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

Briggs Healthcare

The program will be funded with CMS’ Civil Money Penalty (CMP) funds, which come from collected CMPs that are imposed against nursing homes and other long-term care facilities when they are not in substantial compliance with one or more Medicare and Medicaid program participation requirements for long-term care facilities.

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First Do No Harm

Briggs Healthcare

CMS deploys a range of quality measures to encourage transparency in public reporting of the quality of care in facilities and to increase accountability. These programs aim to prioritize value in health care delivery and, if a provider does not commit to improve and show results, they can face financial penalties.

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Improving Oral Health Access through Managed Care Quality Initiatives in Pennsylvania

NASHP

Recently, Pennsylvania shared their work with managed care organizations (MCO)s to improve access to oral health care services through quality improvement projects, measures, and incentives. Medicaid Managed Care Dental Performance.

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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

Illinois described using two dashboards to monitor performance: a population-specific dashboard that includes data on metrics such as care plan completion and care transitions and an internal-performance dashboard to examine differences in care and utilization by race, ethnicity, and region.

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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.

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

NASHP

Monitor and evaluate quality improvement and outcomes and address barriers to care. Implement quality and performance initiatives. State Medicaid programs can implement initiatives such as value-based payments and performance improvement projects to incentivize perinatal health services and positive birth outcomes.