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State Approaches to Behavioral Health Measures in Medicaid Managed Care

NASHP

In addition, starting in 2024, federal rules will require states to report performance on some measures, including some behavioral health measures, to the Centers for Medicare & Medicaid Services (CMS). 1] All but one of these Medicaid agencies collected at least one measure of behavioral health performance.

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Reducing Bias in Algorithms: Spotlight on Pennsylvania

NASHP

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 bias. . Pennsylvania has taken steps to better understand how to mitigate the racial bias of algorithms.

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State Policy Considerations to Support Equitable Systems of Care for Children and Youth with Special Health Care Needs 

NASHP

Approaches include allowing family caregivers to receive Medicaid reimbursement , providing culturally competent trainings and peer supports, making respite care more accessible for caregivers, and offering behavioral health supports for caregivers. recruitment, consultation resources, Medicaid reimbursement, etc.).

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How Essen Health Care used an AI virtual care assistant to make thousands of patient calls in just days

Healthcare It News

The New York State Health Home program is designed for the neediest Medicaid patients and aims to reduce overall healthcare costs by decreasing inpatient costs (and utilization) by addressing social determinants of health such as housing, transportation and food. THE PROBLEM.

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HEDIS® Public Comment Period Is Now Open

NCQA

Health plans have an important role in providing services to prevent adverse outcomes and ensure proper care coordination during the post-surgical period. Failure to complete timely follow-up can undermine the ability of screening to prevent development and progression of cervical cancer. ET) on March 13.

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Racial Bias in Algorithms: How One State is Leading the Charge

NASHP

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.

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State Community Health Worker Models

NASHP

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. MHP Medicaid Health Plans. NCQA National Committee for Quality Assurance.

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