Care Transition, Integration and Medicaid - Health Care Quality Digest

Learning Intensive on State Oversight of Medicaid Managed Long-Term Services and Supports for Older Adults and Adults with Disabilities: Request for State Applications

NASHP

MARCH 1, 2024

rebalancing spending to improve access to home and community-based services, improving care transitions, or encouraging greater care coordination) Innovative oversight approaches for Medicare/Medicaid integrated models What’s In It for States?

Medicaid

Medicaid Care Transition Medicare Integration

State Oversight and Innovations in Medicaid-Managed Long-Term Services and Supports (MLTSS) Serving Older Adults and People with Disabilities

NASHP

MARCH 22, 2024

States are increasingly turning to capitated Medicaid managed care programs to deliver long-term services and supports (LTSS) to individuals with complex needs. California does cover skilled nursing facility care in its MLTSS program, but most personal care services (in-home supportive services) are provided under FFS.

Medicaid

Medicaid Nursing Medicare Integration

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

NASHP

OCTOBER 22, 2021

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care October 25, 2021 / by Salom Teshale, Kitty Purington, Wendy Fox-Grage, and Mia Antezzo. Comprehensive care coordination. billion on chronic obstructive pulmonary disease (COPD) per year. Assessment and management of pain and other symptoms.

Medicaid

Medicaid Hospice Care Integration Regulations

Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Sheppard Health Law

OCTOBER 27, 2021

On October 20, 2021, the Centers for Medicare and Medicaid (“ CMS ”) Innovation Center (“ Innovation Center ”) published a white paper detailing its vision for the next ten years: a health system that achieves equitable outcomes through high quality, affordable, person-centered care. Strategic Objective 2: Advance Health Equity.

Medicaid

Medicaid Medicare Accountable Care Accountability

UHF Highlights Methods to Improve SNF-to-Home Transitions

Home Health Care

FEBRUARY 14, 2022

The aim of the partnership was to enhance care transitions. One takeaway for home health providers is the importance of working with SNFs to further strengthen SNF-to-home transitions. Centers for Medicare & Medicaid Services (CMS). Centers for Medicare & Medicaid Services (CMS).

Care Transition

Care Transition Nursing Medicare Medicaid

Why The End of the Public Health Emergency is Everyone’s Problem

HIT Consultant

MARCH 8, 2022

Under the PHE, states must keep Medicaid enrollees continuously covered, irrespective of their circumstances. . By December 2021, enrollment in Medicaid and CHIP (Children’s Health Insurance Program) grew to a record high of more than 83 million individuals, primarily due to the continuous coverage requirements of the PHE.

Medicaid

Medicaid Primary Care Care Transition Federal Healthcare

The Future of Aging Policy: A Snapshot of State Priorities

NASHP

SEPTEMBER 20, 2022

To identify emerging state aging policy priorities, NASHP — with support from the West Health Policy Center — conducted a series of key informant interviews with a wide range of state officials, including health and human services secretaries/commissioners, Medicaid directors, aging and disability directors, and legislators.

Medicaid

Medicaid Nursing Regulations Care Transition

Q&A: Using an Alternative Payment Model to Support Community Health Worker Sustainability in Maine’s Primary Care Plus Program

NASHP

FEBRUARY 27, 2023

As states are seeking sustainable financing models and partnerships that offer continued support for the CHW services beyond the COVID-19 pandemic, many are exploring Medicaid reimbursement models. APMs can apply to a specific clinical condition, a care episode, or a population.” What is an Alternative Payment Model?

Primary Care

Primary Care Medicaid Care Transition Medicare

Why Value-Based Care Begins with Quality Education

Home Health Care

JUNE 9, 2022

The shift to value-based care. Connecting training with outcomes serves patients and staff, but the shift to value-based care means attention to outcomes is imperative as home-based care transitions to rewarding providers for the quality of the care they deliver.

Care Transition

Care Transition Quality of Care Accountability Medicaid

State Community Health Worker Models

NASHP

DECEMBER 10, 2021

The information on this map comes from a 50-state survey of a variety of stakeholders, ranging from Medicaid officials to Community Health Workers, on their states’ approaches?to?integrating?CHWs integrating?CHWs ACO Accountable Care Organizations. MCO Managed Care Organizations. MCE Managed Care Entities.

Medicaid

Medicaid Primary Care Prevention Nursing

How State Medicaid Programs Serve Children and Youth in Foster Care

NASHP

MAY 17, 2022

How State Medicaid Programs Serve Children and Youth in Foster Care May 17, 2022 / Veronnica Thompson. Children and youth in foster care (CYFC) often benefit from targeted services and supports. Yet, many receive fragmented or limited access to care, contributing to higher rates of unmet health needs. [1]

Medicaid

Medicaid Integration Medicare Primary Care

Community Health Worker Models

NASHP

NOVEMBER 29, 2021

This map highlights state activity to integrate CHWs into evolving health care systems in key areas such as financing, education and training, certification, and state definitions, roles and scope of practice. Medicaid Reimbursement. Medicaid Reimbursement.

Medicaid

Medicaid Primary Care Prevention Nursing

California and Ohio Advancing Equity for Older Adults and Family Caregivers

NASHP

NOVEMBER 3, 2023

The strategies have the following commonalities: The goals, outcomes, and strategies have integrated principles of equity and inclusivity, with a special focus on addressing the needs and priorities of underserved populations and communities.

Home Care

Home Care Prevention Population Health Rehabilitation

Healthcare at the Crossroads: Value-Based Care and Interoperability

HIT Consultant

OCTOBER 7, 2021

Value-based care, a model that rewards better patient health outcomes, has experienced a surge in interest amid heightened consumer awareness and among payers seeking to lower costs and stabilize reimbursement. The important question remains: how should we best approach the pivotal task of integrating two critical healthcare transformations?

Healthcare

Healthcare Nursing Care Transition Accountability

Aligning Quality Measures with the National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN)

NASHP

JUNE 22, 2022

The National Care Coordination Standards for CYSHCN, released by the National Academy for State Health Policy in October 2020, describe the importance of focusing care coordination quality measurement for pediatric populations on the extent to which patients’ and families’ goals and needs are met and burdens reduced. [8] Score – 12).

Doctors

Doctors Medicaid Quality of Care Healthcare Providers

State Maternal Mortality Review Committees Address Substance Use Disorder and Mental Health to Improve Maternal Health

NASHP

AUGUST 9, 2021

Nearly every state that reviews pregnancy-related deaths has recommendations focusing on: Ensuring adequate insurance coverage and payment, Increasing early identification and referrals, Ensuring referrals and follow-up care, and/or. Expand Medicaid coverage for postpartum women. Increasing access to specific services.

Medicaid

Medicaid Prevention Primary Care Hospitals

CMS Announces Strategy on Value-Based Payments for Specialty Care

Sheppard Health Law

DECEMBER 12, 2022

The Centers for Medicare & Medicaid Services (CMS) Innovation Center continues to move forward with its “strategic refresh” initiative. Through this shift, CMS aims to examine and enhance payments for specialty care provided to Medicare beneficiaries. Value-Based Care and ACOs.

Accountable Care

Accountable Care Accountability Primary Care Medicare

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

NASHP

JUNE 22, 2022

Shared Plan of Care. Care Coordination Workforce. Care Transitions. public health, Medicaid, mental health) and other stakeholders (e.g., On the other hand, a health plan may use the guide to implement a high-quality screening and assessment process through primary care providers. State Medicaid agencies.

Care Transition

Care Transition Medicaid Doctors Regulations

Health Care Quality Digest

Learning Intensive on State Oversight of Medicaid Managed Long-Term Services and Supports for Older Adults and Adults with Disabilities: Request for State Applications

State Oversight and Innovations in Medicaid-Managed Long-Term Services and Supports (MLTSS) Serving Older Adults and People with Disabilities

Trending Sources

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

Centers for Medicare and Medicaid Innovation Center: Equity and Vision

UHF Highlights Methods to Improve SNF-to-Home Transitions

Why The End of the Public Health Emergency is Everyone’s Problem

The Future of Aging Policy: A Snapshot of State Priorities

Q&A: Using an Alternative Payment Model to Support Community Health Worker Sustainability in Maine’s Primary Care Plus Program

Why Value-Based Care Begins with Quality Education

State Community Health Worker Models

How State Medicaid Programs Serve Children and Youth in Foster Care

Community Health Worker Models

California and Ohio Advancing Equity for Older Adults and Family Caregivers

Healthcare at the Crossroads: Value-Based Care and Interoperability

Aligning Quality Measures with the National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN)

State Maternal Mortality Review Committees Address Substance Use Disorder and Mental Health to Improve Maternal Health

CMS Announces Strategy on Value-Based Payments for Specialty Care

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

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