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NAHC’s Bill Dombi: Horizontal Integration, Workforce Innovation to Accelerate in 2022

Home Health Care

Reduced hospitalizations means greater chance of rehabilitation, restoration, maintenance of the patient’s condition and avoidance of fatalities. When looking at the non-medical home care workforce, No. 1 to them is quality from top to bottom. [00:28:32] They can see, “This is not just 2% of my budget.

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

NASHP

STEP 3: Define Staffing and Service Standards The National Consensus Project’s Palliative Care Guidelines advise delivering palliative care through an interdisciplinary team that may include professionals such as: Physician. Nurse Practitioner. Advance Practice Registered Nurse. Care Manager. Advance Care Planning.

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Medicaid Authorities for Housing-Related Services

NASHP

Value-Added Services Services that are not covered under the state plan but that a managed care plan opts to spend a portion of its administrative funding from its capitation to improve quality of care and/or reduce costs. States can also target services on the basis of disease or condition such as HIV/AIDS or brain injury.

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National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

NASHP

The “National Forum on Advancing High-Quality, Equitable Care Coordination for Children and Youth with Special Health Care Needs” centered on two key topics for improving care coordination systems for CYSHCN: integrated care coordination and the care coordination workforce.

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Weighing Policy Trade-offs: Building State Capacity to Address Health Care Consolidation

NASHP

Evidence suggests that vertical integration and growing consolidation in health care leads to higher hospital and provider prices and higher total spending — all while having little to no impact on improving quality of care for patients, reducing utilization, or improving efficiency. Why Address Consolidation?

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Behavioral Health System Modernization along the Continuum

NASHP

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.

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CMS Promotes Competition, Transparency, Health Equity and More in the CY2025 Medicare Advantage and Part D Proposed Rule

Sheppard Health Law

Specifically, MA enrollees enjoy an appeal right which is normally triggered when the MA organization delivers a Notice of Medicare Non-Coverage (“NOMNC”) relating to certain non-hospital provider services, including services in a home health agency, skilled nursing facility, or a comprehensive outpatient rehabilitation facility. [2]