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How to Improve Your VBP Scores and Boost Medicare Payments

Home Health Care

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. The program is the process by which a home-based care provider measures its quality metrics. You may have a triage team to make calls.

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State Approaches to Behavioral Health Measures in Medicaid Managed Care

NASHP

Performance measurement is a pillar of state quality improvement and oversight. In addition, CMS and the National Committee for Quality Assurance (NCQA) both produce national performance metrics that states can use as performance benchmarks. It is often factored into plan payment, and it supports public reporting.

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Data Strategies to Understand and Address Health Disparities

NASHP

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.

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

NASHP

31 Telehealth Michigan Michigan’s Children’s Special Health Care Services Division collaborates with key statewide partners to lead the Michigan Pediatric Epilepsy Project , an initiative to improve health outcomes for children and youth with epilepsy, particularly those in rural and underserved communities.

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State Community Health Worker Models

NASHP

CDC Centers for Disease Control and Prevention. NCQA National Committee for Quality Assurance. USPSTF United States Preventative Services Task Force. . Health promotion education to a member to prevent chronic illness. Direct preventive services or services aimed at slowing the progress of chronic diseases.

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

NASHP

For example, rural residents are less likely than urban residents to obtain preventive services, including services needed to identify health conditions early in their onset. iii] Also, those living in rural areas are more likely to experience a preventable hospitalization. [iv] iv] Johnston, K. Wen, and K. Joynt Maddox. v] Per §438.2

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About This Resource Guide: Promising Practices to Address Health Disparities

NASHP

Source: Centers for Disease Control and Prevention (CDC) Health : Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity. Source: Institute for Healthcare Improvement Public Health : The science of protecting and improving the health of people and their communities.