NASHP

APRIL 17, 2023

Performance measurement is a pillar of state quality improvement and oversight. 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).

Medicaid 52

Medicaid Quality Assurance Quality Improvement Quality Review 52

NASHP

DECEMBER 16, 2022

States provide access to contraception under their Medicaid programs in various ways. Medicaid paid for 41% of all U.S. Public insurance programs, including Medicaid, the Children’s Health Insurance Program (CHIP), and the Indian Health Service (IHS) paid for over two-thirds (68%) of unintended births in 2010. births in 2021.

Medicaid 52

Medicaid Prevention Quality Improvement Hospitals 52

NASHP

APRIL 17, 2023

Performance measurement is a pillar of state Medicaid managed care quality improvement and oversight efforts, is often factored into plan payment, and supports public reporting. 42 Medicaid agencies collected at least one measure of behavioral health performance. In a few states we also used additional resources.

Medicaid 52

Medicaid Quality Assurance Quality Review Accountability 52

Health Policy News

NOVEMBER 16, 2022

Mandatory Medicaid and Children’s Health Insurance Program (CHIP) Core Set Reporting In August 2022, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule, which, if promulgated, would.

Medicaid 52

Medicaid Medicare Quality Improvement 52

NASHP

DECEMBER 23, 2022

With more than 40 percent of births financed by Medicaid, the Centers for Medicare & Medicaid Services (CMS) has developed an action plan that corresponds with goals outlined in the White House blueprint. Implement Medicaid benefit. Monitor and evaluate quality improvement and outcomes and address barriers to care.

Medicaid 59

Medicaid Nursing Regulations Hospitals 59

NASHP

NOVEMBER 15, 2021

Immunization Barriers in the United States: Targeting Medicaid Partnerships Fact Sheet: Using New and Existing Federal Funds to Modernize IIS. What tasks can support IIS interoperability, integration, and outreach with partner systems like Medicaid and Public health? What gaps can be filled to help facilitate public health activity?

Medicaid 52

Medicaid Quality Improvement Prevention Integration 52

Briggs Healthcare

MAY 30, 2023

MEASURE RATIONALE: Findings from an environmental scan/literature review suggest there is a measurement gap for assessing discharges to non-institutional settings for high-risk and high-need populations across Medicaid. assisted living, adult family home, group home). The potential measure exclusions. a qualifying numerator event).

Medicaid 40

Medicaid Rehabilitation Quality Improvement Quality of Care 40

Healthcare ECONOMIST

SEPTEMBER 25, 2023

They find that: We did not find discontinuities in inpatient care quality across the Program eligibility threshold for Medicaid and uninsured patients; specifically, on all-cause mortality (beta = −0.04 Interestingly, the authors did find that there was some evidence of quality improvement among insured non-Medicaid patients.

Quality of Care 70

Quality of Care Medicaid Quality Improvement Hospitals 70

NASHP

SEPTEMBER 8, 2023

Over the past two years, the seven state teams that participated in the MCH PIP Policy Academy, comprised of officials from state Medicaid, public health, and other relevant agencies/groups (e.g., The state Medicaid agency is in the process of standing up this case management program based on input received during these sessions.

Medicaid 80

Medicaid Performance improvement Quality Improvement Accountable Care 80

Healthcare It News

DECEMBER 20, 2022

Mate also cited examples of how quality improvement methods can address inequalities. "Hospital and health system quality improvement and equity are inseparable in order to improve health outcomes for all," said Leon D.

Quality Improvement 186

Quality Improvement Pharmaceuticals Hospitals Medicaid 186

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. Download the report (PDF).

Medicaid 59

Medicaid Public Hospital Hospitals Nursing 59

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

NCQA

FEBRUARY 14, 2023

To better measure health equity in new ways that integrate performance measures, a new NCQA policy brief reviews four measurement approaches for states’ Medicaid managed care programs. An examination of peer-reviewed and gray literature uncovered four criteria for measuring equitable care: Select indicators of social determinants of health.

Medicaid 52

Medicaid Quality Improvement Integration Medicare 52

Briggs Healthcare

FEBRUARY 24, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The 2023 CMS Quality Conference, brought to you by the Centers for Medicare & Medicaid Services, is the premier health care quality conference focused on improving quality, equity, and innovation. Register here.

Quality Improvement 52

Quality Improvement Medicaid Medicare Healthcare 52

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

Briggs Healthcare

MAY 9, 2023

During the virtual conference, which attracted 10,000 attendees, CMS released a National Quality Strategy (NQS) handout , which outlines the goals and objectives, and actions taken within the NQS’s four priority areas: equity and engagement; outcomes and alignment; safety and resiliency, and interoperability and scientific advancement.

Quality Improvement 52

Quality Improvement Medicaid Medicare Hospitals 52

NCQA

OCTOBER 31, 2023

“ It’s a marathon, not a sprint ,” said Liz Fowler, Director at the Center of Medicare and Medicaid Innovation (CMMI), during a recent Fireside Chat with NCQA Executive Vice President Eric Schneider. And then we’re also developing an approach for certification based on quality improvement and patient experience.”

Primary Care 52

Primary Care Quality Improvement Medicaid Accountable Care 52

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 124

Medicaid Quality of Care Quality Assurance Nursing 124

HIT Consultant

MARCH 17, 2024

The Centers for Medicare and Medicaid Services (CMS) has outlined an ambitious objective: to transition all traditional Medicare beneficiaries into a VBC arrangement by 2030, a notable increase from the mere 7% recorded in 2021 by Bain Research. Jay Ackerman, CEO, Reveleer The momentum of value-based care (VBC) is poised to accelerate.

Quality Improvement 64

Quality Improvement Medicare Quality of Care Regulations 64

NASHP

MARCH 22, 2024

State Medicaid programs, behavioral health authorities, public health, departments of insurance, human and social service agencies, departments of education, departments of corrections, housing, and employment can collaborate to align overlapping efforts, align policies, and braid funding and accountability mechanisms.

Accountability 52

Accountability Medicaid Primary Care Quality Improvement 52

HIT Consultant

FEBRUARY 15, 2022

Medicaid, Medicare Advantage). public Medicaid, private PPO, Medicare Advantage). Health plans should approach quality improvement with a prioritized, targeted approach, first addressing the biggest pain points that were revealed within a deeper analytics exercise, such as access to care. – Geographic location.

Quality Improvement 98

Quality Improvement Medicaid Medicare Healthcare 98

HIT Consultant

APRIL 26, 2023

About the Race and Ethnicity Stratification Learning Network The Race and Ethnicity Stratification Learning Network was convened in late-2022 to develop a greater understanding and resources to support the stratification of quality performance data and use of stratified data to advance health equity.

Quality Assurance 52

Quality Assurance Quality Improvement Medicaid Medicare 52

Briggs Healthcare

MARCH 8, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Centers for Medicaid and Medicare Services (CMS) is migrating MDS submissions and reporting to a new system, the internet Quality Improvement and Evaluation System (iQIES) beginning April 17, 2023.

Quality Improvement 40

Quality Improvement Nursing Medicaid Medicare 40

NASHP

FEBRUARY 27, 2024

This report is one section of State Strategies to Leverage Medicaid Managed Care Contracting for Investments in Health and Housing Alignment. For more information on financing housing-related services, please visit our Medicaid and Housing toolkit. Flexible services are not Medicaid-covered services, nor are they an entitlement.

Medicaid 40

Medicaid Quality Improvement Accountable Care Accountability 40

HIT Consultant

DECEMBER 5, 2023

According to new reporting rules from the Centers for Medicare & Medicaid Services (CMS), hospitals are expected to collect data about rates of hypo and hyperglycemia to accurately assess their facility’s ability to mitigate preventable patient harm. The time for change is now.

Hospitals 98

Hospitals Patient Safety Quality Improvement Prevention 98

HIT Consultant

JULY 13, 2022

. – Cohere’s collaborative UM platform will help GHP support value-based care delivery, reduce administrative costs, and lead the nation in aligning quality improvement initiatives across all its lines of business, including Commercial, Exchange, Medicare Advantage, and the newly expanded Medicaid.

Quality Improvement 98

Quality Improvement Medicaid Medicare 98

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

Healthcare It News

OCTOBER 12, 2023

In 2022, the Centers for Medicare & Medicaid Services introduced new CPT codes for remote care delivered via a digital care management platform that qualifies with the Federal Drug Administration as software as a medical device (SaMD). Another aspect of this approach is reimbursement.

Digital Care 237

Digital Care Physical Therapy Patient Experience Remote Care 237

Briggs Healthcare

SEPTEMBER 18, 2023

CMS will release the Health Equity Confidential Feedback Reports through the Internet Quality Improvement & Evaluation System (iQIES) reports folders. The PAC Health Equity Confidential Feedback Reports will stratify the DTC and MSPB measures by dual-enrollment status and race/ethnicity.

Rehabilitation 40

Rehabilitation Quality Improvement Medicare Medicaid 40

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. Conclusion.

Medicaid 52

Medicaid Quality Review Prevention Quality Improvement 52

NASHP

MARCH 22, 2024

In addition to expanding Medicaid, North Carolina’s FY2024 budget allocates over $835 million for mental health and substance abuse investments under Medicaid. They focus on crucial areas such as managed care contracting, achieving coverage parity, and enhancing workforce capacity to improve both quality and access to care.

Medicaid 52

Medicaid Urgent Care Primary Care Hospitals 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

p3care

DECEMBER 10, 2020

MIPS program has four categories that cater to meaningful quality healthcare services. Improvement Activities (IA). The quality category replaced the PQRS (Physician Quality Reporting System) and reflects the efforts to improve the quality of care. Key Elements of QPP MIPS. Promoting Interoperability (PI).

Quality of Care 246

Quality of Care Medicare Quality Improvement Medicaid 246

Briggs Healthcare

NOVEMBER 17, 2022

As the expanded HHVBP Model prepares to start the first performance year on January 1, 2023, the Centers for Medicare & Medicaid Services (CMS) issued the November 2022 Pre-Implementation Performance Report (PIPR) to all active home health agencies (HHAs). Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare.

Quality Improvement 75

Quality Improvement Medicaid Medicare Healthcare 75

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.

Rehabilitation 40

Rehabilitation Medicaid Prevention Medicare 40

Home Health Care

NOVEMBER 22, 2022

Government Accountability Office (GAO) has signed off on the home health payment rule finalized by the Centers for Medicare & Medicaid Services (CMS) last month. CMS argues that alternatives to mitigate the payment reductions would be contrary to the intent of the rule.

Medicare 83

Medicare Quality Improvement Medicaid Accountability 83

Briggs Healthcare

MARCH 2, 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS is excited to announce that the transition of the Minimum Data Set (MDS) submission to the Internet Quality Improvement and Evaluation System (iQIES) will occur on Monday, April 17, 2023.

Medicaid 40

Medicaid Quality Improvement Healthcare 40