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

NASHP

Strengthening Care for People with Serious Illness Seven Steps for Building a Community-Based Palliative Care Benefit Within Medicaid. People with complex or life-threatening conditions often need extra support to manage symptoms and make critical decisions about their care and quality of life. March 14, 2022.

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Impact of star ratings on provider demand

Healthcare ECONOMIST

However, there is another mechanism through which quality of care could improve provider finances: increased demand. If patients are responsive to star ratings or physicians who refer patients are sensitive to star ratings, better measured quality can increase provider revenue. due to bonus payments. A paper by Schwartz et al.

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P3Care Investigates: QPP MIPS 2021 Proposed Rules

p3care

CMS (The Centers for Medicare and Medicaid Services) released the proposed rule for QPP MIPS 2021 via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM). The performance category for the APP will be scored as follows upon the fixed set of quality measures. Quality Category: Weighs 50%.

Medicare 243
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2023 Highlights Illuminate 2024 Priorities

NCQA

How We Help Medicaid & Long-Term Services and Supports Our Public Policy team had a great 2023 helping state and federal agencies define and reach quality goals. Helping states organize how Medicaid plans manage Long-Term Services and Supports is an example of our ongoing assistance to regulators. HEDIS is always evolving.

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National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

NASHP

public health, Medicaid, mental health) and other stakeholders (e.g., On the other hand, a health plan may use the guide to implement a high-quality screening and assessment process through primary care providers. State Medicaid agencies. Oversee and incentivize quality care. Medicaid managed care contracts).