Colorado Department of Health Care Policy and Financing NASHP: Making Quality Count
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The document summarizes Colorado's efforts to improve healthcare quality and reduce costs through the Colorado Department of Health Care Policy and Financing and the Center for Improving Value in Health Care (CIVHC). It describes CIVHC's formation, areas of focus, and long term goals which include increasing transparency, improving population health, providing a more consumer-centered experience, and bending the healthcare cost curve.
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The document summarizes key aspects of the Companies Bill 2012 in India. It discusses the history of the bill and changes from previous versions. Some of the major changes covered include increasing the maximum number of members in a private company, introducing the concept of a One Person Company, mandating at least one woman director on boards, and increasing the limit of directors from 12 to 15. It also covers changes related to corporate governance, auditing standards, CSR requirements, and serious fraud investigations.
Foster Gesten, Learning the ABCs of APCs
NASHP conference: Learning the ABCs of APCs and Medical Homes. Advance Primary Care (APC) or medical home models in both managed and fee for service delivery systems. Speakers will describe a variety of strategies that states are using to support primary care providers by connecting them to necessary resources including care coordination, public health and social services.
Brand and Leverage
1) The document discusses how newspaper and magazine publishers are well positioned to succeed in the digital era due to their strong brands and ability to leverage new technologies.
2) It argues that publishers have the necessary brand recognition and local focus to deliver valued news and content across multiple platforms. With new tools, they can better engage audiences and measure their success.
3) The document urges publishers to experiment digitally through small trials rather than major overhauls, and to leverage their brands by bundling and upselling different content and services to advertisers. This will help publishers transition away from doom-filled predictions and thrive in new media.
Holiday In France
This short document appears to be about music and images found on the internet. It mentions Georges Moustaki, a French singer-songwriter, and his song "Passe le temps". It also mentions the singer Adriana.
Health Information Technology, Quality Improvement, and the Delivery System R...
Maryland has established a "phalanx" strategy to coordinate implementation of health IT, quality improvement initiatives, and delivery system reforms. The phalanx involves a large number of stakeholders working together, with leadership serving on the front line to push initiatives forward. While linking payment to quality and changing hospital payments will face challenges, having many groups collaborating and supporting each other can help drive changes through. The state has made progress in areas like establishing a health information exchange, adopting electronic health records, and developing medical home pilots. Fully achieving reforms will require maintaining stakeholder cooperation and momentum.
Model caselets
Adidas merged with Reebok in 2005 for $3.8 billion to compete with Nike. While the merger aimed to boost sales growth through greater market share in the US and Europe, some analysts were skeptical about the ability to successfully integrate two separate brand identities. The case highlights the rationale for the merger between Adidas and Reebok, and whether combining the companies would allow them to displace Nike as the industry leader.
Snow Patrol
The website sells Snow Patrol branded clothing and memorabilia, including a t-shirt referencing their album cover and a "Starburst Poster" suggesting their music is atmospheric. The band's homepage has a black background indicating their music has a dark twist covering themes of love, loss, and regret, while the yellow in their picture represents a glimmer of hope they bring to audiences.
Biscanna portafolio led
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Module 1
1. Research is a systematic process of collecting, analyzing, and interpreting information to increase understanding of a phenomenon. It involves asking questions, developing a plan, collecting and interpreting data, and reaching conclusions.
2. Characteristics of research include originating from a question, having clear goals and plans, dividing problems into subproblems, being guided by the research problem or hypothesis, collecting and interpreting data, and being cyclical in nature.
3. A hypothesis provides a tentative explanation, a theory explains a phenomenon, and assumptions are foundational beliefs of a study. Methodology dictates how data is acquired and interpreted to expand knowledge.
Riley: Exchanges: A New State Composition
The document discusses key goals and functions of health insurance exchanges established under the Affordable Care Act. It outlines how exchanges are meant to distribute insurance, coordinate eligibility, set standards, and improve affordability and quality of care. Specific functions of exchanges include determining eligibility, creating standard benefit categories, enrolling individuals and businesses, certifying qualified health plans, and establishing consumer-focused websites and assistance programs. The document also raises issues around the role of exchanges in coordinating with Medicaid, regulating brokers and navigators, and incentivizing participation from small businesses.
Seo on site - La stai facendo nel modo giusto? | GT Conference Torino 2013
Best practices relative all'ottimizzazione del sito. Indicizzazione, linking interno e tanti altri piccoli accorgimenti che possono portare grandi risultati.
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Ross Owen - Minnesota’s Health Care Home Initiative in Context
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Testimonials - Swiss Re employees and DCSMAT students
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Health Information Technology, Quality Improvement, and the Delivery System R...
Health Information Technology, Quality Improvement, and the Delivery System R...
Seo on site - La stai facendo nel modo giusto? | GT Conference Torino 2013
Seo on site - La stai facendo nel modo giusto? | GT Conference Torino 2013
Similar to Colorado Department of Health Care Policy and Financing NASHP: Making Quality Count
Value Driven Health Care
The document discusses value-driven healthcare in Medicaid and outlines several strategies and initiatives to improve quality of care, including:
1) Using evidence-based practices and quality measurement, health IT, and partnerships to ensure safe, effective, timely and equitable care.
2) Promoting transparency of quality and price information to support value-based payment models.
3) Providing incentives for high-quality, high-value care through pay-for-performance programs and other initiatives.
4) Collaborating across states and with CMS to share best practices around quality improvement, health IT adoption, and value-based purchasing.
Dr. Lemeneh Tefera
SAGES Quality Initiative: The Changing Quality Landscape and Hospital Value Based Purchasing- Linking Quality and Cost in Delivery System Reform.
HealthRIght Strategy Update June 2014
Driving Value into Rhode Island's Health Care Coverage and Delivery System. HealthRIght's strategy June 2014 - June 2015.
Frontier Medicine Better Health Partnership
The FMBHP is a collaboration among frontier/rural healthcare communities; Mineral Community Hospital’s Interdisciplinary Medical Education Center; iVantage, an industry leader providing comprehensive hospital evaluation tools; Mayo Clinic’s Practice-Based Research Network (PBRN); and the Appalachian Osteopathic Postgraduate Training Institute Consortium (A-OPTIC). The FMBHP will partner with CMS, IHS, Veteran Administration and other private insurers to develop a seamless and sustainable model of patient-centered and community-based healthcare that produces better outcomes cost-effectively.
Primary Care Spend: A Chapter Focus
This document summarizes Oregon's experience increasing primary care spending through legislative and collaborative efforts. It outlines how Oregon created a patient-centered medical home program, increased transparency of primary care spending across payers, and eventually mandated a minimum primary care spending threshold of 12% of total medical expenditures. Key lessons included starting with less controversial policies, using data to drive transparency and goals, and engaging a multi-stakeholder collaborative. The presentation recommends similar best practices for other states seeking to invest more in primary care.
Dr. Mark McClellan Presentation on Health Reform and Long-Term Care
Dr. Mark McClellan spoke at the 2010 AAHSA House of Delegates meeting in Los Angeles about how health reform will affect long-term care providers.
Health system and financing
The document discusses health systems and financing. It begins by defining a health system as all actors, institutions, and resources that undertake health actions, with the primary intent of improving health. Not all policies that influence health are part of the health system. The document then discusses the goals of health systems, including improving health and ensuring financial contribution. It outlines the key functions of health systems as stewardship, financing, resource generation, and service delivery. The document emphasizes the importance of aligning financing with national health plans to avoid fragmentation. It also discusses concepts of coverage, effectiveness, and factors that influence health outcomes.
Health Reform & the Delivery System: A New Medley of Payment & Incentives
This document discusses opportunities and challenges for states in implementing provisions of the Affordable Care Act that aim to improve healthcare quality and efficiency. It outlines several key areas of reform including: data collection and performance measurement; public reporting of cost and quality; payment reform through value-based purchasing; consumer engagement; and provider engagement. For each area, it identifies state challenges such as lack of standardized measures and federal-state misalignment, as well opportunities created by the ACA such as incentives for care coordination and grants for delivery system transformation. Overall, the document argues that the ACA provides momentum to build on current state quality and efficiency efforts while addressing challenges around scarce resources and pressure to adopt mandatory reforms.
Health Reform in Washington State: Where We’ve Been and Where We’re Headed
Health Reform in Washington State: Where We’ve Been and Where We’re HeadedSea Mar Community Health Centers
The document summarizes recent health care reforms in Washington state. It discusses the expansion of Medicaid, challenges in accessing care, and the state's plan to transform the health care system by 2020. The goals are to pay providers based on the value and outcomes of care instead of volume, better integrate physical and behavioral health, and empower communities to improve health. Key steps taken include legislation supporting purchasing reform and integrated whole-person care, and establishing Accountable Communities of Health to drive regional health improvements.4508 Final Quality Project Part 2 Clinical Quality Measur.docx
4508 Final Quality Project
Part 2: Clinical Quality Measures for Hospitals
Overview
This activity focuses on Quality Measures for Hospitals. The activity uses online resources from
the CMS website. The Clinical Quality Measures for Hospitals activity focuses on the Hospital
Value Based Purchasing (VBP) Program
Background
The National Quality Strategy (NQS) was first published in March 2011 as the National Strategy
for Quality Improvement in Health Care, and is led by the Agency for Healthcare Research and
Quality on behalf of the U.S. Department of Health and Human Services (HHS). Today, the NQS
serves as a guide for identifying and prioritizing quality improvement efforts, sharing lessons
learned, and measuring the collective success of Federal, State, and public‐ and private‐sector
healthcare stakeholders across the country.
The Aims of the NQS are threefold:
Better Care: Improve the overall quality by making health care more patient‐centered,
reliable, accessible, and safe.
Healthy People/Healthy Communities: Improve the health of the U.S. population by
supporting proven interventions to address behavioral, social, and environmental
determinants of health in addition to delivering higher‐quality care.
Affordable Care: Reduce the cost of quality health care for individuals, families,
employers, and government.
To align with this, CMS has set goals for their Quality Strategy. These include:
• Make care safer by reducing harm caused in the delivery of care
– Improve support for a culture of safety
– Reduce inappropriate and unnecessary care
– Prevent or minimize harm in all settings
• Strengthen person and family engagement as partners in their care
• Promote effective communication and coordination of care
• Promote effective prevention and treatment of chronic disease
• Work with communities to promote best practices of healthy living
• Make care affordable
CMS’s vision states that if we can find better ways to pay providers, deliver care, and distribute
information than patients can receive better care, health dollars are spent more wisely, and
there are healthier communities, a healthier economy, and a healthier county. It is with this in
mind that they have created multiple quality payment programs.
In January 2015, the Department of Health and Human Services made an announcement that
set in place measurable goals and a timeline to move the Medicare program towards paying
providers based on the quality of care rather than the quantity. This was the first time in the
history of the program that explicit goals were set. They invited private sector payers to match
or exceed these goals as well. These goals included:
1. Alternative Payment Models
a. 30% of Medicare payments tied to quality or value through Alternative Payment
models by the end of 2016 and 50% by the end of 2018
2. Linking Fee‐For‐Service payments to Quality/Value
a. 85% of all Medi ...
4508 Final Quality Project Part 2 Clinical Quality Measur
4508 Final Quality Project
Part 2: Clinical Quality Measures for Hospitals
Overview
This activity focuses on Quality Measures for Hospitals. The activity uses online resources from
the CMS website. The Clinical Quality Measures for Hospitals activity focuses on the Hospital
Value Based Purchasing (VBP) Program
Background
The National Quality Strategy (NQS) was first published in March 2011 as the National Strategy
for Quality Improvement in Health Care, and is led by the Agency for Healthcare Research and
Quality on behalf of the U.S. Department of Health and Human Services (HHS). Today, the NQS
serves as a guide for identifying and prioritizing quality improvement efforts, sharing lessons
learned, and measuring the collective success of Federal, State, and public‐ and private‐sector
healthcare stakeholders across the country.
The Aims of the NQS are threefold:
Better Care: Improve the overall quality by making health care more patient‐centered,
reliable, accessible, and safe.
Healthy People/Healthy Communities: Improve the health of the U.S. population by
supporting proven interventions to address behavioral, social, and environmental
determinants of health in addition to delivering higher‐quality care.
Affordable Care: Reduce the cost of quality health care for individuals, families,
employers, and government.
To align with this, CMS has set goals for their Quality Strategy. These include:
• Make care safer by reducing harm caused in the delivery of care
– Improve support for a culture of safety
– Reduce inappropriate and unnecessary care
– Prevent or minimize harm in all settings
• Strengthen person and family engagement as partners in their care
• Promote effective communication and coordination of care
• Promote effective prevention and treatment of chronic disease
• Work with communities to promote best practices of healthy living
• Make care affordable
CMS’s vision states that if we can find better ways to pay providers, deliver care, and distribute
information than patients can receive better care, health dollars are spent more wisely, and
there are healthier communities, a healthier economy, and a healthier county. It is with this in
mind that they have created multiple quality payment programs.
In January 2015, the Department of Health and Human Services made an announcement that
set in place measurable goals and a timeline to move the Medicare program towards paying
providers based on the quality of care rather than the quantity. This was the first time in the
history of the program that explicit goals were set. They invited private sector payers to match
or exceed these goals as well. These goals included:
1. Alternative Payment Models
a. 30% of Medicare payments tied to quality or value through Alternative Payment
models by the end of 2016 and 50% by the end of 2018
2. Linking Fee‐For‐Service payments to Quality/Value
a. 85% of all Medi ...
mHealth Israel_US Health Insurance Overview- An Insider's Perspective
Presentation about the US Health Insurance Sector by Lori Rund, VP, Product Management and Market Intelligence at Health Alliance Plan, a managed care organization owned by the Henry Ford Health System, with 650,000 lives. Lori is responsible for the identification, concept building, researching and business case developments for new products, services and markets. She develops and leads comprehensive market intelligence functions to help the organization better understand industry trends and identify business opportunities.
Prior to joining Health Alliance Plan, Lori was Director of Product Development and Market Intelligence at Health Alliance Medical Plans in Illinois and Director of Market Research and Strategy at Carle Clinic Association, also in Illinois.
Pay for Performance Intro
This document discusses pay for performance (P4P) and its implications for healthcare organizations. It explains that P4P aims to improve quality by directly incentivizing superior care delivery. The document outlines drivers of P4P like rising healthcare costs and quality issues. It also reviews current P4P programs and discusses strategies organizations can take to prepare, like integrating performance data and contracting approaches that reward quality and efficiency.
HFG Namibia Final Country Report
The USAID-funded Health Finance and Governance project worked in Namibia from 2013-2018 to help the country strengthen its health system and progress toward universal health coverage. It did this by supporting the institutionalization of Health Accounts to track health spending, conducting studies to estimate costs of health services and assess quality across public and private facilities, and building the government's capacity to mobilize resources and make evidence-based financing decisions. This evidence helped Namibia explore sustainable domestic financing options and identify its total funding needs for achieving universal coverage of priority health services.
Ghana Final Country Report
The Health Finance and Governance project works with countries to improve health systems and expand access to healthcare. In Ghana, the project worked with the National Health Insurance Authority to make the National Health Insurance Scheme more sustainable and effective. This included developing dashboards to monitor enrollment and claims data, conducting research to examine challenges, and laying the groundwork for capitation payments to primary care providers. The project helped institutionalize processes for using evidence to guide decision-making and reform policies to strengthen Ghana's progress toward universal health coverage.
Namibia HFG Final Report
HFG began working in Namibia in 2013, closely partnering with the Namibian Ministry of Health and Social Services and going on to collaborate with key government agencies, such as the Namibian Social Security Commission and the Universal Health
Coverage Advisory Committee of Namibia. The overarching aim of our technical assistance has been to support Namibia’s progress toward UHC to ensure all can access necessary, quality health care without financial struggle. We emphasized a government-led and -owned approach as we supported the Namibian government in addressing some of the key challenges it faced at the start of the project.
HFG’s support has helped strengthen the government’s capacity to mobilize and manage resources; improve efficiency, quality, and equity of health services; expand access to health care; sustain key health interventions, especially the HIV/AIDS prevention, care, and treatment program; and, ultimately, identify sustainable financing for UHC. We provided technical support to the Namibian government’s Health Accounts team, equipping them with tools and know-how to lead and implement four Health Accounts exercises and analyze and present data for better policy analysis and evidence-based decision making. Our support has helped institutionalize Health Accounts in Namibia and provided the country’s policymakers with evidence to examine health financing options for UHC, advocate for greater resources, and explore financial risk protection options.
Strengthening the larger health system and generating fiscal space through improved efficiency of health services was another important goal for HFG.
Findings of the health facility costing and district hospital efficiency study we undertook will enable the government to identify where it can save resources, how it can improve equity in service distribution, and what Namibia’s total financing requirement is for UHC.
This report highlights some of the major contributions HFG and its key partners have made toward more efficient use of limited health resources, improved sustainability of
health programs, and progress toward UHC in Namibia.
Boutin essential benefits
The document discusses essential health benefits that must be covered by health plans beginning in 2014 under the Affordable Care Act. It outlines 10 categories of benefits that must be covered, including hospitalization, prescription drugs, and preventive services. It also discusses limiting out-of-pocket costs and proposing approaches to defining the essential benefits package.
Webinar: State Innovation Models Initiative - Overview for State Officials
Webinar: State Innovation Models Initiative - Overview for State OfficialsCenters for Medicare & Medicaid Services (CMS)
The Centers for Medicare and Medicaid Services (CMS) State Innovation Models Initiative provides funding to support states in developing and testing innovative healthcare payment and service delivery models. States can apply for one of two types of awards - planning grants of $1-3 million to support model design or testing grants of $20-60 million over 3 years to implement models. The goal is to engage multiple payers and stakeholders to transform healthcare delivery from a volume-based system to one that rewards better health outcomes at lower cost. States must demonstrate how their models will achieve improved health, care experience and affordability through payment and delivery system reform.Florida School District goes to a reverse high-deductible strategy--free phys...
Pasco School (FL) invests heavily in employee/dependent health saving many $millions over four years. Outside the industry-box strategy!
How wise plan managers acted "outside-the industry box" to improve health whi...
Employer health plan sponsor invests in employee/member health in a manner opposite to high-deductible plan designs. Free primary care and generic drugs bring huge plan and employee savings! Spending $50 million funnels Pasco Schools (FL) to hire their own physicians!
Similar to Colorado Department of Health Care Policy and Financing NASHP: Making Quality Count (20)
Dr. Mark McClellan Presentation on Health Reform and Long-Term Care
Dr. Mark McClellan Presentation on Health Reform and Long-Term Care
Health Reform & the Delivery System: A New Medley of Payment & Incentives
Health Reform & the Delivery System: A New Medley of Payment & Incentives
Health Reform in Washington State: Where We’ve Been and Where We’re Headed
Health Reform in Washington State: Where We’ve Been and Where We’re Headed
4508 Final Quality Project Part 2 Clinical Quality Measur.docx
4508 Final Quality Project Part 2 Clinical Quality Measur.docx
4508 Final Quality Project Part 2 Clinical Quality Measur
4508 Final Quality Project Part 2 Clinical Quality Measur
mHealth Israel_US Health Insurance Overview- An Insider's Perspective
mHealth Israel_US Health Insurance Overview- An Insider's Perspective
Webinar: State Innovation Models Initiative - Overview for State Officials
Webinar: State Innovation Models Initiative - Overview for State Officials
Florida School District goes to a reverse high-deductible strategy--free phys...
Florida School District goes to a reverse high-deductible strategy--free phys...
How wise plan managers acted "outside-the industry box" to improve health whi...
How wise plan managers acted "outside-the industry box" to improve health whi...
More from NASHP HealthPolicy
20141205 community engagement conference
Shaking Up the Delivery of Traditional Mental Health Services. Several primary health care organizations (PHCOs) have established a central referral point or “one stop shop” to help primary care practices connect their patients to community-based mental health and/or substance abuse services
Advancing Health Equity through State Implementation of Health Reform
The Affordable Care Act (ACA) provides opportunities for states to make lasting
and comprehensive systems change in their approaches to achieving health equity
for their most vulnerable populations. Through provisions in areas such as coverage
and access, prevention, care coordination, population health, and quality and efficiency,
the Act offers state policymakers a broad range of policy levers for improving health care
and the health status of their racial and ethnic minority populations.
With support from the Aetna Foundation, the National Academy for State Heath Policy is hosting a
webinar to highlight the opportunities presented by health care reform to advance state health equity
agendas. In addition to featuring national health equity experts and information on how states are
using the ACA to achieve health equity, this webinar will announce the NASHP State Health Equity
Learning Collaborative, an initiative to help state policymakers maintain momentum towards achieving
health equity while implementing federal health care reform.
Affordability and Lessons Learned from State CHIP Programs by Leigha Basini
This document discusses lessons learned from state CHIP programs regarding affordability and outlines approaches to defining affordability. It notes that when formerly free coverage costs as little as 1-5% of income, enrollment decreases significantly. The document then outlines current CHIP and ACA income eligibility thresholds and cost-sharing limits. It recommends that policies be flexible, consider the ramifications of cost increases, be consumer-focused, align across programs, and be results-driven.
Putting Affordability into Context--Policy Considerations by Genevieve Kenney...
States are responsible for on the ground implementation of the Affordable Care Act (ACA), including expanding coverage options through Exchanges, Medicaid and other health insurance programs. This webinar considers different ways policymakers define affordability and draws on lessons from the Children's Health Insurance Program (CHIP), which can serve as a model for states as they implement affordability provisions in ACA. It also looks at the impact on families when coverage is not affordable and considerations for families in purchasing decisions.
Ar slides final
The document discusses Arkansas' AR LINKS program which aims to create efficient systems to support healthy child development. The program objectives are to create community-based systems to support quality services for children, encourage standardized developmental screening, and improve communication between providers. Intervention strategies include partnerships with child care programs and Medicaid representatives to gain insights from families and work with providers. The implications are improvements to referral processes, tracking of screenings, and quality of well-child visits to better identify and treat developmental delays. The program also aligns with Arkansas' Medicaid transformation project to emphasize prevention, coordinate episodes of care, and align incentives across payers.
Il slides final
The document discusses Illinois' Healthy Beginnings II initiative which aims to coordinate care for young children. It has two goals: ensuring children receive coordinated comprehensive care through provider collaboration, and supporting at-risk children and families who are ineligible for early intervention or special education. The initiative creates a data sharing plan between agencies, trains medical homes in care coordination, and develops a statewide provider database to address non-medical needs. Early lessons indicate the importance of flexibility, engagement, collaboration, identifying changes, and synergies with other projects.
Jills slides
The ABCD initiative aims to strengthen states' capacity to deliver preventative care and early identification services to support young children's healthy development. The goal is to identify, test, and spread policy and system changes that create efficient linkages between pediatric primary care providers and other child and family service providers. The 3-year initiative involves a learning collaborative of 5 states testing interventions at the primary care practice, community, and systems levels to improve connections between healthcare and services like early intervention, education, mental health, and family support programs.
Carrie slides
The document discusses lessons learned and recommendations from a five-state consortium working to improve care coordination and service linkages to support healthy child development. Key lessons included developing processes to improve provider communication, using quality improvement to test new models, and incorporating formal parent involvement. Recommendations focused on starting with primary care and early intervention programs, considering automated data integration models, and gathering stakeholder feedback to improve forms and coordination.
Or slides final
This document discusses Oregon's ABCD for Healthy Kids program which provides Medicaid coverage for nearly 1 in 3 Oregon children through managed care organizations. It recommends implementing a Performance Improvement Project (PIP) using the CMS protocols to help coordinate care and connect systems. Key activities for the PIP include community engagement through parent forums and stakeholder interviews to help shape the project, as well as learning collaboratives and guidelines for providers. The goals are to understand families' healthcare experiences, improve care coordination, and rethink early education.
Ok slides final
The document discusses Oklahoma's ABCD III Project which aims to improve developmental screening and referral to early intervention services. It notes that many primary care physicians have not incorporated formal developmental screening. The project has four pilot sites and seeks to balance community needs, state agency partners, physicians, and families. Key interventions discussed include a web portal to facilitate screening, referrals, and care coordination, as well as local community core groups. Early lessons indicate closing referral loops between partners is complicated but partnerships have supported project goals.
Mn final slides
The Minnesota ABCD III Initiative aims to improve care coordination for children's health development across four pilot sites. It establishes teams of primary care, mental health, and other professionals to better link services. The initiative uses a model of iterative testing and improvement. It also develops patient databases to help care coordinators track activities and carry out follow-ups. The goal is that care coordination efforts under this initiative will help pilot sites achieve certification as Minnesota Health Care Homes for ongoing sustainability.
Relationships with State Officials Building and Keeping them Karamoko
Moriba A. Karamoko, Director of the Louisiana Consumer Healthcare Coalition discusses how build and maintain relationships with state officials in reference to health care systems.
Streamlining Eligibility and Enrollment Mendoza VA
Rebecca Mendoza, Director of Maternal and Child Health in Virginia presents on eligibilty, enrollment and engaging stakeholders. Partnerships include Virginia Health Care Foundation, the Robert Wood Johnson Foundation, and NASHP's Maximizing Enrollment Program.
Medicaid Medical Homes Initiatives: Promising Practices to Inform 2703 SPAs
This document summarizes Medicaid medical home initiatives across multiple states. It describes initiatives led by NASHP to inform state plan amendments for health homes under the Affordable Care Act. It provides details on how states define eligible populations, standards for provider infrastructure and payment methodologies. Key challenges for states include integrating care for dual eligibles, behavioral health, and long-term care. The document aims to share promising practices across states.
“Health Homes” and Behavioral Health/General Medical Care Integration
The document discusses integrating behavioral health and general medical care. It notes that many patients have co-occurring behavioral and medical conditions, resulting in poor health outcomes and high costs. While evidence-based integration models exist, they have not been widely adopted due to structural barriers. The Health Home option could help by providing incentives and flexibility to implement integrated care models. The document outlines strategies for integrating care through the primary care or behavioral health settings using coordinated teams and services.
Commonwealth Care Alliance: Care for Medicaid and Dual Beneficiaries with Com...
The document describes the case of Anna C., a 55-year-old Medicaid beneficiary with multiple chronic conditions including multiple sclerosis and depression. Under her previous care arrangement, Anna experienced frequent hospitalizations and declining health. After enrolling in Commonwealth Care Alliance's health home program, Anna received a comprehensive in-home assessment and individualized care plan. This led to improved care coordination, engagement in treatment, and significantly better health outcomes over the past year with only a few emergency department visits.
The Power of Integrated Care: Implementing Health Homes in Medicaid
This document summarizes a CMS webinar about implementing health homes in Medicaid under Section 2703. It discusses drivers of high costs for people with chronic conditions, eligibility criteria for health homes, designated provider types and required functions, covered health home services, and the enhanced 90% federal matching funds for 8 quarters. It also reviews state reporting requirements and next steps around regulations and technical assistance for implementing health homes.
OK Online Enrollment
The document discusses Oklahoma's online enrollment system for uninsured residents to access healthcare. It aimed to empower members, expand access, improve effectiveness and efficiency by allowing enrollment from any computer or with partner assistance. The online system provided real-time eligibility determinations and information sharing between agencies. Over 500,000 Oklahomans were uninsured. Lessons were learned and next steps would be considered.
New York Health Coverage and Enrollment
This document discusses New York's strategies for expanding health coverage to meet the requirements of the Affordable Care Act by 2014. It notes that New York currently has 5 million people on public coverage, 10.5 million with employer coverage, and 2.7 million uninsured. By 2014, Medicaid enrollment is projected to increase by 25% and over 1 million additional New Yorkers will gain coverage through the health insurance exchange or subsidies. However, modernizing New York's aging eligibility and enrollment systems is a major challenge to achieving this expansion. The document outlines New York's plans to leverage federal funding to build an integrated system and explores ongoing issues like the potential statewide administration of Medicaid.
Federal Priorities in Paving a Health Coverage Enrollment Superhighway
The document outlines the vision for a seamless eligibility and enrollment system for health coverage programs including Medicaid, CHIP, and health insurance exchanges. It discusses partnerships with states, a streamlined application process, customer focus, affordability, consumer protections, and minimizing burden. It also describes grant opportunities and guidance being provided to states to help modernize Medicaid eligibility systems and prepare for fully integrated enrollment by 2014.
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Cell Therapy Expansion and Challenges in Autoimmune Disease
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Journal Article Review on Rasamanikya
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Efficacy of Avartana Sneha in Ayurveda
Avartana Sneha is a unique method of Preparation of Sneha Kalpana in Ayurveda, mainly it is indicated for the Vataja rogas.
A Classical Text Review on Basavarajeeyam
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Top-Vitamin-Supplement-Brands-in-India List
Swisschem Dermacare provides the Top 10 Vitamin Supplement Brands in India. To know more about us give us call at our official number
The Electrocardiogram - Physiologic Principles
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Role of Mukta Pishti in the Management of Hyperthyroidism
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Top 10 Best Ayurvedic Kidney Stone Syrups in India
we have mentioned the best 10 ayurvedic Kidney Stone Syrups. You can check all these products and choose the best one for yourself.
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8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
It includes regulation of combination products and medical devices. FDA and industry liaisons.
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Osteoporosis - Definition , Evaluation and Management .pdf
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Colorado Department of Health Care Policy and Financing NASHP: Making Quality Count
- 7. Vision of CIVHC: Triple Aim Population Health Experience of Care Per Capita Cost Henneberry
- 11. For more information please visit our Web site: colorado.gov/hcpf
Editor's Notes
- Department of Health Care Policy and FinancingOutreach and Education Department of Health Care Policy and Financing
- Department of Health Care Policy and FinancingOutreach and Education Department of Health Care Policy and Financing
- Department of Health Care Policy and FinancingOutreach and Education Department of Health Care Policy and Financing
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