healthcare by integrating behavioral health with primary care, pursuing strategies for reducing low-value care and increasing high-value care, and developing better metrics for measuring performance in alternative payment models.

Primary Care 52

Primary Care Integration Doctors Accountability 52

Accountable Care Doctors

AUGUST 31, 2021

These discussion forums generated many promising and innovative solutions including improving healthcare by integrating behavioral health with primary care, pursuing strategies for reducing low-value care and increasing high-value care, and developing better metrics for measuring performance in alternative payment models.

Primary Care 52

Primary Care Integration Doctors Accountability 52

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. CDC Centers for Disease Control and Prevention. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. RAE Regional Accountable Entity. Acronym Guide. SPA State Plan Amendment.

Medicaid 120

Medicaid Primary Care Prevention Nursing 120

Accountable Care Doctors

JUNE 14, 2021

Primary care must be supported as the hub of integrated service delivery, with an emphasis on delivering preventive care and coordinating services through the various settings and specializations. Employers and providers find common goals.

Primary Care 52

Primary Care Integration Quality of 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

Health Dialog

FEBRUARY 2, 2016

This is the final post in my three-part series on the successful implementation of Population Care Managers (PCMs) within Accountable Care Organization (ACO) and Patient Centered Medical Home settings. The primary objective for any ACO or at-risk provider is to deliver value-based care and reduce wasteful spending.

Population Health 40

Population Health Primary Care Accountable Care Doctors 40

Accountable Care Doctors

NOVEMBER 9, 2020

Patients with chronic illnesses should have access to home-monitoring equipment, when clinically appropriate, that keeps their physicians and care teams informed of their condition. Invest in Primary Care and Prevention. New initiatives such as hospital-at-home should be further explored and developed.

Accountability 52

Accountability Remote Care Primary Care Integration 52

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

NASHP

OCTOBER 20, 2022

In Rhode Island , the public health agency conducted a study to better understand the capacity of the CHW workforce, which includes parent consultants who provide care coordination for CYSHCN through the Rhode Island Parent Information Network.[18] Supporting a diverse care coordination workforce. Leveraging Data and Technology.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

NASHP

AUGUST 31, 2023

Interviewees shared a range of perspectives, including those of local health departments, the state’s sheriff’s association, the state medical society, community health centers, hospital and primary care associations, funders, a CBO, aging and assisted living partners, consumer advocacy groups, and legislators.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

Accountable Care Doctors

OCTOBER 21, 2020

Recognize that primary care and prevention are the tools that will keep Americans healthy and build a health care system to support it. The patient experience also significantly improves when care is coordinated versus delivered piecemeal. Today, health care is a team sport.

Primary Care 59

Primary Care Integration Remote Care Population Health 59

NCQA

MARCH 22, 2023

Four Roadmap Landmarks The Roadmap is organized around four “landmarks”—key steps on the path to better CKD care. Slowing or preventing disease progression is possible if the disease is treated early. Center care on patients. Identify patients with CKD.

Primary Care 52

Primary Care Population Health Pharmaceuticals Accountable Care 52

NASHP

AUGUST 24, 2023

Blue Shield offers a range of palliative care services, including: Value-based purchasing: Over the past decade, state Medicaid agencies have designed and implemented a range of initiatives focused on value, using payment to incentivize provider behaviors that can reduce unnecessary care and improve outcomes.

Medicaid 52

Medicaid Quality Assurance Quality of Care Hospitals 52