Healthcare It News

SEPTEMBER 25, 2023

" Healthy lifestyle habits, such as not smoking, exercising and eating well, can help prevent and improve hypertension. In addition, the Centers for Medicare & Medicaid Services has selected hypertension as one of three quality measures to be submitted electronically in the future.

Primary Care 324

Primary Care Medicaid Prevention Medicare 324

NASHP

DECEMBER 7, 2022

State Approaches to Community Health Worker Financing through Medicaid State Plan Amendments December 7, 2022 / by Carl Rush, Elinor Higgins , and Sandra Wilkniss. Recent discussions have centered around Medicaid’s role. This brief provides an overview of recent developments in Medicaid State Plan Amendments (SPAs). California.

Medicaid 52

Medicaid Primary Care Prevention Regulations 52

NASHP

APRIL 17, 2023

In addition, starting in 2024, federal rules will require states to report performance on some measures, including some behavioral health measures, to the Centers for Medicare & Medicaid Services (CMS). 1] All but one of these Medicaid agencies collected at least one measure of behavioral health performance.

Medicaid 52

Medicaid Quality Assurance Quality Improvement Quality Review 52

NASHP

MARCH 22, 2024

It presents state examples and key considerations for state officials via an organizing framework broken down by major components of the delivery system (from primary care to community-based and home-based services and supports) and reflecting essential principles for a modern system.

Urgent Care 65

Urgent Care Integration Medicaid Primary Care 65

Cloud Blogs

FEBRUARY 28, 2022

In 2020, the Centers for Medicaid and Medicare Services (CMS) issued additional rules requiring that payors and providers who receive CMS funds make health information more accessible. Shortage of primary care professionals, unequal access to care. These goals require increasingly data-driven approaches to care.

Integration 88

Integration Healthcare Quality of Care Regulations 88

HIT Consultant

FEBRUARY 7, 2024

Cityblock’s unique care model connects members to a dedicated team of healthcare professionals, including primary care providers, behavioral health specialists, community health partners, nurse care managers, and more. Social care: Assistance with housing, food security, and other social determinants of health.

Primary Care 52

Primary Care Medicaid Nursing Prevention 52

HIT Consultant

APRIL 20, 2022

Hospitals report the data to the Centers for Medicare & Medicaid Services (CMS), which uses that data to create the Overall Hospital Quality Star rating for each hospital. Rating is based on five areas: mortality, safety of care, readmission, patient experience, and timely/effective care.

Integration 98

Integration Primary Care Telemedicine Patient Experience 98

HIT Consultant

MARCH 8, 2022

Under the PHE, states must keep Medicaid enrollees continuously covered, irrespective of their circumstances. . The goal of the PHE was to help low-income people receive appropriate preventive and primary care during the pandemic without disruptions in coverage.

Medicaid 98

Medicaid Primary Care Care Transition Federal Healthcare 98

Sheppard Health Law

OCTOBER 27, 2021

On October 20, 2021, the Centers for Medicare and Medicaid (“ CMS ”) Innovation Center (“ Innovation Center ”) published a white paper detailing its vision for the next ten years: a health system that achieves equitable outcomes through high quality, affordable, person-centered care. Strategic Objective 1: Drive Accountable Care.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

Bill Of Health

FEBRUARY 28, 2024

By Hannah Rahim Food is Medicine interventions aim to prevent and treat diet-related chronic health conditions and reduce food insecurity by providing food to individuals and communities, in connection with the health care system. While Food is Medicine has been gaining prominence in recent years, it has also received some criticism.

Prevention 92

Prevention Medicaid Primary Care Integration 92

HIT Consultant

OCTOBER 31, 2023

What You Shoud Know: – Medicaid prospective payment rate for Michigan’s federally qualified health centers (FQHCs) has not kept pace with the actual costs incurred to provide healthcare, resulting in a substantial reimbursement gap of $97.95

Medicaid 52

Medicaid Primary Care Prevention Medicare 52

Home Health Care

DECEMBER 15, 2022

One of the largest Medicaid health plans in the country is teaming up with one of the most successful home-based care startups to serve around 40,000 members in Texas. Unfortunately, there are many folks in Texas – and beyond – who utilize the ED as their primary care physician, essentially.”.

Medicaid 105

Medicaid Telemedicine Primary Care Home Care 105

NASHP

DECEMBER 10, 2021

The information on this map comes from a 50-state survey of a variety of stakeholders, ranging from Medicaid officials to Community Health Workers, on their states’ approaches?to?integrating?CHWs integrating?CHWs ACO Accountable Care Organizations. ACO Accountable Care Organizations. MCO Managed Care Organizations.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

NASHP

APRIL 18, 2022

This case study highlights New Mexico’s Medicaid midwifery benefit under its BOP which has strengthened access to high-quality midwifery care among pregnant people, providing ideas and experience for other states seeking to reimagine maternity care by better integrating midwifery into their health care systems.

Medicaid 125

Medicaid Nursing Prevention Integration 125

NASHP

MARCH 22, 2024

Invest in prevention and early intervention. Enhance and streamline system of care for children with complex needs and their families. In addition to expanding Medicaid, North Carolina’s FY2024 budget allocates over $835 million for mental health and substance abuse investments under Medicaid.

Medicaid 52

Medicaid Urgent Care Primary Care Hospitals 52

Sheppard Health Law

NOVEMBER 2, 2023

According to the Congressional Research Service, which analyzed data from the Centers for Medicare & Medicaid Services (“CMS”) National Health Expenditure Accounts (“NHEA”) on the personal health expenditures for LTSS by payer, in 2021, an estimated $467.4 trillion spent on personal health care. [3] billion was spent on LTSS.

Medicaid 52

Medicaid Medicare Accountability Nursing 52

NASHP

APRIL 24, 2023

States play an essential role in providing and overseeing behavioral health care, and many states have longstanding strategies to increase access to high quality, behavioral health interventions. But the system remains fragmented and strained under the twin crises of mental illness and escalating overdose deaths.

Medicaid 52

Medicaid Integration Prevention Urgent Care 52

Home Health Care

DECEMBER 20, 2023

Care coordination with other important social determinant drivers – like personal care, transportation, meals delivery and physical activity, as well as clinical care coordination with the health system, primary care doctors and emergent referral sources for quality and timeliness of care, will all be important in the upcoming year.

Home Care 111

Home Care Medicare Nursing Integration 111

NASHP

OCTOBER 20, 2022

This substandard access to quality care can lead to poor health outcomes.[6]. have a special health care need, and an estimated 44 percent of CYSHCN are enrolled in Medicaid.[7] public health, Medicaid, mental health) and other stakeholders (e.g., Nearly 20 percent of children in the U.S.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

NASHP

JUNE 17, 2022

Community Health Workers and Oral Health: Improving Access to Care Across the Lifespan in Minnesota June 17, 2022/ by Ella Roth and Allie Atkeson. Many states are integrating community health workers (CHWs) and other community-based providers into their health care system. Introduction. Community Health Workers in Minnesota.

Prevention 98

Prevention Integration Primary Care Medicaid 98

Healthcare It News

APRIL 28, 2022

"Physicians commonly prescribe antithrombotic or anticoagulants for these patients to prevent cardiac events such as heart attack and stroke, which may result in hospitalizations and readmissions if patients don't adhere to their medication regimen," said Brian Davis, CIO at Magnolia Regional Health Center.

Hospitals 221

Hospitals Medicare Primary Care Quality of Care 221

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. million Medicaid participants. Executive Summary.

Primary Care 65

Primary Care Medicaid Accountability Quality Improvement 65

Health Populi

OCTOBER 11, 2021

As WHO notes, “the gap between demand for mental health services and supply remains substantial,” resulting from chronic under-investment over decades in mental health promotion, prevention, care, and continued stigma and discrimination. David Satcher asserted working with President Bill Clinton and President George W.

Primary Care 77

Primary Care Prevention Medicaid Integration 77

NASHP

NOVEMBER 29, 2021

This map highlights state activity to integrate CHWs into evolving health care systems in key areas such as financing, education and training, certification, and state definitions, roles and scope of practice. Medicaid Reimbursement. Medicaid Reimbursement.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

Health Populi

JULY 13, 2020

health care financing regime of volume-based payment didn’t fare well as millions of patients postponed or cancelled procedures and visits for fear of contracting the virus in the halls, offices and clinics of hospitals and doctor’s offices. Informing integrated communication, decisions, and processes. In other words, the U.S.

Primary Care 106

Primary Care Medicare Accountability Hospitals 106

NASHP

JULY 22, 2022

1] Under the American Rescue Plan Act, the federal government expanded funding to states’ Medicaid HCBS programs, including a one-year, 10-percentage-point increase in federal Medicaid matching funds for HCBS. Medicaid Home and Community-Based Services for Children and Youth with Special Health Care Needs.

Medicaid 106

Medicaid Rehabilitation Nursing Medicare 106

GoMoHealth

JULY 21, 2022

For this reason, several GoMo Health Concierge Care programs integrate oral health, especially within cancer care , as patients can experience challenging oral side effects to their treatment. . Many patients with mental illness may have a dental benefit through Medicaid and public insurance.

Nursing 74

Nursing Primary Care Pharmaceuticals Prevention 74

NASHP

MARCH 22, 2024

It includes examples from various states organized by the framework buckets: integrated primary and behavioral health care, crisis continuum of care, in-home and in-community based, and out-of-home and community.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Home Health Care

NOVEMBER 12, 2021

Most of the pilots and initiatives I’ll speak about today are in the New York market, specifically when we talk about incorporating home care in the broader sense and addressing the social determinants of health for our population. We have been providing home care services for them.

Home Care 97

Home Care Medicaid Primary Care Hospitals 97

NASHP

MAY 17, 2022

How State Medicaid Programs Serve Children and Youth in Foster Care May 17, 2022 / Veronnica Thompson. Children and youth in foster care (CYFC) often benefit from targeted services and supports. Yet, many receive fragmented or limited access to care, contributing to higher rates of unmet health needs. [1]

Medicaid 65

Medicaid Integration Medicare Primary Care 65

NASHP

AUGUST 23, 2021

For example, some state’s IIS are connected to hospital electronic health records (EHR), and other states share data between IIS and Medicaid data systems. The EHR and Medicaid connection is a key component to this strategy; having as much data as possible can help inform vaccination rates by enabling better targeting.

Medicaid 52

Medicaid Nursing Integration Doctors 52

Health Populi

MAY 20, 2020

“Delaying procedures, reducing spending on preventive care and chronic care, and decreasing adherence to medications may have negative long-term impacts on health status, although the extent is unknown,” PwC notes.

Telemedicine 73

Telemedicine Hospitals Doctors Prevention 73

NASHP

JULY 25, 2022

Indiana’s Approach to Supporting Mobile Integrated Health Programs July 25, 2022/ by Jodi Manz. In the wake of the enormous strain caused by the COVID-19 pandemic across the health care system, states are considering opportunities to improve access to care while identifying ways to innovate the delivery of care.

Integration 98

Integration Medicaid Hospitals Prevention 98

NASHP

AUGUST 31, 2023

In many states, SHIPs serve as the driving mechanism for engaging health care systems and communities in statewide planning, implementation, and evaluation efforts. New York requires that nonprofit hospital community benefit plans address and report investments in community health interventions tied to the state’s Prevention Agenda 2019–2024.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

Etactics

AUGUST 19, 2021

This chews up lots of time for physicians and prevents them from seeing more patients. According to a report from the American Foundation for Suicide Prevention, death by suicide is 250-400% more likely for female doctors due to stress and depression. But this is even more likely for female physicians. Practice staff spend 12.5

Doctors 52

Doctors Nursing Primary Care Healthcare 52

NASHP

AUGUST 9, 2021

MMRCs analyze these deaths that occur in their state each year and make recommendations to prevent them. [5] 5] These suggested changes often target individuals, hospitals, providers, and the broader health care system. Due to the pandemic, prenatal care visits decreased and maternal mental health conditions increased. [7]

Medicaid 52

Medicaid Prevention Primary Care Hospitals 52

NASHP

DECEMBER 16, 2022

Recent increases in federal funding for opioid and SUD-related activities, along with existing grants, Medicaid payments, and legal settlements, are augmenting state SUD budgets. State Medicaid programs cover SUD treatment and supportive services for Medicaid beneficiaries using multiple Medicaid authorities.

Medicaid 52

Medicaid Prevention Pharmaceuticals Primary Care 52