Cloud Blogs

AUGUST 2, 2023

An unprecedented amount of data exists in healthcare. Care management in healthcare involves a complex web of patient information, communication, and manual processes that without integration can hinder the delivery of efficient and coordinated care. Figure 1: Care management patient summary page.

Quality of Care 95

Quality of Care Healthcare Care Transition Integration 95

NASHP

DECEMBER 10, 2021

PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program. MassHealth ACOs, which are part of their managed care delivery system, serve about 1 million MassHealth members.

Medicaid 121

Medicaid Primary Care Prevention Nursing 121

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

FEBRUARY 15, 2023

Today, worldwide digital interconnectivity is growing, enabling telehealth to advance health equity, bring access to care for underserved regions and meet the urgent, primary and behavioral healthcare needs of an exploding global population. It has been a remarkable journey for the innovators who pioneered telemedicine.

Telemedicine 98

Telemedicine Urgent Care Primary Care Integration 98

Sheppard Health Law

DECEMBER 12, 2022

To drive accountable care, CMS announced in 2021 its goal to transition 100% of Medicare beneficiaries and the vast majority of Medicaid beneficiaries into accountable care organization (ACO) relationships by 2030. Through this shift, CMS aims to examine and enhance payments for specialty care provided to Medicare beneficiaries.

Accountable Care 52

Accountable Care Accountability Primary Care Medicare 52

HIT Consultant

JUNE 22, 2022

Leveraging technology, providers more effectively communicate with other stakeholders to align on shared goals for the patient, gain enhanced visibility into critical patient outcomes, and streamline care coordination. Here are five ways hospitals can use technology to succeed under value-based care: 1. Reduce hospital admissions.

Hospitals 98

Hospitals Medicare Primary Care Care Transition 98

NASHP

AUGUST 9, 2021

The Substance Abuse and Mental Health Services Administration (SAMHSA) recommends screening pregnant women for SUD in multiple settings, including the emergency department, OB/GYN visits, primary care visits, and well-child visits. [15] SBIRT) [22] in multiple health settings, including emergency rooms and pediatric primary care.

Medicaid 52

Medicaid Prevention Primary Care Hospitals 52

NASHP

JUNE 22, 2022

Shared Plan of Care. Care Coordination Workforce. Care Transitions. health plans, providers, families of CYSHCN) in using, adapting, and implementing the National Care Coordination Standards for CYSHCN to develop or improve care coordination systems. Family Experiences with Care Coordination (FECC).

Care Transition 52

Care Transition Medicaid Doctors Regulations 52