NASHP

APRIL 20, 2023

State Medicaid agencies are taking proactive steps to ensure quality of care and access to behavioral health services. Four of these 29 states have also integrated this approach into their contracts with prepaid inpatient health plans (PIHPs) that solely deliver behavioral health services.

Medicaid 96

Medicaid Quality Improvement Quality of Care Integration 96

NASHP

OCTOBER 22, 2021

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care October 25, 2021 / by Salom Teshale, Kitty Purington, Wendy Fox-Grage, and Mia Antezzo. Comprehensive care coordination. billion on chronic obstructive pulmonary disease (COPD) per year. Assessment and management of pain and other symptoms.

Medicaid 102

Medicaid Hospice Care Integration Regulations 102

Cloud Blogs

FEBRUARY 28, 2022

These shifting priorities have catalyzed the desire to track patient outcomes and cost-savings for improved quality of care. 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.

Integration 88

Integration Healthcare Quality of Care Regulations 88

p3care

JULY 2, 2023

Today, advanced IT has become an integral need for everybody. That’s why every sector has integrated modern technology as a fundamental aspect. Healthcare organizations are integrating EHRs, preferably these days, to fulfill MIPS 2023 requirements. Afterward, they implement strategies to enhance the quality of care they deliver.

Performance improvement 237

Performance improvement Healthcare Providers Quality of Care Integration 237

Home Health Care

JANUARY 17, 2022

Centers for Medicare & Medicaid Services (CMS) and Occupational Safety and Health Administration (OSHA) mandates on Jan. If the company had even one Medicare patient – and they had 99% of their patients otherwise in private-pay personal care, non-medical services – they would’ve qualified for an earlier distribution.

Integration 103

Integration Home Care Medicare Medicaid 103

Briggs Healthcare

AUGUST 23, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Effective oversight and enforcement are important to protect the integrity of the Medicare program, especially for vulnerable, seriously ill individuals and their families. This August 22, 2023 CMS Blog can also be read here.

Hospice Care 40

Hospice Care Integration Medicare Medicaid 40

Home Health Care

OCTOBER 18, 2022

The taxpayer dollars that fund Medicare and Medicaid are meant to support the delivery of health care services most suitable for beneficiaries,” Mike Stapleton, acting special agent in charge at the U.S. We are determined to safeguard the integrity of our nation’s health care systems.”. Attorney Robert J.

Tricare 105

Tricare Medicaid Medicare Integration 105

HIT Consultant

FEBRUARY 13, 2023

Tom Wriggins, Principal Industry Advisor at SAS John Maynard, CPA, CFE, AHFI Principal Solutions Architect at SAS In 2022, the Center for Medicare and Medicaid Services (CMS) established health equity as a pillar of its future work. Health outcomes and Medicaid program integrity Health outcomes are a function of the quality of care.

Patient Safety 52

Patient Safety Medicaid Integration Medicare 52

HIT Consultant

MAY 2, 2023

Andy Auerbach, Chief Revenue Officer of SafeRide Health As the healthcare industry continues to evolve, there is a growing need for innovative solutions that not only improve the quality of care but also make care more accessible. adults without access to a vehicle or public transportation skipped needed medical care last year.

Medicaid 96

Medicaid Regulations Medicare Integration 96

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 2: Advance Health Equity.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

p3care

DECEMBER 10, 2020

Not only that, but it determines the quality of care within hospitals, practices, and clinics should meet certain standards. The quality category replaced the PQRS (Physician Quality Reporting System) and reflects the efforts to improve the quality of care. Now, the performance bar has gotten high.

Quality of Care 246

Quality of Care Medicare Quality Improvement Medicaid 246

NASHP

JANUARY 12, 2024

During the pandemic and with the support of federal American Rescue Plan Act (ARPA) funds, many states increased Medicaid payment rates for these workers with one-time pay increases or bonuses. States have responded to this call for action and are integrating principles of equity and inclusivity into their state plans on aging.

Medicaid 65

Medicaid Nursing Accountability Integration 65

Healthcare It News

MARCH 30, 2022

It'll be accompanied by two reports that are expected to be released in the coming months: one looking at the characteristics of beneficiaries that use telehealth and Medicare, the other looking at program integrity risks associated with the use of telehealth.

Medicare 244

Medicare Medicaid Integration Quality of Care 244

Home Health Care

APRIL 5, 2023

Its current and future home-based care initiatives were highlighted throughout, lending further insight into the breadth of the company’s resources and goals. By the end of 2022, the goal was to get about 15% of its Medicare Advantage (MA) members under a value-based model that includes home health care. for that type of care. “To

Primary Care 96

Primary Care Medicare Quality of Care Integration 96

Home Health Care

APRIL 15, 2024

Last week, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced a new proposed model that will undoubtedly affect home health providers, and also allow them the opportunity to get more involved in value-based care initiatives. TEAM would be yet another model furthering that goal, if enacted.

Accountability 72

Accountability Medicare Home Care Quality of Care 72

NASHP

MARCH 15, 2023

State policymakers have a number of different opportunities to integrate palliative care into current health care initiatives. Palliative care can be an important component of these strategies. Palliative care can be an important component of these strategies.

Medicaid 52

Medicaid Primary Care Integration Nursing 52

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

Healthcare It News

JULY 17, 2023

With offerings in Massachusetts, Rhode Island, Michigan and California, it delivers comprehensive, integrated and person-centered care by coordinating the services of local staff, provider partners and community organizations. Most chronic conditions only require occasional hands-on care.

Telemedicine 182

Telemedicine Urgent Care Medicaid Integration 182

NASHP

SEPTEMBER 20, 2022

To identify emerging state aging policy priorities, NASHP — with support from the West Health Policy Center — conducted a series of key informant interviews with a wide range of state officials, including health and human services secretaries/commissioners, Medicaid directors, aging and disability directors, and legislators.

Medicaid 93

Medicaid Nursing Regulations Care Transition 93

HIT Consultant

SEPTEMBER 14, 2023

But there is another hurdle that is just as significant, and that is the lack of quality data on these social determinants. By comparing quality-of-care data with population, income, and ethnicity across the U.S., Aggregation and integration of business and patient data can help create a deeper understanding of patients.

Health Data 115

Health Data Telemedicine Accountability Population Health 115

Healthcare It News

APRIL 28, 2022

"Having price transparency at the point of prescribing, and access to prescription fill data, can equip our hospitalists and care navigator staff with crucial information that could improve care for CHF patients." " Brian Davis, Magnolia Regional Health Center.

Hospitals 221

Hospitals Medicare Primary Care Quality of Care 221

NASHP

AUGUST 15, 2022

Improving Oral Health Access through Managed Care Quality Initiatives in Pennsylvania By Allie Atkeson. States are engaged in a variety of efforts to improve oral health access as part of improving overall health outcomes for Medicaid members. Note, Medicaid members’ new PH-MCO plans will begin September 1 st , 2022).

Medicaid 52

Medicaid Quality Review Prevention Quality Improvement 52

Home Health Care

DECEMBER 7, 2023

While elder care is growing more quickly, I predict in the next 2-3 years, we will see an increase in home care utilization among a more diverse group of demographics — mainly helping support those with chronic conditions. Whether it is VA, Medicare Advantage, or Medicaid, there are significant upside to these programs for home care.

Home Care 119

Home Care Regulations Nursing Prevention 119

Briggs Healthcare

JUNE 7, 2022

The OIG issued this Press Release on Monday, June 6, 2022 with this subtitle: “America’s taxpayers could recoup nearly $3 billion in misspent Medicare, Medicaid, and other health and human services funds as a result of work by HHS-OIG. State surveys of nursing homes are the primary safeguard for ensuring quality of care and resident safety.

Medicare 52

Medicare Medicaid Nursing Integration 52

Briggs Healthcare

DECEMBER 28, 2021

Many Americans rely on hospice care for end-of-life support. million Americans received hospice care, with Centers for Medicare & Medicaid Services (CMS) spending $20.9 High quality hospice services are critical to terminally ill patients. Please share the report with your team and colleagues. In 2019, more than 1.6

Hospice Care 52

Hospice Care Quality of Care Integration Medicaid 52

Home Health Care

JUNE 9, 2022

“We’re seeing a massive shift to value-based care versus our previous form of care, which was volume-based,” says Erika Sessions, director of compliance and policy development for online caregiver training platform CareAcademy. That will ultimately benefit the quality of care.”. This article is sponsored by CareAcademy.

Care Transition 105

Care Transition Quality of Care Accountability Medicaid 105

Home Health Care

MARCH 31, 2023

Traditions provides home health, hospice and palliative care services in 18 states. Klementz believes there’s a disconnect between home health providers and the Centers for Medicare & Medicaid Services (CMS), and that disconnect is partially driven by managed care rates. From my perspective, it’s two-fold,” he said. “On

Medicare 75

Medicare Home Care Nursing Quality of Care 75

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

Home Health Care

DECEMBER 14, 2021

The company – whose physician-led teams work alongside patients’ existing health care providers, including home health agencies – currently operates across 18 states. Johnson’s leadership as CEO will be integral to Landmark’s 2022 growth strategy, the company noted in a press release.

Urgent Care 52

Urgent Care Medicare Quality of Care Medicaid 52

Home Health Care

MAY 12, 2022

The appointment followed reports that Colorado’s Department of Health Care Policy and Financing and the U.S. Centers for Medicare & Medicaid Services (CMS) stopped reimbursing InnovAge for new clients. An audit found that clients were not receiving all of the PACE required care services, according to reports from the Denver Post.

Quality of Care 52

Quality of Care Regulations Medicaid Home Care 52

Health Populi

JULY 13, 2020

The EIU VBHC framework addresses four aspects of how technology can underpin value-based care: Ensuring standardization. Informing integrated communication, decisions, and processes. gross domestic product in 2020, the Centers for Medicare and Medicaid Services calculated. Driving efficiency and accountability. of the U.S.

Primary Care 106

Primary Care Medicare Accountability Hospitals 106

Health Populi

NOVEMBER 19, 2019

Costs for medical care services (hospitals, ambulatory care, doctors, dentists, vision) bundled together grew 5.1% Health care costs are now integrated into national and state politics in America. Today, health care as a political priority cuts across all generations beyond older Americans, beyond Medicare.

Healthcare 68

Healthcare Ambulatory Care Doctors Hospitals 68

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

NASHP

JUNE 22, 2022

Comprehensive quality measurement of care coordination services is essential to evaluate and guide care coordination efforts, yet little agreement exists among stakeholders about how to best measure the provision and quality of care coordination services. [4] 2] Medicaid and CHIP Payment and Access Commission.

Doctors 52

Doctors Medicaid Quality of Care Healthcare Providers 52

HIT Consultant

OCTOBER 14, 2021

This could include continuous glucose monitoring devices that are integrated with mobile apps and better pulse oximetry and cardiac rhythm detection built into wearables. In 2021, health systems will shift their focus from facilitating basic two-way video visits to implementing strategic enterprise-wide virtual care delivery solutions.

Urgent Care 98

Urgent Care Healthcare Medicare Integration 98

Health Populi

NOVEMBER 1, 2018

The far right column, the Health Care System, identifies components of heatlh coverage (that is, insurance), provider availability, cultural competency to promote health literacy, and quality of care.

Healthcare Providers 69

Healthcare Providers Healthcare Doctors Ambulatory Care 69

Icanotes

MARCH 9, 2022

The Centers for Medicare and Medicaid Services (CMS) recently added 85 covered telehealth services under Medicare, ensuring patients with plans under parity laws will receive the same reimbursement rate as in-person visits. Medicaid Managed Care Plans (MCOs). Group health plans for employers with at least 51 employees or more.

Telemedicine 52

Telemedicine Medicaid Medicare Physical Therapy 52