Integration, Medicaid and Quality Assurance - Health Care Quality Digest

Integration

Medicaid

Quality Assurance

Seven Steps for Building a Community-Based Palliative Care Benefit Within Medicaid

NASHP

MARCH 14, 2022

Strengthening Care for People with Serious Illness Seven Steps for Building a Community-Based Palliative Care Benefit Within Medicaid. People with complex or life-threatening conditions often need extra support to manage symptoms and make critical decisions about their care and quality of life. March 14, 2022.

Medicaid

Medicaid Rehabilitation Quality Assurance Patient Experience

State Approaches to Behavioral Health Measures in Medicaid Managed Care

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

Medicaid Quality Assurance Quality Improvement Quality Review

Join 19,000+

Insiders

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

Measuring What Matters: Opportunities for States

NASHP

MAY 9, 2022

Person-driven outcomes ” are personalized, structured, measurable goals identified by a person with complex health status or caregiver and can be used for both care planning and quality measurement. National Committee for Quality Assurance (NCQA), in partnership with the SCAN Foundation and The John A. Measures that Matter.

Medicaid

Medicaid Quality Assurance Primary Care Nursing

How Essen Health Care used an AI virtual care assistant to make thousands of patient calls in just days

Healthcare It News

NOVEMBER 30, 2021

The New York State Health Home program is designed for the neediest Medicaid patients and aims to reduce overall healthcare costs by decreasing inpatient costs (and utilization) by addressing social determinants of health such as housing, transportation and food. THE PROBLEM.

Quality Assurance

Quality Assurance Prevention Hospitals Telemedicine

Data Strategies to Understand and Address Health Disparities

NASHP

MAY 8, 2023

For example, in the health care arena, states are leveraging National Committee for Quality Assurance (NCQA) HEDIS measures and requiring Medicaid and commercial health plans to report stratified HEDIS measures. 7 The plan includes steps to integrate community-based feedback on collected data.

Medicaid

Medicaid Quality Improvement Quality Assurance Hospitals

State Community Health Worker Models

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 MHP Medicaid Health Plans. NCQA National Committee for Quality Assurance. Medicaid Reimbursement.

Medicaid

Medicaid Primary Care Prevention Nursing

8 Home Care Leaders Break Down What Service Lines They Plan to Further Invest In

Home Health Care

APRIL 3, 2022

Now times have changed, as home care services have proven to be an integral part of the overall system, especially during the public health emergency. At Home Instead, we are investing heavily into the integration of the Honor operating systems and technology platform into the Home Instead franchise network.

Home Care

Home Care Quality Assurance Integration Hospitals

Lessons for Advancing and Sustaining State Community Health Worker Partnerships

NASHP

DECEMBER 15, 2021

NASHP recently updated a 50-state scan that identifies state approaches to supporting the CHW workforce and catalogues CHW Medicaid financing strategies (see text box 1). Evidence indicates that Medicaid spending on CHW services produces both improved health outcomes and a return on investment.

Medicaid

Medicaid Accountable Care Accountability Quality Assurance

Higher satisfaction with care and treatment outcomes seen with shared decision making

Health Dialog

SEPTEMBER 17, 2018

The National Committee for Quality Assurance (NQCA) includes certified or evidence-based decision aids as an element of provider support in the most recent population health management accreditation standards.

Quality Assurance

Quality Assurance Population Health Patient Experience Medicaid

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

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. million Medicaid enrollees.

Primary Care

Primary Care Medicaid Accountability Quality Improvement

Sustainability and Value: State Palliative Care Reimbursement Strategies

NASHP

AUGUST 24, 2023

There are a number of strategies state health officials can use as they build sustainable access to palliative care services in their Medicaid programs. Target Populations That Could Benefit from Palliative Care Services Use data to identify Medicaid enrollees with serious illness. Make the case for improved care and reduced costs.

Medicaid

Medicaid Quality Assurance Quality of Care Hospitals

About This Resource Guide: Promising Practices to Address Health Disparities

NASHP

MAY 8, 2023

Source: Centers for Medicare & Medicaid Services Health Disparities : Preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations. Medicaid and Racial Health Equity.” Source: Cara James et al., Dutton, Melinda J.,

Medicaid

Medicaid Regulations Prevention Medicare

Seven Steps for Building a Community-Based Palliative Care Benefit Within Medicaid

State Approaches to Behavioral Health Measures in Medicaid Managed Care

Trending Sources

Measuring What Matters: Opportunities for States

How Essen Health Care used an AI virtual care assistant to make thousands of patient calls in just days

Data Strategies to Understand and Address Health Disparities

State Community Health Worker Models

8 Home Care Leaders Break Down What Service Lines They Plan to Further Invest In

Lessons for Advancing and Sustaining State Community Health Worker Partnerships

Higher satisfaction with care and treatment outcomes seen with shared decision making

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

Sustainability and Value: State Palliative Care Reimbursement Strategies

About This Resource Guide: Promising Practices to Address Health Disparities

Stay Connected