Care Coordination

Developing a coordinated care organization in northwest Oregon’s Yamhill County presented an opportunity to build an organization that reflected the community’s vision for high-quality, more efficient, integrated care for Medicaid beneficiaries. When assessing the needs of the community, it became clear to Yamhill Community Care Organization’s (YCCO’s) Clinical Advisory Panel (CAP) that a small percentage […]

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  • Caring for the health care needs of vulnerable populations has inherent challenges. Doing this in an accountable care organization (ACO), where providers bear financial risk for meeting cost, quality, and patient satisfaction metrics, intensifies the challenges. When Hennepin Health launched in 2012 to serve as a safety-net ACO for Minnesota’s early Medicaid expansion population, it […]

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    January 5, 2015 | Filed under: Care Coordination
  • Publications

    Oregon has taken significant steps to transform its health care and early education systems. Recognizing that good health is a key component of ensuring children enter school ready to succeed, Oregon is now aligning the two systems with the ultimate goal of improving kindergarten readiness. This report, supported by the Build Initiative, describes Oregon’s approach […]

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  • Webinars

    Tuesday, September 9, 2014: Care coordination provides a bridge across multiple systems that serve children and families, helping to ensure that a child receives additional screening, diagnosis and/or treatment as recommended by a health care practitioner. Care coordination strategies can help link providers and care settings by facilitating the arrangement of: appointments, referral forms, transportation, reminders and follow-up, and feedback reporting. This NASHP webinar provides a federal perspective from the Centers for Medicare & Medicaid Services on opportunities and promising strategies for states to coordinate care for children and adolescents enrolled in Medicaid.

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  • Publications

    Part 1 in the Transforming the Workforce to Provide Better Chronic Care: The Role of Registered Nurses series. Click to see the rest of the series. Chronic illnesses are responsible for more than three-quarters of health care spending and 7 out of 10 deaths in the United States—and nearly half of all Americans have at […]

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  • Transforming the Workforce to Provide Better Chronic Care: The Role of Registered Nurses

    Check for NEW briefs below. Susan Reinhard, AARP Public Policy Institute Mary Takach, Senior Program Director  Rachel Yalowich, Policy Analyst This series explores the evolution of primary care systems to better meet the needs of consumers with complex health conditions. It demonstrates that changes in the workforce are required to empower consumers to better manage […]

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    July 30, 2014 | Filed under: Care Coordination
  • Webinars

    Even before implementing the ACA’s coverage program requirements last year, many states used data to monitor policies and programs, make adjustments, and, in some cases, measure performance.  ACA implementation has also prompted federal agency partners to create new data and performance reporting requirements for Medicaid, CHIP, and marketplace programs to allow more uniform data collection across […]

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    April 10, 2014 | Filed under: Care Coordination, Medicaid, Webinars
  • Publications

    States seeking to promote better coordination of patient care, either within Medicaid or through participation in multi-payer initiatives, will run into long-standing challenges to delivering care and promoting health in rural areas. Rural areas often experience disparities in access to care, health status, and available infrastructure relative to their urban counterparts. This brief draws from […]

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    April 7, 2014 | Filed under: Care Coordination, Medicaid, Publications
  • Publications

    Shared community-based teams are a growing trend among states seeking to build provider capacity, especially for small and rural practices. This brief explores Iowa’s path to piloting shared community-based teams, from conception and planning to launch, and offers a framework for policy action for states and other organizations considering leading similar efforts. Iowa was one […]

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  • Care coordination refers to efforts by Medicaid programs to ensure that children and adolescents get the right care at the right time in the right setting by creating a bridge across multiple systems that serve children and families. States have implemented or are designing a variety of integrated health care delivery systems and medical or health home […]

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    December 10, 2013 | Filed under: Care Coordination