NASHP

SEPTEMBER 8, 2023

Over the past two years, the seven state teams that participated in the MCH PIP Policy Academy, comprised of officials from state Medicaid, public health, and other relevant agencies/groups (e.g., The state Medicaid agency is in the process of standing up this case management program based on input received during these sessions.

Medicaid 80

Medicaid Performance improvement Quality Improvement Accountable Care 80

Healthcare It News

OCTOBER 25, 2022

"Unless the Senate acts, we will be forced to go backward to pre-pandemic policies that ignore the innovative telehealth approaches that improve both patient safety and health equity." Those risks to maternal health have only increased during the pandemic.

Patient Safety 226

Patient Safety Prevention Medicaid Medicare 226

NASHP

MARCH 29, 2024

Approaches include allowing family caregivers to receive Medicaid reimbursement , providing culturally competent trainings and peer supports, making respite care more accessible for caregivers, and offering behavioral health supports for caregivers. skilled nursing, home health care, behavioral health, etc.)

Medicaid 125

Medicaid Quality of Care Quality Assurance Nursing 125

HIT Consultant

NOVEMBER 2, 2023

Collaboration aims to drive coordinated care and improve quality while reducing costs NS-EEH will strengthen its clinically integrated network (CIN) by incorporating Lumeris’ population health data platform into its value-based care strategy.

Accountable Care 52

Accountable Care Population Health Accountability Medicaid 52

HIT Consultant

AUGUST 15, 2023

These technological advancements allow tailored care plans, utilization of social determinants of health data for risk identification, and the agility to create unique benefit plans. Generational and Segment Variations: Survey data highlights variations in satisfaction based on different demographics and plan types.

Medicaid 98

Medicaid Medicare Health Data Healthcare 98

HIT Consultant

FEBRUARY 8, 2024

As part of their obligations under the Centers for Medicare & Medicaid Services (CMS) programs, hospitals are mandated to transmit ADT notifications to community providers. Additionally, a legal requirement mandates most California hospitals to comply with this regulation by January 31, 2024.

Nursing 52

Nursing Hospitals Regulations Health Data 52

HIT Consultant

MARCH 15, 2023

Therefore, unlocking the correct data–at the individual patient and population levels–is critical to reversing this crisis. If providers could easily and securely access dynamic and actionable behavioral health data, they could develop more effective treatment plans based on a patient’s complete history.

Accountability 98

Accountability Accountable Care Medicaid Healthcare Innovation 98

HIT Consultant

AUGUST 8, 2022

The data represent the privately insured population, including Medicare Advantage and excluding Medicare Fee-for-Service and Medicaid. Launched in May 2020 as a free service, the Monthly Telehealth Regional Tracker uses FAIR Health data to track how telehealth is evolving from month to month. percent in May.

Primary Care 98

Primary Care Medicare Medicaid Prevention 98

NASHP

OCTOBER 27, 2021

In Connecticut a partnership between the Connecticut Coalition to End Homelessness and the Connecticut Department of Housing established an initiative to match Medicaid and HMIS data. This NASHP blog highlights Connecticut’s work to match Medicaid and HMIS data. Resources on Data Sharing. HMIS and Medicaid.

Medicaid 52

Medicaid Health Data Integration Prevention 52

NCQA

JULY 17, 2023

We want to evolve HEDIS as the best performance measurement system for: Improving health equity. With that goal in mind, we are revising HEDIS measures to: Better align with digital health data standards. Leverage electronic clinical data. Encourage standardized exchange of health information.

Ambulatory Care 52

Ambulatory Care Medicaid Accountability Prevention 52

Health Populi

FEBRUARY 15, 2022

When Abner met up with investors in the venture capital community at the time, he said it was “a struggle to talk to people about a solution that focused on the underserved and Medicaid.” Abner would talk about Medicaid, and the VC community didn’t understand what Medicaid was having little to no exposure to the payor.

Telemedicine 113

Telemedicine Medicaid Accountability Health Data 113

NASHP

MAY 8, 2023

For example, in the health care arena, states are leveraging National Committee for Quality Assurance (NCQA) HEDIS measures and requiring Medicaid and commercial health plans to report stratified HEDIS measures. A sample report shows the analysis of combined SVI and demographic data.

Medicaid 52

Medicaid Quality Improvement Quality Assurance Hospitals 52

Bookzurman

AUGUST 20, 2021

Healthcare providers, health information networks, and health IT developers of certified health IT are all required to implement these new rules. Perhaps you overlooked the details because you assumed the rules aren’t relevant if you don’t do business with Medicare/Medicaid?

Medicaid 96

Medicaid Medicare Health Data Healthcare Providers 96

HIT Consultant

MAY 9, 2022

The FAIR Health data represent the privately insured population, including Medicare Advantage and excluding Medicare Fee-for-Service and Medicaid. Telehealth Utilization Decline. Following three months of growth, telehealth utilization declined 9.3 percent nationally in February 2022, from 5.4 percent in February.

Medicare 98

Medicare Medicaid Prevention Health Data 98

NCQA

SEPTEMBER 7, 2023

Behavioral Health Care Integration: Challenges and Opportunities for Quality Measurement , is our newest issue brief. The 12-page report: Discusses why measuring behavioral health care in primary care is hard. Incentivizing high-quality behavioral health measure performance. Recommends ways to make measurement better.

Primary Care 59

Primary Care Integration Medicaid Health Data 59

Bill Of Health

OCTOBER 26, 2022

Passed in 1986, EMTALA requires hospitals accepting Medicaid or Medicare payments from HHS or CMS to provide abortion care necessary to address emergency medical conditions. Because most hospitals rely on Medicaid and Medicare payments, the law currently applies to nearly all hospitals in the U.S. OCR HIPAA Privacy Rule Guidance.

Medicaid 73

Medicaid Medicare Hospitals Health Data 73

NCQA

AUGUST 2, 2023

“Making Data Useful” is one of six themes or topics we’ll focus on at our Health Innovation Summit 2023. The Trouble With Today’s Health Data Remember when health data were scarce? Today, the amount and sources of data are vast. Those days are over.

Quality Improvement 52

Quality Improvement Health Data Medicaid Medicare 52

HIT Consultant

JANUARY 16, 2023

The global interoperability standard can be used for exchanging health data between physicians and patients, as well as among clinicians and healthcare systems. patient-facing FHIR apps are a requirement for electronic health record certification in accordance with the 21st Century Cures Act. In the U.S.,

Medicaid 98

Medicaid Medicare Healthcare Health Data 98

p3care

JULY 2, 2023

Thereby, they have mandated the use of ONC-certified health IT. Centers for Medicare & Medicaid Services (CMS) Promoting Interoperability (PI) Programs Merit-based Incentive Payment System (MIPS) Third-party ONC-Authorized Certification Bodies (ONC-ACBs) ONC-ACBs are authorized by the ONC to evaluate health IT solutions.

Performance improvement 237

Performance improvement Healthcare Providers Quality of Care Integration 237

NASHP

FEBRUARY 27, 2024

This report is one section of State Strategies to Leverage Medicaid Managed Care Contracting for Investments in Health and Housing Alignment. For more information on financing housing-related services, please visit our Medicaid and Housing toolkit. See the full resource guide. 137 of Provider Agreement ).

Medicaid 40

Medicaid Population Health Health Data 40

Briggs Healthcare

JULY 17, 2023

Due to the COVID-19 reporting exceptions, PPR continues to be calculated excluding Q1 and Q2 2020 data. For additional information, please see the HH QRP COVID-19 Public Reporting Tip Sheet in the downloads section of the HH Quality Reporting Training webpage and the Home Health Data Submission Deadlines webpage.

Medicaid 40

Medicaid Prevention Medicare Health Data 40

HIT Consultant

MARCH 9, 2023

Rajesh Sharma, Vice President and General Manager of Systems Integration, Data Analytics and Interoperability Product Offerings, Gainwell Technologies The Centers for Medicare and Medicaid Services (CMS) has laid the critical groundwork to create a connected healthcare system in which patients, providers, and payers can easily exchange information.

Healthcare 94

Healthcare Prevention Medicaid Integration 94

Bill Of Health

OCTOBER 27, 2023

Namely, legal protections concerning personal health data may not apply when the entity offering the service is decidedly not a “provider.” To illustrate the issue, consider that the Privacy Rule of the Health Insurance Portability and Accountability Act (HIPAA) expressly covers genetic information as a form of health data.

Biotechnology 62

Biotechnology Regulations Medical Services Health Data 62

Sheppard Health Law

JANUARY 26, 2024

On December 13, 2022, the Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule, titled Advancing Interoperability and Improving Prior Authorization Processes (“Proposed Rule”), to improve patient and provider access to health information and streamline processes related to prior authorizations for medical items and services.

Medicare 52

Medicare Medicaid Hospitals Health Data 52

NASHP

AUGUST 30, 2023

States can harness this momentum by supporting a whole-of-government approach that aligns resources and planning across public health and the rest of health and human services (including Medicaid), while also engaging private sector partners in addressing common health priorities.

Population Health 40

Population Health Medicaid Integration Health Data 40

HIT Consultant

DECEMBER 9, 2021

To date more than 300,000 people across the country — across Medicaid, Medicare Advantage, and commercial insurance — have come to Quartet to access quality care. At Quartet, during this time of increased demand, we’ve seen first hand the limitations of the system’s current capacity,” said Puneet Singh, CEO of Quartet Health.

Medicaid 98

Medicaid Medicare Health Data Healthcare 98

HIT Consultant

DECEMBER 15, 2022

On the other end are patients experiencing multiple complex chronic diseases, particularly the Medicare and Medicaid dually eligible population. Regardless of which groups of patients an ecosystem seeks to serve, there are several common elements and requirements for establishing thriving healthcare data ecosystems. About Brett Furst.

Pharmaceuticals 98

Pharmaceuticals Medicaid Integration Healthcare 98

NASHP

OCTOBER 20, 2022

This substandard access to quality care can lead to poor health outcomes.[6]. have a special health care need, and an estimated 44 percent of CYSHCN are enrolled in Medicaid.[7] In June 2022, NASHP convened a national forum with state health officials (e.g., Nearly 20 percent of children in the U.S.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

Home Health Care

MARCH 3, 2022

The company partners with both health plans and health systems to deliver various types of care to patients in their homes. Centers for Medicare & Medicaid Services’ (CMS) announcement of the ACO REACH Model as “extremely favorable” to a combined Signify and Caravan Health business model.

Accountability 92

Accountability Medicare Accountable Care Primary Care 92

HIT Consultant

APRIL 4, 2023

State agencies are beginning to unwind expanded Medicaid coverage in conjunction with the expiration of a 2020 federal provision requiring continuous enrollment. In alignment with PHE’s conclusion, other government bodies are rolling back pandemic-era measures.

Telemedicine 52

Telemedicine Medicaid Medicare Regulations 52

HIT Consultant

NOVEMBER 16, 2022

Cipher Skin and Parker Health launches a new pilot program to help bring tech-enabled physical therapy to Medicare and Medicaid patients. Cipher Skin Launches Pilot Program for Tech-Enabled Physical Therapy Rehab. Validic , a healthcare IoT platform raises $12M in funding led by Kaiser Permanente Ventures.

Physical Therapy 98

Physical Therapy Integration Accountable Care Rehabilitation 98

HIT Consultant

APRIL 26, 2023

About the Race and Ethnicity Stratification Learning Network The Race and Ethnicity Stratification Learning Network was convened in late-2022 to develop a greater understanding and resources to support the stratification of quality performance data and use of stratified data to advance health equity.

Quality Assurance 52

Quality Assurance Quality Improvement Medicaid Medicare 52

NASHP

OCTOBER 30, 2023

Earlier this year, the Maine Health Data Organization released its first annual report evaluating savings the state could achieve if it referenced high-cost drugs in Maine to Canadian prices. The report found pre-rebate savings of $146.7 million for just 72 drugs. States have enacted over a dozen new laws.

Regulations 122

Regulations Medicare Medicaid Hospitals 122

HIT Consultant

JUNE 9, 2022

While the healthcare industry has been extolling the virtues of data interoperability for years until recently it has remained one of the biggest obstacles to providing quality healthcare today. Yet, the tides are turning. Speaking about the report, Mary R.

Healthcare 98

Healthcare Regulations Prevention Medicaid 98

Healthcare Leadership Council

MARCH 9, 2023

Patients have benefited from supplemental benefits such as vision and dental care as well as programs to affect the social determinants of health, addressing food insecurity, social isolation and transportation needs, to name a few examples. This progress should be encouraged. Three changes – revisions in the MA risk model resulting in a 3.12

Medicare 40

Medicare Medicaid Hospitals Prevention 40

Lexis Nexis

JULY 20, 2022

To remediate these care gaps, payers must improve their ability to access data by making significant changes to their health IT infrastructure. To succeed in a changing regulatory environment increasingly counting on APIs to streamline health data exchange, health plans must understand and implement new technologies.

Prevention 52

Prevention Medicare Medicaid Quality Improvement 52

Etactics

DECEMBER 1, 2023

These codes assist healthcare workers in reporting different medical procedures and services to health insurance programs, such as Medicare and Medicaid. HCPCS Code Structure The HCPCS exists in the public domain created by the Centers for Medicare and Medicaid Services. A0425 - Ambulance transportation (ground mileage).

Medicare 52

Medicare Medicaid Medical Services Prevention 52