Health Care Leader News

AUGUST 25, 2022

The Fuller Report published earlier this year signalled that Primary Care Networks (PCNs) should ‘evolve’ into Integrated Neighbourhood Teams (INTs). All too often PCN relationships with community trusts, mental health trusts or social care break down because the local team is unresponsive or too busy.

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Healthcare It News

APRIL 20, 2022

healthcare. Patients are an essential source of outcome data, yet patient-generated data is still rarely included in quality measures, capitated care contracts or reimbursement decisions. Kat Jercich is senior editor of Healthcare IT News. Healthcare IT News is a HIMSS Media publication. Twitter: @kjercich.

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Regulations Primary Care Quality Improvement Health Data 300

HIT Consultant

MARCH 14, 2023

As the healthcare industry continues to evolve and transform with providers facing increasing financial burdens and dynamic patient expectations, Signify Research has had the opportunity to speak to 100s of C-suite health IT executives and departmental decision-makers.

Healthcare 52

Healthcare Patient Safety Population Health Integration 52

NCQA

JANUARY 25, 2024

For example, primary care providers are playing a larger role in mental health care. We’re also seeing what we call “ workforce extenders” provide behavioral health care. This includes care by unlicensed providers. Technology is also being used to expand behavioral health care capacity through virtual care.

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Primary Care Quality Improvement Integration Population Health 52

Accountable Care Doctors

AUGUST 31, 2021

In our fragmented healthcare system, providers seldom have the opportunity to speak directly with employers, even though these employers pay for much of the healthcare expenses in this country. Our vision and values synch up nicely with many employers who are concerned about the cost and quality of healthcare for their employees.

Primary Care 52

Primary Care Integration Doctors Accountability 52

Accountable Care Doctors

AUGUST 31, 2021

In our fragmented healthcare system, providers seldom have the opportunity to speak directly with employers, even though these employers pay for much of the healthcare expenses in this country. Our vision and values synch up nicely with many employers who are concerned about the cost and quality of healthcare for their employees.

Primary Care 52

Primary Care Integration Doctors Accountability 52

HIT Consultant

JANUARY 12, 2023

While some have called 2022 an ‘unprecedented year’ for healthcare, the reality is that many of the pressures that challenge health systems’ budgets and margins will continue into 2023 and beyond. Providers Will Fight Revenue Challenges With Admin Efficiencies: Revenue challenges will persist in 2023 for healthcare providers.

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Hospitals Life Sciences Patient Safety Quality Improvement 98

NASHP

OCTOBER 20, 2022

The “National Forum on Advancing High-Quality, Equitable Care Coordination for Children and Youth with Special Health Care Needs” centered on two key topics for improving care coordination systems for CYSHCN: integrated care coordination and the care coordination workforce.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

Vie Healthcare

FEBRUARY 22, 2023

We have accreditation programs that really work to make sure that that variance in quality is very narrow. We always work to have high quality graduates. And then within all the schools I’ve ever worked, there is strong quality improvement mindsets involved there. ” So, that’s really all about.

Healthcare 52

Healthcare Nursing Doctors Performance improvement 52

NASHP

AUGUST 23, 2021

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. ii] Rural areas are highly likely to suffer from shortages of primary care and other providers.

Primary Care 62

Primary Care Medicaid Accountability Quality Improvement 62

Sheppard Health Law

OCTOBER 27, 2021

The Innovation Center, established in 2010 as part of the Affordable Care Act, began as an initiative to transition the health system to value-based care by developing, testing and evaluating new payment and service delivery models in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP).

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

NASHP

APRIL 17, 2023

Performance measurement is a pillar of state quality improvement and oversight. Notably, all of the measures in Table 1 are Healthcare Effectiveness Data and Information Set (HEDIS) measures or included in at least one of the CMS core measure sets. It is often factored into plan payment, and it supports public reporting.

Medicaid 52

Medicaid Quality Assurance Quality Improvement Quality Review 52

NASHP

DECEMBER 10, 2021

integrating?CHWs CHWs into evolving health care systems in key areas such as financing, education and training, certification , and state definitions, roles and scope of practice. NCQA National Committee for Quality Assurance. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization.

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Medicaid Primary Care Prevention Nursing 120

NASHP

MARCH 22, 2024

It includes examples from various states organized by the framework buckets: integrated primary and behavioral health care, crisis continuum of care, in-home and in-community based, and out-of-home and community.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

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. Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

HIT Consultant

JANUARY 22, 2024

What You Should Know: – The Centers for Medicare & Medicaid Services (CMS) has taken a bold step towards improving care for individuals with both mental health conditions and substance use disorders (SUD), announcing the “ Innovation in Behavioral Health (IBH)” Model.

Medicaid 97

Medicaid Quality of Care Integration Medicare 97

Accountable Care Doctors

OCTOBER 21, 2020

The 31 multi-specialty medical groups and integrated health systems that are part of the Council of Accountable Physician Practices (CAPP), their 85,000 physicians, and hundreds of thousands of staff are at the forefront of the battle for their patients’ lives. Embrace, expand, and pay for telehealth at the same level as in-person visits.

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Primary Care Integration Remote Care Population Health 59

NASHP

AUGUST 31, 2023

While these essential commitments are a necessary pre-condition to sustain basic public health system capacity, specific priorities and strategies for better engaging healthcare system partners on shared public health priorities are outlined in the sections below.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

NCQA

MARCH 22, 2023

Kidney damage is permanent, and CKD can be a significant detriment to quality of life. Sources and Inspiration We developed the Roadmap in partnership with Bayer Healthcare Pharmaceuticals, Inc. DaVita Integrated Kidney Care. As part of our drive to improve health equity , most toolkit resources are available in Spanish.

Primary Care 52

Primary Care Population Health Pharmaceuticals Accountable Care 52

NASHP

OCTOBER 8, 2021

Actions in the first 100 days of the Biden Administration include funding for the implementation of implicit bias training for healthcare providers, the creation of state pregnancy medical home programs, and the enhancement of Maternal Mortality Review Committees.

Medicaid 62

Medicaid Clinical Practice Primary Care Quality Improvement 62

Healthcare It News

MARCH 26, 2024

As with the rest of the industry, the organisation too had to accelerate its digital transformation by embracing digital tools for delivering remote care. As a region, Australia/New Zealand pushes towards building a digitally-enabled healthcare system. There is also a plan to expand it to its community healthcare programs.

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Rehabilitation Integration Remote Care Prevention 240

NASHP

JUNE 22, 2022

On the other hand, a health plan may use the guide to implement a high-quality screening and assessment process through primary care providers. Recruit providers to support system improvements. Conduct research on best practices for care coordination. Support quality improvement efforts.

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Care Transition Medicaid Doctors Regulations 52

Sheppard Health Law

JANUARY 5, 2023

This requirement would also apply to individualized plans of care for special needs plans. In addition, fully integrated dual eligible special needs plans (“FIDE SNPs”), highly integrated dual eligible special needs plans (“HIDE SNPs”), and applicable integrated plans (“AIPs”) as defined at 42 C.F.R.

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Medicare Primary Care Medicaid Integration 52