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State Approaches to Behavioral Health Measures in Medicaid Managed Care

NASHP

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.

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Data Strategies to Understand and Address Health Disparities

NASHP

Regardless, most experts note that striking the right balance between securing data quality and determining when data are complete enough to advance policymaking can be challenging — suggesting a continuous quality improvement approach. 7 The plan includes steps to integrate community-based feedback on collected data.

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State Community Health Worker Models

NASHP

integrating?CHWs NCQA National Committee for Quality Assurance. In addition, Coordinated Care Organizations are required to include traditional healthcare workers, like CHWs, on their care teams. Some CHWs are employed by healthcare providers and insurers, but many are employed by other community-based organizations.

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Social Determinants: Our Statement with TJC, NQF Was Just the Start

NCQA

Quality advocates curious about how digital quality measurement can advance health equity should read our statement (from NCQA, The Joint Commission and the National Quality Forum ) about how Fast Healthcare Interoperability Resources (FHIR ® ) can integrate SDOH data across health records.

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Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

NASHP

Rural Healthcare Workforce. For example, to move from tier 3 to tier 4, the provider must meet all the requirements of tier 3 and several new requirements, such as having a well-established quality improvement process. Health Place. 2009 Sep;15(3):731-40. doi: 10.1016/j.healthplace.2008.12.007. 2008.12.007. Epub 2009 Jan 10.

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About This Resource Guide: Promising Practices to Address Health Disparities

NASHP

Source: Institute for Healthcare Improvement Public Health : The science of protecting and improving the health of people and their communities. 39 These regulations also do not apply in the context of data collection as part of quality improvement in health care. Source: Cara James et al., SeyFarth Shaw LLP, 2021.