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Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

Serious illness is “a health condition that carries a high risk of mortality and either negatively impacts a person’s daily function or quality of life or excessively strains the caregiver.”. As part of contract and systems oversight, states engage in a range of quality assessment and improvement strategies.

Medicaid 102
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Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

NASHP

Perhaps the most important is to identify specific goals and objectives early on to guide the details of design, such as the choice of quality metrics for incentive payments. In addition, it is important to build in measurement at the start and to think of state efforts as iterative — moving to tackle new priorities as performance improves.