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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

For years, Medicare and other payers have used quality measures to evaluate the quality of care patients receive at various types of providers settings (e.g., For some payers, higher quality scores/higher star ratings lead to direct increases in reimbursement through a value-based purchasing arrangement.

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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). For instance, CMS asks physicians to focus on the quality of care rather than the volume of patients. Quality Category: Weighs 50%.

Medicare 243
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National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

NASHP

Care Coordination Workforce. Care Transitions. public health, Medicaid, mental health) and other stakeholders (e.g., health plans, providers, families of CYSHCN) in using, adapting, and implementing the National Care Coordination Standards for CYSHCN to develop or improve care coordination systems.