NASHP

APRIL 15, 2022

CalAIM: Leveraging Medicaid Managed Care for Housing and Homelessness Supports April 15, 2022 / by Allie Atkeson. Driven by challenges facing individuals with complex care needs, states are increasingly working to address the physical, behavioral, and social needs of their Medicaid beneficiaries. Eviction prevention.

Medicaid 57

Medicaid Public Hospital Hospitals Nursing 57

GoMoHealth

OCTOBER 20, 2022

By Nakecia Taffa, Quality Improvement and Health Equity Director for GoMo Health. 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.

Quality Improvement 80

Quality Improvement Medicaid Population Health Medicare 80

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

AUGUST 15, 2022

Improving Oral Health Access through Managed Care Quality Initiatives in Pennsylvania By Allie Atkeson. States are engaged in a variety of efforts to improve oral health access as part of improving overall health outcomes for Medicaid members. Medicaid Managed Care Dental Performance. Fluoride varnish.

Medicaid 52

Medicaid Quality Review Prevention Quality Improvement 52

Healthcare It News

OCTOBER 12, 2023

Such early intervention prevents potential complications from escalating and avoids unnecessary ED visits and readmissions, while helping patients feel reassured and confident in the care they receive, Moss said. Care teams are alerted immediately and can intervene quickly when a patient is concerned or isn’t progressing as expected.

Digital Care 257

Digital Care Physical Therapy Patient Experience Remote Care 257

Briggs Healthcare

MAY 4, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The submission deadline for the Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) Quality Reporting Programs is approaching. All data must be submitted no later than 11:59 p.m. on May 15, 2023.

Rehabilitation 40

Rehabilitation Medicaid Prevention Medicare 40

Briggs Healthcare

JANUARY 9, 2023

Centers for Medicare & Medicaid Services CMS QI Voices: Improving COVID-19 Outcomes in Nursing Homes Across America is an audio series that gives you a closer look at the projects and the people who are improving health care quality and outcomes. Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare.

Nursing 52

Nursing Prevention Medicaid Quality Improvement 52

Briggs Healthcare

AUGUST 7, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The submission deadline for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) is approaching. All data must be submitted no later than 11:59 p.m. on August 15, 2023.

Medicaid 40

Medicaid Quality Improvement Medicare Nursing 40

HIT Consultant

JULY 24, 2022

It’s time to shine some light on PAD and start taking coordinated, proactive action to prevent this condition from advancing in people with diabetes. Through a combination of policy, education, and technology, we can start to turn the tide on PAD and improve health outcomes for vulnerable communities.

Prevention 98

Prevention Medicaid Medicare Quality Improvement 98

NASHP

MARCH 29, 2024

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.).

Medicaid 123

Medicaid Quality of Care Quality Assurance Nursing 123

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

Medicaid 120

Medicaid Primary Care Prevention Nursing 120

Briggs Healthcare

FEBRUARY 10, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The submission deadline for the Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) Quality Reporting Programs is approaching.

Rehabilitation 40

Rehabilitation Medicaid Quality Improvement Prevention 40

NASHP

SEPTEMBER 28, 2022

As states are not required to include dental services for adults in their Medicaid programs, the ability for low-income individuals to access dental care is often a factor of where they live. Other state Medicaid programs are adding requirements for primary care medical providers to offer similar services.

Integration 62

Integration Primary Care Medicaid Prevention 62

NASHP

MARCH 22, 2024

Invest in prevention and early intervention. In addition to expanding Medicaid, North Carolina’s FY2024 budget allocates over $835 million for mental health and substance abuse investments under Medicaid. In Colorado , Medicaid leverages its medical loss ratio (MLR) policies to incentivize MCOs’ performance.

Medicaid 52

Medicaid Urgent Care Primary Care Hospitals 52

NASHP

JANUARY 10, 2022

As a result, vaccination coverage rates plummeted, leaving many children vulnerable to preventable diseases. Additionally, vaccination requirements for school entry can be very effective at driving vaccination rates and protecting students, staff, and communities from vaccine-preventable diseases. percent and 71.3

Prevention 97

Prevention Medicaid Quality Improvement Hospitals 97

Briggs Healthcare

APRIL 17, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Vaccines, Treatments and Promising Practices to Improve Resident Outcomes CMS QI Voices: Improving COVID-19 Outcomes in Nursing Homes Across America , a new audio series produced by the Centers for Medicare & Medicaid Services (CMS), is available for listening at [link].

Nursing 40

Nursing Prevention Quality Improvement Medicaid 40

Briggs Healthcare

MARCH 9, 2023

SAMHSA provides leadership, supports programs and services, and devotes resources to helping people act on the knowledge that behavioral health is essential to health, prevention works, treatment is effective, and people recover. The training and technical assistance provided by the COENF will be free of charge.

Nursing 52

Nursing Prevention Performance improvement Medicaid 52

NASHP

MAY 8, 2023

Regardless, most experts note that striking the right balance between securing data quality and determining when data are complete enough to advance policymaking can be challenging — suggesting a continuous quality improvement approach. National efforts to standardize are useful to inform state approaches.

Medicaid 52

Medicaid Quality Improvement Quality Assurance Hospitals 52

Briggs Healthcare

AUGUST 22, 2022

The American Academy of Hospice and Palliative Medicine (AAHPM) developed this implementation guide to help palliative care teams implement and collect data for two patient-reported outcome performance measures (PROPMs) for quality improvement (QI) and regulatory reporting efforts.

Patient Experience 52

Patient Experience Quality Improvement Quality of Care Medicare 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

Briggs Healthcare

NOVEMBER 4, 2022

must be transmitted to the Centers for Medicare & Medicaid Services (CMS) through the Assessment Submission and Processing (ASAP) system to the Quality Improvement Evaluation System (QIES). The Minimum Data Set (MDS) 3.0 No additional data submission is required for the claims-based measures.

Quality Improvement 52

Quality Improvement Medicaid Prevention Medicare 52

Briggs Healthcare

NOVEMBER 10, 2022

SNF Quality Reporting Program Data Submission Deadlines. Swingtech sends informational messages to IRFs, LTCHs, and SNFs that are not meeting Annual Payment Update (APU) thresholds on a quarterly basis ahead of each submission deadlines.

Rehabilitation 40

Rehabilitation Quality Improvement Medicaid Nursing 40

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] public health, Medicaid, mental health) and other stakeholders (e.g., Nearly 20 percent of children in the U.S.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

Briggs Healthcare

JANUARY 17, 2023

The data contained within the Preview Reports are based on quality assessment data submitted by SNFs from Quarter 3, 2021 through Quarter 2, 2022. Additionally, the Centers for Disease Control and Prevention (CDC) COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) measure reflects data from Quarter 2, 2022.

Quality Improvement 52

Quality Improvement Nursing Medicaid Prevention 52

Briggs Healthcare

OCTOBER 14, 2022

The data contained within the Preview Reports are based on quality assessment data submitted by SNFs from Quarter 2, 2021 through Quarter 1, 2022. Additionally, the Centers for Disease Control and Prevention (CDC) COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) measure reflect data from Quarter 1, 2022.

Nursing 40

Nursing Medicaid Prevention Quality Improvement 40

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 29, 2021

Medicaid Reimbursement. Medicaid Reimbursement. Alabama does not reimburse for CHW services through its Medicaid program. Alaska Medicaid reimburses for CHW services through MCOs as authorized under the state plan. Arizona does not currently reimburse for CHW services through its Medicaid program.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

Briggs Healthcare

MARCH 20, 2023

and Jonathan Blum, Centers for Medicare & Medicaid Services – names you may recognize from CMS National Stakeholder Calls. As the nation’s largest payer for health care, the Centers for Medicare & Medicaid Services’ (CMS) mission in our National Quality Strategy includes ensuring everyone is safe when they receive care.

Patient Safety 40

Patient Safety Medicaid Medicare Quality of Care 40

Briggs Healthcare

AUGUST 9, 2022

The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls (Volume 9, Issue 4). Health Quality Innovation Network (HQIN), the Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Missouri, recently released a new tool in the fight against COVID-19.

Quality Improvement 40

Quality Improvement Nursing Medicare Regulations 40

Cloud Blogs

FEBRUARY 28, 2022

In 2020, the Centers for Medicaid and Medicare Services (CMS) issued additional rules requiring that payors and providers who receive CMS funds make health information more accessible. 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

Sheppard Health Law

DECEMBER 19, 2022

CMS promised forthcoming educational brochures and 1-2 minute podcasts in collaboration with the Food and Drug Administration and Centers for Disease Control and Prevention to address physician hesitancy regarding the prescription of antiviral drug treatments and other frequently asked questions. Available Resources for Facilities.

Nursing 52

Nursing Quality Improvement Medicaid Hospitals 52

Cloud Blogs

FEBRUARY 28, 2022

In 2020, the Centers for Medicaid and Medicare Services (CMS) issued additional rules requiring that payors and providers who receive CMS funds make health information more accessible. Inaccessible and incomplete patient data creates insurmountable challenges to coordination, financial-risk arrangements, and effective preventative care.

Integration 88

Integration Healthcare Quality of Care Regulations 88

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. million Medicaid participants.

Primary Care 62

Primary Care Medicaid Accountability Quality Improvement 62

NASHP

MARCH 22, 2024

States such as Texas, Wyoming , and New Jersey are adopting Medicaid reimbursement of collaborative care services and are addressing capacity to transition to CoCM. Integration of Substance Use Services and Supports States can align long siloed approaches to primary care, mental health, and substance use services through integration efforts.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

NASHP

JUNE 22, 2022

The National Care Coordination Standards for CYSHCN, released by the National Academy for State Health Policy in October 2020, describe the importance of focusing care coordination quality measurement for pediatric populations on the extent to which patients’ and families’ goals and needs are met and burdens reduced. [8] Value-based payment.

Doctors 52

Doctors Medicaid Quality of Care Healthcare Providers 52

NASHP

AUGUST 31, 2023

This feedback, along with state-collected health data, helped shape Oregon’s five priority areas : institutional bias; adversity, trauma, and toxic stress; behavioral health; access to equitable preventive services; and economic drivers of health.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

NASHP

AUGUST 3, 2022

Over time, as new funding for SUD has been introduced through opioid abatement settlements and enhanced federal dollars, the complexity of managing multiple funding streams to drive prevention, treatment, and recovery efforts has increased. The EO also established a Prevention and Recovery Cabinet, chaired by the Director of Opioid Response.

Medicaid 98

Medicaid Prevention Integration Quality Improvement 98