NASHP

MARCH 22, 2024

Invest in prevention and early intervention. Enhance and streamline system of care for children with complex needs and their families. In addition, through its new 1115 demonstration extension and “Roadmap for Behavioral Health Reform,” the state is phasing in a new integrated primary care payment and reimbursement structure.

Medicaid 52

Medicaid Urgent Care Primary Care Hospitals 52

NASHP

OCTOBER 20, 2022

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.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

NASHP

DECEMBER 10, 2021

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. ACO Accountable Care Organizations. CBCM Community Based Care Management Program. CDC Centers for Disease Control and Prevention.

Medicaid 120

Medicaid Primary Care Prevention Nursing 120

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

Primary Care 62

Primary Care Medicaid Accountability Quality Improvement 62

NASHP

APRIL 17, 2023

Performance measurement is a pillar of state quality improvement and oversight. Other states, such as Colorado, establish advisory committees that provide input on all aspects of a state’s quality improvement program , including measure selection. It is often factored into plan payment, and it supports public reporting.

Medicaid 52

Medicaid Quality Assurance Quality Improvement Quality Review 52

Sheppard Health Law

OCTOBER 27, 2021

In addition, only four models met the requirements to be expanded in duration and scope: Home Health Value-Based Purchasing Model; Pioneer ACO Model; Repetitive, Prior Authorization of Repetitive, Schedule Non-Emergent Ambulance Transport Model; and Medicare Diabetes Prevention Program Expanded Model.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

NASHP

NOVEMBER 29, 2021

This map highlights state activity to integrate CHWs into evolving health care systems in key areas such as financing, education and training, certification, and state definitions, roles and scope of practice. Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

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

Accountable Care Doctors

OCTOBER 21, 2020

The 31 multi-specialty medical groups and integrated health systems that are part of the Council of Accountable Physician Practices (CAPP), their 85,000 physicians, and hundreds of thousands of staff are at the forefront of the battle for their patients’ lives. Embrace, expand, and pay for telehealth at the same level as in-person visits.

Primary Care 59

Primary Care Integration Remote Care Population Health 59

NASHP

AUGUST 31, 2023

In many states, SHIPs serve as the driving mechanism for engaging health care systems and communities in statewide planning, implementation, and evaluation efforts. New York requires that nonprofit hospital community benefit plans address and report investments in community health interventions tied to the state’s Prevention Agenda 2019–2024.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

NASHP

MARCH 11, 2022

State experience indicating that payment is an effective lever for improving service delivery. State officials viewed their efforts as part of broader efforts to improve behavioral health and better integrate it with primary care. " > Why Use Payment to Improve Delivery of SUD Services.

Medicaid 57

Medicaid Integration Quality Improvement Primary Care 57

NCQA

MARCH 22, 2023

Four Roadmap Landmarks The Roadmap is organized around four “landmarks”—key steps on the path to better CKD care. Slowing or preventing disease progression is possible if the disease is treated early. Center care on patients. DaVita Integrated Kidney Care. Identify patients with CKD. Healthmap Solutions.

Primary Care 52

Primary Care Population Health Pharmaceuticals Accountable Care 52

NASHP

DECEMBER 20, 2022

States are taking steps to provide additional prevention, treatment, and recovery services to higher-risk individuals with opioid use disorder (OUD), including those in contact with the criminal legal system. Community Services and Prevention (Intercept 0). Across states, drug violations have led to most arrests in recent years.

Medicaid 52

Medicaid Prevention Integration Hospitals 52

NASHP

OCTOBER 8, 2021

The Black Maternal Health Momnibus Act of 2021 , recently introduced in the House, builds on existing federal legislation to comprehensively address social and health systems that impact the care of pregnant people throughout the country.

Medicaid 62

Medicaid Clinical Practice Primary Care Quality Improvement 62

Healthcare It News

MARCH 26, 2024

As with the rest of the industry, the organisation too had to accelerate its digital transformation by embracing digital tools for delivering remote care. " PROPOSAL Taking a value-based approach to providing care, Northern Health started extending virtual options, first to its lung cancer patients.

Rehabilitation 255

Rehabilitation Integration Remote Care Prevention 255

NASHP

JUNE 22, 2022

On the other hand, a health plan may use the guide to implement a high-quality screening and assessment process through primary care providers. Recruit providers to support system improvements. Conduct research on best practices for care coordination. Support quality improvement efforts.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52

Sheppard Health Law

JANUARY 5, 2023

This requirement would also apply to individualized plans of care for special needs plans. In addition, fully integrated dual eligible special needs plans (“FIDE SNPs”), highly integrated dual eligible special needs plans (“HIDE SNPs”), and applicable integrated plans (“AIPs”) as defined at 42 C.F.R.

Medicare 52

Medicare Primary Care Medicaid Integration 52