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

NASHP

For length-of-stay estimates, consider using the CMMI Medicare Choices Model of community-based pre-hospice services, with an average length of stay of 99 days. licensed hospice providers), with quality assurance provisions and any licensing updates necessary to ensure team competencies for non-hospice care.

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

Home Health Care

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. We know there is a lot of discussion around alternative payers, and many will ask, “Are you doing this to tap into Medicare Advantage programs?” And with changing times comes evolution.

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

Health Dialog

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.

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State Approaches to Behavioral Health Measures in Medicaid Managed Care

NASHP

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). It is often factored into plan payment, and it supports public reporting.

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Lessons for Advancing and Sustaining State Community Health Worker Partnerships

NASHP

The CHWs were an integral part of the vaccine equity team and helped NMDOH develop a Community Resource Center and a set of flipcharts about vaccination. States may submit state plan amendments to the Centers for Medicare and Medicaid services to allow reimbursement for CHW services through Medicaid. State Plan Amendment.

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Sustainability and Value: State Palliative Care Reimbursement Strategies

NASHP

Meier, FACP, FAAHPM, director of the Center to Advance Palliative Care California is an early pioneer in its support for integrating palliative care services into its Medicaid program, called Medi-Cal. The state began implementation of palliative care legislation with an analysis of state Medicaid claims and encounter data.

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

NASHP

Lack of Access to Specialists Associated with Mortality and Preventable Hospitalizations of Rural Medicare Beneficiaries.” Maine has officially aligned this model with the Centers for Medicare and Medicaid Innovation’s Primary Care First initiative. iv] Johnston, K. Wen, and K. Joynt Maddox. Health Aff (Millwood) 38 (12): 1993-2002.