Health Dialog

DECEMBER 1, 2015

Most risk-bearing organizations, including health plans, accountable care organizations (ACOs), and self-funded employers deploy some form of analytical strategy to inform their approach to population health management. But what that means could be as wide-ranging as: Using registries to track compliance with quality measures.

Population Health 40

Population Health Quality Assurance Healthcare Analytics Accountable Care 40

NASHP

DECEMBER 15, 2021

Medicaid reimbursement for CHW services has been added to the state plan, and some of Rhode Island’s Accountable Care Entities also employ CHWs in managed care settings. CHWs are reimbursed through the ACOs, which are part of the managed care delivery system in Massachusetts. Managed Care Contracts.

Medicaid 52

Medicaid Accountable Care Accountability Quality Assurance 52

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. MCO Managed Care Organizations. MCE Managed Care Entities. NCQA National Committee for Quality Assurance. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

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

NASHP

AUGUST 23, 2021

This program was intended to ready providers to meet increased expectations under phase 2 of Colorado’s accountable care collaborative (ACC), [iii] which was under development at that time. The Healthy Connections Value Care program went live July 1, 2021, and requires participation for PCCM providers.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64