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

NASHP

During a recent virtual meeting focused on alternative payment approaches, Maine state officials detailed how the state intends to use its Primary Care Plus (PCPlus) program to reimburse for CHW services.­ Care management extender roles will fit into the existing PMPM capitation payment model.

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Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Sheppard Health Law

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 1: Drive Accountable Care.

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

HIT Consultant

The goal of the PHE was to help low-income people receive appropriate preventive and primary care during the pandemic without disruptions in coverage. There has never been a greater need for state and federal health and human services agencies to collaborate and take decisive action nowto be prepared.

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CMS Announces Strategy on Value-Based Payments for Specialty Care

Sheppard Health Law

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.

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How State Medicaid Programs Serve Children and Youth in Foster Care

NASHP

In response to the growing recognition of the value of investing in strategies that better serve children in or at-risk of out-of-home placement, a number of federal initiatives have emerged, resulting in significant changes to child welfare and spurring renewed efforts to better integrate care across child-serving systems. [5]

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

NASHP

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.