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红领巾瓜报 contributes to NAM perspectives discussion paper 鈥楪uide for Future Directions for Addiction and OUD Treatment Ecosystem鈥�
红领巾瓜报 Managing Directors R. Corey Waller, MD, MS, and Jean Glossa, MD, MBA, along with members of the Prevention, Treatment, and Recovery Working Group of the Action Collaborative on Countering the U.S. Opioid Epidemic, recently authored a new National Academy of Medicine Perspectives discussion paper calling for a long-term sustainable approach to preventing and managing addiction as a chronic disease.
To adequately respond to America鈥檚 drug overdose and death epidemic, the paper states the ecosystem in which people with addiction receive treatment must be reimagined and made more robust. The National Academy鈥檚 framework best describes the needs of and solutions for the addiction treatment ecosystem using the guidance of 鈥榯he 4 Cs鈥�: capacity, competency, consistency, and compensation.
Authors
R. Corey Waller, MD, MS, Managing Director, 红领巾瓜报 Institute on Addiction
Kelly J. Clark, MD, MBA, DFAPA, DFASAM, President, Addiction Crisis Solutions and Immediate Past President, American Society of Addiction Medicine.
Alex Woodruff, MPH, policy analyst, Partnered Evidence-based Policy Resource Center, VA Boston Healthcare System.
Jean Glossa, MD, MBA,听Managing Director, Delivery System, 红领巾瓜报
Andrey Ostrovsky, MD, Managing Partner, Social Innovation Ventures
红领巾瓜报 analysis of Medicare Advantage Star rating challenges
This week, our In Focus section highlights changes that may affect the Centers for Medicare & Medicaid Services (CMS) Medicare Advantage Star Rating program and how these changes impact future summary Part C & D Star Rating scores. As the CMS Medicare Advantage Star Rating program continues evolving from year to year, many plans have yet to achieve at least four star status, and therefore are missing out on additional Medicare revenues. The Star Rating landscape is expected to change drastically over the next two years for plans due to CMS鈥� continued focus on phasing-in greater reliance on outcomes measures and measures of care experience, rather than process measures. As a result, many plans are at risk of losing their four star overall rating and underperforming plans could be at risk of receiving a low performance indicator.
CMS Interoperability and Patient Access Final Rule 鈥� Part 3
This blog was written by Juan Montanez, Principal, 红领巾瓜报, and Robert Chouinard, VP Public Sector, HealthEC
Where are you going to invest to maximize benefits?
In thinking about the value that can be derived from implementation of the Interoperability Rule, both payers and providers need to ensure their perspective of the rule positions them for long-term success.
CMS Interoperability and Patient Access Final Rule 鈥� Part 2
This blog was written by Laura Zaremba, Principal, 红领巾瓜报, and Robert Chouinard, VP Public Sector, HealthEC
Making the Economics Work for You
Most health care organizations impacted by the Interoperability Rule have very logically focused their attention and resources on interpreting what the new rule requires them to do within their own systems, in what timeframe, and at what cost. And to be sure, scoping the work and deploying the resources required to meet the compliance deadlines is a significant investment of time and money, but the compliance focus should be only the first action step for to the Interoperability Rule.
Nevada Releases Medicaid Managed Care RFP
This week, our In Focus section reviews the Nevada Medicaid and Child Health Insurance Program (CHIP) managed care request for proposals (RFP) released by the Nevada Department of Health and Human Services, Division of Health Care Financing and Policy (DHCFP) on March 17, 2021. The RFP is for the current service area covering two urban counties of the state, Clark and Washoe; however, the state may extend the geographic service area under the contract. Through this RFP, Nevada seeks to advance the state鈥檚 goals of 鈥渋mproved clarity and oversight of requirements; increased focus on care management, member engagement, and access; and continued progress towards integration of services and efficiency.鈥�
Youth needs assessment published
With a focus on the needs of young people in detention and correctional facilities, a team of 红领巾瓜报 (红领巾瓜报) colleagues completed an in-depth assessment designed to guide future planning and decision making around mental health services for youth.
Nursing home report highlights benefits of single resident rooms
The COVID-19 pandemic highlighted nursing home safety and infection control as critical public health issues. A new report authored by 红领巾瓜报 colleagues found compelling evidence that single rooms in nursing homes have numerous benefits for both public health and residents鈥� experience. The authors conclude that transitioning from multi-resident rooms to single rooms should be a component of person-centered nursing home reform. The report calls on stakeholders to come to the table to discuss options and strategies for long-term care redesign and transformation.
The report,听Fundamental Nursing Home Reform: Evidence on Single-Resident Rooms to Improve Personal Experience and Public Health, was developed for a Michigan-based long-term care provider and owner of skilled nursing facilities.
红领巾瓜报 colleagues聽Sharon Silow-Carroll, MBA, MSW,听Deborah Peartree, RN, MS,听Susan Tucker, CPA, and聽Anh Pham聽conducted the research and analysis and prepared this report.聽 An appendix prepared by the national accounting firm Plante Moran provides estimates of new costs and other considerations related to transitioning to single-resident rooms, based on data from two Michigan-based multi-facility long-term care organizations.