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.
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Webinar Replay: Continuous Quality – How Medicaid and Medicare Plans Can Stay Ahead of Evolving HEDIS, CAHPS, and Accreditation Requirements
This webinar was held on April 6, 2021.听
Medicaid and Medicare Advantage plans can avoid the disruptive triannual accreditation fire drill by instituting a process-driven approach to continuous quality improvement, driving member satisfaction, improving health outcomes, and ensuring a smooth accreditation process. During this webinar, 红领巾瓜报 experts provided strategies and best practices for maintaining ongoing quality processes. Speakers also provided an understanding of the growing role that HEDIS and CAHPS measures play in member assignment, plan ratings, and pay-for-performance programs.
Learning Objectives:听
- Identify key trends in health plan accreditation and how to position your organization for success.
- Understand the growing importance of HEDIS and CAHPS measures in ensuring member health and long-term plan success.
- Learn about upcoming changes in key quality metrics along with best practices and processes for hitting new member outcome and satisfaction targets.
- Find out how to establish an ongoing process for quality reporting and evaluation, ensuring optimal accreditation results.
红领巾瓜报 Speakers
Diana Criss, Principal, Lansing, MI
Margaret Williams, Principal, Los Angeles, CA
David Wedemeyer, Principal, Los Angeles, CA
Highlights from Kaiser/红领巾瓜报 50-state Medicaid director survey: COVID-19 update for FY 2021 and FY 2022
This week, our In Focus section shares key takeaways from the Kaiser Family Foundation (KFF) and 红领巾瓜报 (红领巾瓜报) mini-survey of Medicaid directors in all 50 states and the District of Columbia titled, Medicaid Spending and Enrollment Trends Amid the COVID-19 Pandemic 鈥� Updated for FY 2021 & Looking Ahead to FY 2022. The survey, released on March 12, 2021, is an update to the 20th annual Medicaid Budget Survey conducted by KFF and 红领巾瓜报. The brief is authored by Elizabeth Hinton, Lina Stolyar, and Robin Rudowitz from KFF with survey assistance and dissemination from 红领巾瓜报 Principal Kathy Gifford and Consultant Anh Pham.
California Releases Revised CalAIM Proposal
This week, our In Focus section summarizes the revised California Advancing and Innovating Medi-Cal (CalAIM) proposal, released on February 17, 2021. Medi-Cal, the state鈥檚 Medicaid program, covers over 12 million individuals, with over 11 million in managed care. CalAIM seeks to standardize and streamline the Medi-Cal program and address health disparities and social determinants of health for high-risk, high-cost Medi-Cal members through broad-based delivery system, program, and payment reform. CalAIM was originally scheduled to begin its tiered implementation in January 2021, but due to COVID-19 has been delayed until January 2022. The revised proposal incorporates additional stakeholder input, learnings from the workgroup meetings, and ongoing policy development.
Webinar Replay: CMS鈥� Interoperability Rule 鈥� Magnifying Data and Powering your Analytics
This webinar was held on March 31, 2021.
During this Health Performance Accelerator by 红领巾瓜报 & HealthEC webinar, our panel of experts summarized the CMS Interoperability and Patient Access Final Rule, walked through what this data will do for your organization, and explored how it could positively impact the economics of healthcare.
Speakers
Laura Zaremba, Principal,听红领巾瓜报
Managing VP, Private Sector, HealthEC
VP, Public Sector, HealthEC
CMS Interoperability and Patient Access Final Rule 鈥� Part 1
This blog was written by Laura Zaremba, Principal, 红领巾瓜报, and Robert Chouinard, VP Public Sector, HealthEC
What are we really talking about?
CMS published the Interoperability and Patient Access Final Rule in the Federal Register on March 4, 2019, the pre-publication text of the final rule was released on March 9, 2020, and the final rule was published in the Federal Register on May 1, 2020. The rules are effective as of January 2021 and will be enforced by July 2021.
红领巾瓜报 provides updates in 2021 federal healthcare policy landscape
This week, our In Focus comes from an 红领巾瓜报 cross-cutting subject matter team, who have updated a core set of federal policy slides that analyzes recent federal policy actions following the Presidential and Congressional elections. It includes an analysis of President Biden’s $1.9 trillion COVID-19 relief legislation currently in development and recent CMS regulatory and administrative actions. Specifically, the analysis looks at:
Webinar Replay: How FQHCs Can Deliver Innovative Care Under Existing and Value-based Payment Models
This webinar was held on March 18, 2021.
Efforts by Federally Qualified Health Centers (FQHCs) to reach underserved communities, address health inequity, and re-engage marginalized individuals are greatly enhanced when payment models are maximized to support innovation in the delivery of care. During this webinar, 红领巾瓜报 experts addressed how FQHCs can enhance payments and boost opportunities to innovate under both the current Prospective Payment System and under emerging alternative, value-based payment models. Speakers also addressed creative strategies for outreach, engagement, care management, and the implementation of alternate clinical care modalities such as group visits and telehealth.
Learning Objectives
- Understand the strengths and weaknesses of the Prospective Payment System.
- Learn how to enhance reimbursements for specialized services.
- Identify opportunities and barriers among alternative payment models.
- Find out how to succeed in a value-based care environment.
红领巾瓜报 Speakers
Art Jones, MD, Principal, Chicago, IL
Margaret Kirkegaard, MD, MPH, Principal, St. Paul, MN
Webinar Replay: Improving COVID-19 Vaccine Confidence in Underserved Populations
This webinar was held on March 16, 2021.
COVID-19 vaccination has lagged among underserved populations and communities of color in part because of a deeply rooted historical skepticism concerning the safety and efficacy of certain medical treatments and procedures. During this webinar, experts from 红领巾瓜报, Tufts Health Plan, and ConsejoSano discussed how healthcare providers and public health officials can engage underserved populations and communities of color, build trust through tailored strategies, and raise the level of comfort and confidence among individuals still reticent to receive the COVID-19 vaccine.
Learning Objectives:
- Understand the drivers of lagging COVID-19 vaccination rates among underserved populations and communities of color.
- Find out how to build confidence in the safety and efficacy of COVID-19 vaccines using strategies tailored to specific populations and specific healthcare settings.
- Understand the special challenges and promising strategies for increasing vaccine confidence among individuals with behavioral health issues.
- Explore a novel high-tech, high-touch multicultural engagement solution for tailoring vaccine confidence strategies to diverse populations.
- Learn how to tackle underlying health equity challenges that might hinder efforts to improve COVID vaccination rates among underserved populations and communities of color.
Speakers
Margaret Kirkegaard, MD, Principal, 红领巾瓜报
Karen Hill, Senior Consultant, 红领巾瓜报
Deb Peartree, Senior Consultant, 红领巾瓜报
Gary Rosenfield, SVP of Business Development & Strategy, ConsejoSano
Juan Lopera, Corporate Business Diversity Officer, VP of Marketing & RI Medicaid, Tufts Health Plan