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Demystifying VBC Contracting: Key Considerations for Quality & Data Success

HIT Consultant

Elissa Toder, MBA, VP of Quality Improvement Strategy & Solutions at Reveleer In the ongoing transition to value-based care (VBC), provider contracting poses challenges for health plans and providers. If the provider successfully delivers care and prevents complications or errors, they keep a portion of the savings.

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States Build Capacity to Address Maternal Mortality through Policy Innovations

NASHP

from maternal-related causes , with more than 80 percent of these deaths being preventable. The Louisiana Department of Health and the Bureau of Family Health awarded new “Gift” designations to 16 birthing facilities through the statewide breastfeeding quality improvement initiative (42 of 48 birthing facilities now have this designation).

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Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF) Launches March 15, 2023

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Beginning Spring 2023, the Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF) will provide training and resources to skilled nursing facility staff who care for residents with a variety of behavioral health conditions.

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Improving Oral Health Access through Managed Care Quality Initiatives in Pennsylvania

NASHP

Recently, Pennsylvania shared their work with managed care organizations (MCO)s to improve access to oral health care services through quality improvement projects, measures, and incentives. Medicaid Managed Care Dental Performance. CMS 416 preventative services. Fluoride varnish. Tobacco cessation counseling.

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Strengthening Oral Health in the U.S. Through Integration and Workforce Development: Lessons from State and Federal Health Officials

NASHP

Well-known initiatives such as Iowa ’s I-Smile and Washington State’s Access to Baby and Child Dentistry include training for medical providers on preventive oral health services. The state is working with CHWs to integrate and expand oral health promotion outside of the healthcare setting. State- Federal Collaboration on Oral Health.

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Democratizing Digital Quality Measurement

NCQA

Prevention Adult Immunization Status (AIS-E) (UF). As we explain in our September 2021 Future of HEDIS webinar (at 45:30), democratizing digital measurement means making measurement work in at least six broad situations, or “use cases”: Performance measurement. “I Performance management. Quality improvement.

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Administration Strengthens Oversight of Nation’s Poorest-Performing Nursing Homes

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. While in the SFF program, CMS is encouraging facilities to make good-faith efforts (and provide evidence of these efforts) to improve quality and measurable changes, such as changes in staffing, leadership, or increased overall staffing.

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