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Measuring What Matters: Opportunities for States

NASHP

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.

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

NASHP

High-quality palliative care can both improve quality of life and avoid unnecessary and often unwanted treatments for Medicaid enrollees with serious illness. States can support palliative care in a number of ways and across a range of settings (e.g., in hospitals, embedded within enhanced primary care, via home health).

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State Approaches to Behavioral Health Measures in Medicaid Managed Care

NASHP

However, there are several common elements in these processes, including that the measure has been validated, is evidence-based, is regularly updated — and a group of leaders in the field have determined that each measures an important aspect of care.

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

NASHP

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. ii] Rural areas are highly likely to suffer from shortages of primary care and other providers.

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State Community Health Worker Models

NASHP

integrating?CHWs CHWs into evolving health care systems in key areas such as financing, education and training, certification , and state definitions, roles and scope of practice. MCE Managed Care Entities. NCQA National Committee for Quality Assurance. PCCM Primary Care Case Management.

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Sustainability and Value: State Palliative Care Reimbursement Strategies

NASHP

It is increasingly clear that any program’s ability to improve care value is critically reliant on targeting the right patients — not too many, not too few, but the right ones.” — Diane E. The state began implementation of palliative care legislation with an analysis of state Medicaid claims and encounter data.