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How to Improve Your VBP Scores and Boost Medicare Payments

Home Health Care

Yet while home-based care providers certainly have many excellent, technical questions, one sits above all others: How will the expansion of HHVBP affect their reimbursement? Since CMS standardized it in 2018, Quality Assurance and Performance Improvement program, or QAPI, has served as a guiding light for home-based care providers.

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State Oversight and Innovations in Medicaid-Managed Long-Term Services and Supports (MLTSS) Serving Older Adults and People with Disabilities 

NASHP

All states, with the exception of California and Virginia, have created at least one separate MLTSS program targeted toward adults 65 and older or individuals dually eligible for Medicare and Medicaid (dual eligibles). utilization review, quality improvement, and claims) to improve communication and information sharing across teams.

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Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF) Launches March 15, 2023

Briggs Healthcare

On May 16, 2022, HHS announced the funding opportunity of nearly $15 million for a three-year federal grant to establish a Substance Abuse and Mental Health Services Administration (SAMHSA) program that will strengthen the delivery of behavioral health care to residents of nursing homes and other long-term care facilities.

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First Do No Harm

Briggs Healthcare

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.

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

NASHP

5 Compared to white, non-Hispanic CYSHCN, CYSHCN who are Black or Latinx are at particular risk of receiving infrequent, low-quality care, 6 while American Indian and Alaska Native CYSHCN are less likely to be able to access specialty treatment or receive culturally sensitive services. 25] Centers for Medicare and Medicaid Services.

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Expanding the Perinatal Workforce through Medicaid Coverage of Doula and Midwifery Services

NASHP

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. Monitor and evaluate quality improvement and outcomes and address barriers to care. Implement Medicaid benefit.

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Administration Strengthens Oversight of Nation’s Poorest-Performing Nursing Homes

Briggs Healthcare

Today’s announcement is part of a series of new actions the Biden-Harris Administration is taking to increase accountability of bad actors in the nursing home industry, improve the quality of nursing homes and make them safer. and face increasingly severe enforcement actions if improvement is not demonstrated.

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