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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.

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The National Imperative to Improve Nursing Home Quality

Briggs Healthcare

Extreme care needs to be taken to ensure that quality improvement initiatives are implemented using strategies that do not exacerbate disparities in resources, quality of care, or resident outcomes. High-quality research is needed to advance the quality of care in nursing homes.

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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. National efforts to standardize are useful to inform state approaches.

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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. In addition, CMS and the National Committee for Quality Assurance (NCQA) both produce national performance metrics that states can use as performance benchmarks. It is often factored into plan payment, and it supports public reporting.

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State Community Health Worker Models

NASHP

NCQA National Committee for Quality Assurance. 7022), in existence for over fifteen years, is a statewide network of NCQA certified Patient Centered Medical Homes (PCMHs) which are supported by regional program managers, quality improvement managers, self-management program coordinators, and a regional Community Health Team (CHT).

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

NASHP

iii] Also, those living in rural areas are more likely to experience a preventable hospitalization. [iv] Lack of Access to Specialists Associated with Mortality and Preventable Hospitalizations of Rural Medicare Beneficiaries.” Joynt Maddox. Health Aff (Millwood) 38 (12): 1993-2002. Laditka JN, Laditka SB, Probst JC. v] Per §438.2

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

NASHP

31 Telehealth Michigan Michigan’s Children’s Special Health Care Services Division collaborates with key statewide partners to lead the Michigan Pediatric Epilepsy Project , an initiative to improve health outcomes for children and youth with epilepsy, particularly those in rural and underserved communities. Medicaid.gov.

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