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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

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. The goal of the PCPlus initiative is to provide primary care practices with more flexibility in care delivery while reducing inefficiencies.

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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

Under the PHE, states must keep Medicaid enrollees continuously covered, irrespective of their circumstances. . The goal of the PHE was to help low-income people receive appropriate preventive and primary care during the pandemic without disruptions in coverage.

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Bamboo Health Streamlines Care Collaboration for Oak Street Health for Real-Time Patient Event Notifications

HIT Consultant

What You Should Know: – Bamboo Health announced that it has expanded its care coordination partnership with Oak Street Health intended to arm the network of value-based primary care centers (for Medicare) with an additional level of resources for managing real-time patient event notifications.

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More than a Feeling: Using Research and Data to Drive Home-and Community-Based Services Improvements 

NASHP

For example, Washington’s family caregiver support program within its Medicaid 1115 waiver was built upon data from a state-only program for unpaid caregivers of adults with movement or cognitive limitations. The state evaluated the impact of expanding its family caregiver support program in 2012.

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State Community Health Worker Models

NASHP

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 ACO Accountable Care Organizations. MCO Managed Care Organizations. MCE Managed Care Entities. MHP Medicaid Health Plans.

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Community Health Worker Models

NASHP

Medicaid Reimbursement. Medicaid Reimbursement. Alabama does not reimburse for CHW services through its Medicaid program. Alaska Medicaid reimburses for CHW services through MCOs as authorized under the state plan. Arizona does not currently reimburse for CHW services through its Medicaid program.