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

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. CDC Centers for Disease Control and Prevention. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. USPSTF United States Preventative Services Task Force. SPA State Plan Amendment.

Medicaid 120

Medicaid Primary Care Prevention Nursing 120

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

Patient Safety Movement

APRIL 1, 2023

Save the Date: June 1-2, 2023 10th Annual World Patient Safety, Science & Technology Summit The 10-year anniversary marks professionals like you making a significant difference in eliminating preventable medical errors. These figures are also consistent with diagnostic errors and harm rates in primary care and inpatient settings.

Patient Safety 52

Patient Safety Doctors Prevention Hospitals 52

Briggs Healthcare

MAY 4, 2023

CMS also requires plans to notify beneficiaries if a behavioral health or primary care provider is no longer in network via written and telephonic communications with more stringent notification requirements and establish care coordination programs to ensure behavioral health a key component of individual beneficiary care planning.

Medicare 40

Medicare Regulations Nursing Primary Care 40

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

NOVEMBER 29, 2021

Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program. The PCCM program incentivizes primary care providers to incorporate CHWs into their care coordination model by offering a higher per-member per-month (PMPM) case management payment.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

NASHP

OCTOBER 20, 2022

As a result, services were better aligned and the MCOs referred CYSHCN to the Title V CYSHCN program for care coordination given the program staff’s expertise in serving this population. Data are central to both direct care coordination service provision, as well as care coordination system monitoring and quality improvement efforts.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

NASHP

MARCH 22, 2024

Integrated Primary and Behavioral Health Care A modern behavioral health system of care is fully integrated into the continuum of health care services, including primary and specialty care settings, and extends into homes and communities to ensure holistic and coordinated support.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

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

Accountable Care Doctors

OCTOBER 21, 2020

As providers continue to apply lessons learned from their experience with the COVID-19 pandemic to their delivery models and reimbursement structures, it is clear more must be done to promote value in healthcare. The patient experience also significantly improves when care is coordinated versus delivered piecemeal.

Primary Care 59

Primary Care Integration Remote Care Population Health 59

NCQA

MARCH 22, 2023

Four Roadmap Landmarks The Roadmap is organized around four “landmarks”—key steps on the path to better CKD care. Slowing or preventing disease progression is possible if the disease is treated early. Center care on patients. Continuous improvement is the larger goal of quality measurement.

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 a region, Australia/New Zealand pushes towards building a digitally-enabled healthcare system. " PROPOSAL Taking a value-based approach to providing care, Northern Health started extending virtual options, first to its lung cancer patients. There is also a plan to expand it to its community healthcare programs.

Rehabilitation 246

Rehabilitation Integration Remote Care Prevention 246

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.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52

Sheppard Health Law

JANUARY 5, 2023

Requiring MAOs to incorporate one or more activities into their overall Quality Improvement program that reduce disparities in health and health care among their enrollees. Codifying appointment wait time standards for primary care and behavioral health services that correspond with the Medicare Managed Care Manual.

Medicare 52

Medicare Primary Care Medicaid Integration 52