NASHP

MAY 3, 2024

The health sector contributes significantly to climate impacts and plays a major role in responding and building resilience to extreme weather events. This demonstration waiver falls within the scope of the Centers for Medicare and Medicaid Services’ new initiative to address health-related social needs.

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Healthcare It News

JANUARY 18, 2022

Social determinants of health are major contributors to health inequity and rising healthcare costs in vulnerable populations such as Medicaid beneficiaries. How do care management interventions to mitigate SDOH as a risk for undesired health outcomes work?

Pharmaceuticals 354

Pharmaceuticals Accountable Care Accountability Medicaid 354

NASHP

MARCH 22, 2024

While critical to a comprehensive approach, primary prevention and broad population health approaches are beyond the scope of this resource. Special appreciation goes to state leaders and experts including Suzanne Fields and Rebecca Boss who contributed valuable input and feedback to this resource.

Urgent Care 62

Urgent Care Integration Medicaid Primary Care 62

Sheppard Health Law

OCTOBER 27, 2021

On October 20, 2021, the Centers for Medicare and Medicaid (“ CMS ”) Innovation Center (“ Innovation Center ”) published a white paper detailing its vision for the next ten years: a health system that achieves equitable outcomes through high quality, affordable, person-centered care. Strategic Objective 2: Advance Health Equity.

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

NASHP

SEPTEMBER 6, 2023

1] Second, fostering joint efforts among health care system partners and public health to drive action on common priorities. Figure 1 displays a consolidated overview of the “Framework for Public Health-Health Care System Collaboration.”

Prevention 52

Prevention Public Health services Medicaid Population Health 52

Health Populi

FEBRUARY 27, 2024

In addition to highlighting the Patient’s Bill of Rights, NABIP’s keynotes and general sessions will speak to similar topics being brainstormed at VIVE this week — including mental health, maternal health, pharmacy and prescription drugs (pricing, PBMs), population health, and Medicare and Medicaid innovations.

Hospitals 136

Hospitals Population Health Medicaid Prevention 136

HIT Consultant

AUGUST 2, 2022

– Brave Health , a virtual-first behavioral health provider focused on serving Medicaid and Medicare populations, today announced an innovative referral partnership with MedArrive. Today, access to basic behavioral health services for the nation’s most vulnerable populations is a public health crisis.

Medicaid 97

Medicaid Telemedicine Integration Medicare 97

HIT Consultant

SEPTEMBER 7, 2022

Artificial intelligence (AI) has emerged as a powerful tool for making population health analytics more accurate and interventions more effective. Sensitivity to a wider range of factors that can impact population health, including SDOH, cultural and community issues, is key to minimizing both coding and data-driven bias.

Population Health 98

Population Health Health Analytics Quality Assurance Medicaid 98

HIT Consultant

SEPTEMBER 14, 2023

Achieving health equity presents an urgent challenge that demands attention from all stakeholders. However, actual medical care accounts for 20% or less of what affects population health. Rural communities may lack easy access to preventive care and screenings. The costs are astronomical.

Health Data 115

Health Data Telemedicine Accountability Population Health 115

NASHP

DECEMBER 10, 2021

The information on this map comes from a 50-state survey of a variety of stakeholders, ranging from Medicaid officials to Community Health Workers, on their states’ approaches?to?integrating?CHWs CDC Centers for Disease Control and Prevention. CHW Community Health Worker. CHA/P Community Health Aid/ Practitioner.

Medicaid 120

Medicaid Primary Care Prevention Nursing 120

GoMoHealth

OCTOBER 20, 2022

This led me to GoMo Health, where we create, activate and scale these improvements daily. While most managed care organizations go to great lengths to comply with Medicaid and Medicare mandates, many are still struggling to meet their goals. 3,000 noncompliant for variety of preventive care screenings or follow-up.

Quality Improvement 80

Quality Improvement Medicaid Population Health Medicare 80

NASHP

JULY 11, 2022

The demands of the pandemic have made it clear that the public health system cannot work in a silo to do the foundational public health work of communicable disease prevention; maternal, child, and family health services; access to and linkage with clinical care; and preventing chronic disease and injury.

Medicaid 52

Medicaid Population Health Prevention Accountability 52

Home Health Care

JULY 11, 2022

The evaluations also allow the company to perform diagnostic tests and other preventive services. As far as Caravan Health, Signify’s leaders believe its acquisition of the company, which took place in February, will allow them to provide total-cost-of-care management services.

Medicaid 76

Medicaid Medicare Population Health Prevention 76

HIT Consultant

MAY 2, 2023

For decades, the industry lacked a patient-centric approach focused on efficiency, reliability, and accessibility for all populations, especially those enrolled in Medicare Advantage and Medicaid plans. In a recent study , 21% of U.S. adults without access to a vehicle or public transportation skipped needed medical care last year.

Medicaid 96

Medicaid Regulations Medicare Integration 96

HIT Consultant

JUNE 13, 2023

Re-Imagining the Logistics of Healthcare by Enabling Access to Transportation Value-based care and population health programs have the potential to radically improve our healthcare system. Providers and payers, including Medicare and Medicaid, lack the visibility and infrastructure to execute on these programs effectively.

Patient Experience 98

Patient Experience Primary Care Population Health Medicaid 98

NASHP

AUGUST 9, 2022

State applications may include a team of up to five members, composed of at least two senior state officials or administrators (such as state Medicaid officials, state public health agency officials, governor’s health policy leaders, legislators, local public health leads, etc.). State Team Composition.

Medicaid 52

Medicaid Population Health Public Health services Prevention 52

p3care

OCTOBER 30, 2020

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). It contains six measures that focus on population health. Preventive Care and Screening: Screening for Depression and Follow-up Plan.

Medicare 243

Medicare Measurable Quality Medicaid Accountable Care 243

NASHP

SEPTEMBER 6, 2023

In confronting a myriad of challenges through the COVID-19 pandemic and beyond, states have developed unique strategies and processes for bringing public health, health care systems, and community partners together to address their biggest health challenges.

Population Health 52

Population Health Medicaid Prevention 52

HIT Consultant

FEBRUARY 7, 2024

This multidisciplinary approach ensures holistic care that addresses both physical and mental health needs. Fidelis Care members enrolled in the Medicaid Managed Care and HealthierLife – Health and Recovery Plan (HARP) plans now have access to Cityblock’s integrated services.

Primary Care 52

Primary Care Medicaid Nursing Prevention 52

HIT Consultant

APRIL 20, 2022

The overarching goal of VBC is to improve the patient experience, improve population health, and reduce per capita health costs. As part of this VBC mode l, hospitals and health systems must store, track, and analyze a large amount of quality-related data for compliance and reimbursement purposes.

Integration 98

Integration Primary Care Telemedicine Patient Experience 98

HIT Consultant

MAY 3, 2022

But by and large, the healthcare system is not adequately set up to engage individuals who need the most help, including the 133 million Americans who live with at least one preventable chronic disease. Most healthcare interventions intended to motivate or engage members to improve their health don’t align with members’ day-to-day needs.

Healthcare 52

Healthcare Medicaid Population Health Medicare 52

Lexis Nexis

JULY 20, 2022

The most important to close care gaps are part of the Healthcare Effectiveness Data and Information Set (HEDIS), which measures how well a plan handles preventive care and chronic care disease management. More than 90 percent of US health plans use HEDIS measures to gauge their performance while serving more than 190 million Americans.

Prevention 52

Prevention Medicare Medicaid Quality Improvement 52

NASHP

NOVEMBER 15, 2021

As states continue developing their health equity strategies, an emerging consideration is how commercial algorithms that are used by states’ Medicaid managed care organizations to inform clinical care decisions may exhibit significant racial bias. Acknowledgements.

Quality Assurance 52

Quality Assurance Medicaid Population Health Prevention 52

Health Populi

FEBRUARY 4, 2024

The response: A health plan is a comprehensive package of healthcare services and coverage that helps individuals or groups manage and finance their healthcare needs. Health plans are designed to provide a range of medical services, preventive care, and financial protection against the costs of healthcare.

Primary Care 85

Primary Care Medicare Prevention Medicaid 85

NASHP

JULY 29, 2022

The United States Government has a legal obligation to provide American Indian and Alaska Native tribes (AI/AN) health care services due to historical policy decisions that limited tribes’ access to resources including health care. Oklahoma is also likely to transition their Medicaid program from fee-for-service to managed care.

Medicaid 52

Medicaid Prevention Integration Population Health 52

NASHP

NOVEMBER 29, 2021

Development and ongoing updates of the State Community Health Worker Models Map would not be possible without the generous support of the Robert Wood Johnson Foundation and the National Center for Healthy Housing. Medicaid Reimbursement. Medicaid Reimbursement.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

HIT Consultant

MARCH 4, 2022

Despite this reality, there has been a historical lack of funding for organizations addressing these social determinants of health in communities. – Measure the effectiveness of social care funding and reduce preventable medical costs with robust data and improved visibility.

Medicaid 52

Medicaid Integration Prevention Hospitals 52

NASHP

NOVEMBER 22, 2021

IIS are utilized by all states and some large cities and territories to varying degrees as a consolidated database for immunization history that can be used on both a micro and macro level to improve vaccine rates and reduce vaccine-preventable diseases. What gaps can be filled to help facilitate public health activity?

Medicaid 52

Medicaid Quality Improvement Prevention Integration 52

NASHP

OCTOBER 16, 2023

youth diagnosed with anxiety, depression, and other behavioral health challenges increased over a five-year period from 2016 to 2020.[4] 6] In Wisconsin, young people up to age 25 were identified as a specific population group falling through the gaps in the behavioral health system.[7] Across the U.S., 5] Additionally, 18.1

Quality Assurance 62

Quality Assurance Prevention Hospitals Medicaid 62

NASHP

OCTOBER 20, 2022

This substandard access to quality care can lead to poor health outcomes.[6]. have a special health care need, and an estimated 44 percent of CYSHCN are enrolled in Medicaid.[7] In June 2022, NASHP convened a national forum with state health officials (e.g., Nearly 20 percent of children in the U.S.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

NASHP

NOVEMBER 3, 2023

The Master Plan also aligns with some of the governor’s key initiatives, such as the “California for ALL” vision and the Task Force on Alzheimer’s Prevention and Preparedness. Ohio’s current 60 years and older population is expected to increase by 33.4 percent and will constitute a quarter of the state’s population by 2030.

Home Care 67

Home Care Prevention Population Health Rehabilitation 67

Cloud Blogs

FEBRUARY 28, 2022

Passed in 2016, The Cures Act requires that electronic health record (EHR) systems provide patient-facing application programming interfaces (APIs) to maintain federal certifications. Inaccessible and incomplete patient data creates insurmountable challenges to coordination, financial-risk arrangements, and effective preventative care.

Integration 140

Integration Healthcare Quality of Care Regulations 140

Health Populi

MARCH 1, 2018

The Sage team explains that, by layering knowledge about peoples’ behaviors, beliefs, and attitudes on top of the traditional SDOH factors, health care providers can mash-up SBDoH – “socio-behavioral determinants of health” — your new acronym to add to your growing list of healthcare ABCs.

Population Health 79

Population Health Prevention Accountability Doctors 79

Sheppard Health Law

FEBRUARY 1, 2023

If finalized, the Centers for Medicare and Medicaid Services (CMS) Proposed Rule on Advancing Interoperability and Improving Prior Authorization Processes will require payers to participate in electronic payer-to-payer data exchange and implement automated prior authorization processes.

Health Data 52

Health Data Regulations Medicare Telemedicine 52

HIT Consultant

JUNE 28, 2022

Disparities in the way medical professionals assess and treat pain in people of color, for example, have been the focus of many studies and reflect an unconscious bias among some medical professionals that prevents members from getting the care they need.

Quality Assurance 52

Quality Assurance Population Health Medicaid Hospitals 52

Home Health Care

NOVEMBER 12, 2021

Most of the pilots and initiatives I’ll speak about today are in the New York market, specifically when we talk about incorporating home care in the broader sense and addressing the social determinants of health for our population. We are working with a large, regional health plan in the city. Murphy: Speed of entry.

Home Care 84

Home Care Medicaid Primary Care Hospitals 84

Health Populi

MARCH 11, 2021

health care, patient assistance programs, Medicare Advantage plans, and the bundling of proven high-value preventive services into the Affordable Care Act. ” Small increases in cost-sharing can result in people cutting back death-preventing medicines.

Life Sciences 98

Life Sciences Medicare Pharmaceuticals Prevention 98