NCQA

OCTOBER 31, 2023

The Innovation Center also released the Making Care Primary (MCP) model and the GUIDE model this year, innovative solutions to achieve multi-payer alignment and focus on populations that have historically been underfunded in health care.

Primary Care 52

Primary Care Quality Improvement Medicaid Accountable Care 52

Healthcare It News

OCTOBER 3, 2023

is "aging and stretched thin," with the country needing "thousands more primary care doctors." " As has been shown many times, lack of access to care is a key hurdle to health equity and chronic disease management. Lastly, a commitment to outcomes measurement and quality improvement is essential.

Telemedicine 267

Telemedicine Quality Improvement Healthcare Providers Healthcare 267

NASHP

MARCH 22, 2024

Data collection, sharing, and integration across state agencies moves siloed efforts to whole person/whole of government data-informed policy approaches. Quality improvement and evaluation approaches can capitalize on outcome metrics associated with improved access to high quality care.

Accountability 52

Accountability Medicaid Primary Care Quality Improvement 52

Healthcare It News

APRIL 20, 2022

The same is true in care delivery, where the ability to pair patient-generated and/or reported data with secondary data from care delivery has the potential to revolutionize decision support, quality improvement, and digital guideline development.

Regulations 305

Regulations Primary Care Quality Improvement Health Data 305

NCQA

JANUARY 25, 2024

For example, primary care providers are playing a larger role in mental health care. We’re also seeing what we call “ workforce extenders” provide behavioral health care. This includes care by unlicensed providers. Technology is also being used to expand behavioral health care capacity through virtual care.

Primary Care 52

Primary Care Quality Improvement Integration Population Health 52

Accountable Care Doctors

AUGUST 31, 2021

These discussion forums generated many promising and innovative solutions including improving healthcare by integrating behavioral health with primary care, pursuing strategies for reducing low-value care and increasing high-value care, and developing better metrics for measuring performance in alternative payment models.

Primary Care 52

Primary Care Integration Doctors Accountability 52

Accountable Care Doctors

AUGUST 31, 2021

These discussion forums generated many promising and innovative solutions including improving healthcare by integrating behavioral health with primary care, pursuing strategies for reducing low-value care and increasing high-value care, and developing better metrics for measuring performance in alternative payment models.

Primary Care 52

Primary Care Integration Doctors Accountability 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

HIT Consultant

JANUARY 12, 2023

In order to achieve the desired levels of quality improvement and labor cost savings, healthcare systems must use new care models that leverage technology and virtual care in all acute care settings. Virtual care elevates bedside care, allowing our valued clinicians to function at the top of their licenses.

Hospitals 98

Hospitals Life Sciences Patient Safety Quality Improvement 98

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 65

Primary Care Medicaid Accountability Quality Improvement 65

NASHP

MARCH 22, 2024

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. Commercial insurance carriers will be strongly encouraged to align with these payment policies.

Medicaid 52

Medicaid Urgent Care Primary Care Hospitals 52

HIT Consultant

MARCH 14, 2023

Today, many hospitals are already part of healthcare networks combined with primary care clinics, allied care providers, insurers, and other agencies working together to coordinate and deliver a range of care services within their communities.

Healthcare 52

Healthcare Patient Safety Population Health Integration 52

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

Innovation Center models can define success as encouraging lasting transformation and a broader array of quality investments, rather than focusing solely on each individual model’s cost and quality improvements. Strategic Objective 1: Drive Accountable Care. FOOTNOTES. [1] Department of Health and Human Services.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

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. NCQA National Committee for Quality Assurance. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

Accountable Care Doctors

FEBRUARY 1, 2021

demanding more transparency from insurers and other intermediaries.

Primary Care 52

Primary Care Accountability Patient Experience Integration 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

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

HIT Consultant

JANUARY 22, 2024

By focusing on integrated care, addressing social determinants, and promoting health equity, the IBH Model has the potential to significantly improve the lives of millions of Americans. Performance-based incentives will further encourage quality improvement throughout the implementation period.

Medicaid 97

Medicaid Quality of Care Integration Medicare 97

Home Health Care

MARCH 1, 2024

Internally, we’re really trying to support the PACE community to continue to put in place internal quality improvement activities. This is a model of care that’s known for yielding unprecedented outcomes. We’re very good at delivering care with a high degree of satisfaction.

Medicaid 124

Medicaid Medicare Primary Care Quality Improvement 124

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

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 59

Medicaid Integration Quality Improvement Primary Care 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. Oregon convened over 60 partner organizations as part of its SHIP development process and contracted with CBOs to collect community feedback.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

NCQA

MARCH 22, 2023

DaVita Integrated Kidney Care. As part of our drive to improve health equity , most toolkit resources are available in Spanish. Sources and Inspiration We developed the Roadmap in partnership with Bayer Healthcare Pharmaceuticals, Inc. Fresenius Health Partners—InterWell Health. Healthmap Solutions. Somatus, Inc. “In-the-Field

Primary Care 52

Primary Care Population Health Pharmaceuticals Accountable Care 52

Vie Healthcare

FEBRUARY 22, 2023

We have accreditation programs that really work to make sure that that variance in quality is very narrow. We always work to have high quality graduates. And then within all the schools I’ve ever worked, there is strong quality improvement mindsets involved there. Again, I had no ER experience.

Healthcare 52

Healthcare Nursing Doctors Performance improvement 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 65

Medicaid Clinical Practice Primary Care Quality Improvement 65

NASHP

DECEMBER 20, 2022

These coordinated state efforts, often formalized in governor’s task forces, cross-agency workgroups, and legislative commissions, are predicated on an ideological shift away from solely punitive responses and toward integrating treatment into the criminal legal system. Integrate peers into crisis response teams.

Medicaid 52

Medicaid Prevention Integration Hospitals 52

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. Different departments of an organisation can also tailor their care plans based on system integrations, preferred use of AI, and device integrations.

Rehabilitation 245

Rehabilitation Integration Remote Care Prevention 245

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