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.

Regulations 307

Regulations Primary Care Quality Improvement Health Data 307

Cloud Blogs

FEBRUARY 28, 2022

Healthcare stakeholders are moving away from fee-for-service and towards value-based models to meet the demands of aging and millennial populations while also meeting an ambitious national healthcare agenda. These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care.

Integration 88

Integration Healthcare Quality of Care Regulations 88

HIT Consultant

DECEMBER 15, 2022

In late September, the Senate Finance Committee released a bipartisan discussion draft bill that aims to address the nation’s crippling behavioral healthcare crisis by providing funding for 4,000 Medicare Graduate Medical Education psychiatry residencies over the next decade. Kristi Sidel, Director of Behavioral Health, Avel eCare.

Telemedicine 98

Telemedicine Primary Care Remote Care Medicare 98

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

HIT Consultant

AUGUST 1, 2022

What You Should Know: – In a national survey and in interviews, sexual and gender minority people reported experiencing discrimination in healthcare and concerns about support for their end-of-life decisions. – Advance care planning (ACP) can help support patients in making decisions and promoting better care at the end of life.

Primary Care 52

Primary Care Quality Improvement Healthcare Hospitals 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.

Primary Care 52

Primary Care Quality Improvement Integration Population Health 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.

Hospitals 98

Hospitals Life Sciences Patient Safety Quality Improvement 98

HIT Consultant

OCTOBER 26, 2021

As legislation, engagement and positive results continue to push digital patient care solutions forward, many healthcare organizations are not yet prepared for the increased adoption of these technologies. As a healthcare provider, how can you best ensure that you’re well-equipped to handle expansions in remote care scenarios? .

Remote Care 52

Remote Care Healthcare Doctors Primary Care 52

NASHP

SEPTEMBER 28, 2022

Despite the importance of oral health, state officials cited challenges with persistent silos between primary and oral health care , often exacerbated by the inoperability of medical and dental electronic health records. Other state Medicaid programs are adding requirements for primary care medical providers to offer similar services.

Integration 64

Integration Primary Care Medicaid Prevention 64

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

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

Health Populi

FEBRUARY 9, 2021

But letting a virulent public health crisis manage the downturn in American health spending is hardly an optimal hands-on, strategic approach to improving a nation’s health system, let alone a vision to drive health equity, quality improvement and sustainability for patients and care providers.

Primary Care 68

Primary Care Prevention Hospitals Quality Improvement 68

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 64

Primary Care Medicaid Accountability Quality Improvement 64

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). Ben Gowland is director and principal consultant at Ockham Healthcare, a think tank and consultancy. What should PCNs and general practice be doing now to prepare for this change?

Integration 115

Integration General Practice Secondary Care Primary Care 115

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

DECEMBER 10, 2021

NCQA National Committee for Quality Assurance. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program. MHP Medicaid Health Plans. PHW Pandemic Health Worker.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

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). Ben Gowland is director and principal consultant at Ockham Healthcare, a think tank and consultancy. What should PCNs and general practice be doing now to prepare for this change?

Integration 52

Integration General Practice Secondary Care Primary Care 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

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

Patient Safety Movement

APRIL 1, 2023

More than a decade ago, Joe made it his life’s purpose to eliminate preventable medical harm and create safer healthcare systems around the world. 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

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

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

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

Continuous improvement is the larger goal of quality measurement. 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.

Primary Care 52

Primary Care Population Health Pharmaceuticals Accountable Care 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

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 64

Medicaid Clinical Practice Primary Care Quality Improvement 64

Healthcare It News

MARCH 26, 2024

As a region, Australia/New Zealand pushes towards building a digitally-enabled healthcare system. "As the lead for the Lung Tumour Stream, I regularly reviewed the findings from the Victorian Lung Cancer Registry report, which showed that we were performing well compared to other healthcare providers.

Rehabilitation 248

Rehabilitation Integration Remote Care Prevention 248

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

Sheppard Health Law

JANUARY 5, 2022

First, issuers may only count provider incentive and bonus payments as claims expense if they are “tied to clearly defined, objectively measurable, and well-documented clinical or quality improvement standards.” Second, issuers only may count expenditures directly related to activities that improve healthcare quality.

Primary Care 52

Primary Care Quality Improvement Healthcare Quality Accountability 52