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HEDIS® Public Comment Period Is Now Open

NCQA

HEDIS measures do not constitute clinical practice guidelines, and should not be used to determine insurance or coverage. NCQA proposes to expand this measure into the Medicaid product line for members 18–64. HEDIS ® is a registered trademark of the National Committee for Quality Assurance (NCQA). ET) on March 13.

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AI-Powered Pop Health and SDOH – The Good, The Bad and The Best Practices

HIT Consultant

Code is written by humans who have unconscious biases, and those biases can creep into the algorithms of AI when Quality Assurance functions are not properly sensitized to detect them. Bias remains a big concern in AI development and use.

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Sustainability and Value: State Palliative Care Reimbursement Strategies

NASHP

There are a number of strategies state health officials can use as they build sustainable access to palliative care services in their Medicaid programs. Target Populations That Could Benefit from Palliative Care Services Use data to identify Medicaid enrollees with serious illness. Make the case for improved care and reduced costs.