Remove Nursing Remove Quality Improvement Remove Quality of Care Remove Rehabilitation
article thumbnail

Discharge from Inpatient Facilities to Home-Based Settings for Medicaid Participants: Public Comment Framing Document

Briggs Healthcare

acute care hospital, long-term acute care hospital [LTAC], skilled nursing facility [SNF], inpatient rehabilitation facility [IRF]) to their home (e.g., assisted living, adult family home, group home). NOTE: This document provides a draft description of the measure. The potential measure exclusions.

article thumbnail

Weighing Policy Trade-offs: Building State Capacity to Address Health Care Consolidation

NASHP

Evidence suggests that vertical integration and growing consolidation in health care leads to higher hospital and provider prices and higher total spending — all while having little to no impact on improving quality of care for patients, reducing utilization, or improving efficiency.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

NASHP

For example, the Centers for Medicare & Medicaid Services Innovation Center is currently supporting the Integrated Care for Kids (InCK) model across seven sites in six states. This model aims to improve quality of care for children, including CYSHCN, through integrated care delivery systems that include care coordination.[12].

article thumbnail

Behavioral Health System Modernization along the Continuum

NASHP

North Carolina’s InCK program , led by Duke University and the University of North Carolina at Chapel Hill, brings together partners from Medicaid, behavioral health, child welfare, juvenile justice, education, Title V, mobile crisis, and more to coordinate care and address the health and social needs of children in five counties.

article thumbnail

CMS Promotes Competition, Transparency, Health Equity and More in the CY2025 Medicare Advantage and Part D Proposed Rule

Sheppard Health Law

Specifically, MA enrollees enjoy an appeal right which is normally triggered when the MA organization delivers a Notice of Medicare Non-Coverage (“NOMNC”) relating to certain non-hospital provider services, including services in a home health agency, skilled nursing facility, or a comprehensive outpatient rehabilitation facility. [2]

article thumbnail

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

NASHP

This section of the guide outlines considerations, examples, and resources for: Identifying stakeholders and establishing partnerships across care coordination and child-serving systems. Assessing care coordination system capacity, gaps, and process improvements. Financing care coordination systems. Academic institutions.