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Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

NASHP

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. ii] Rural areas are highly likely to suffer from shortages of primary care and other providers.

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Sustainability and Value: State Palliative Care Reimbursement Strategies

NASHP

Providers received bonus payments for achieving process measures indicating that certain facets of palliative care (e.g., advance care screening) were performed. access to a palliative care team) or for outcome measures, such as improved patient satisfaction or reduced cost.