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How to Improve Your VBP Scores and Boost Medicare Payments

Home Health Care

Since CMS standardized it in 2018, Quality Assurance and Performance Improvement program, or QAPI, has served as a guiding light for home-based care providers. The program is the process by which a home-based care provider measures its quality metrics. But how will they do it?

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State Policy Considerations to Support Equitable Systems of Care for Children and Youth with Special Health Care Needs 

NASHP

5 Compared to white, non-Hispanic CYSHCN, CYSHCN who are Black or Latinx are at particular risk of receiving infrequent, low-quality care, 6 while American Indian and Alaska Native CYSHCN are less likely to be able to access specialty treatment or receive culturally sensitive services.

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Insiders

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Why Health Plans Are Vital to Health Equity

HIT Consultant

Rachael Jones, SVP of Performance Analytics and Quality at Cotiviti. Disparities in the way medical professionals assess and treat pain in people of color, for example, have been the focus of many studies and reflect an unconscious bias among some medical professionals that prevents members from getting the care they need.

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Sustainability and Value: State Palliative Care Reimbursement Strategies

NASHP

State health reform efforts increasingly focus on providing comprehensive and well-coordinated care to people with serious illness to improve quality of care and drive down costs. Reach out to state professional and hospital associations. Use the state’s palliative care task force as a resource.

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Reimagining our Approach to the Mental Health Crisis with Dr. Helen Egger | E. 85

Vie Healthcare

50% of adult mental health disorders start before the age of 14, but we put most of our effort and our dollars into older children and into adults, and we’re not focusing on where we can make a difference with early intervention and prevention. Jim (24:13): I wanted to follow up, Helen, with this prevention.

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

NASHP

[ii] These shortages of primary care providers (PCPs), who serve as the entry point to medical care and often play a large role in coordinating patient care, create challenges for residents of rural areas, the PCPs who serve them, and the Medicaid agencies responsible for providing access to services for program participants throughout the state.