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Unlocking Medicare Savings Programs’ Potential: State Policy Approaches to Health Care Affordability
CMS Managed Care Rule Implementation: How Secret Shoppers Can Enhance the Beneficiary Experience
Mark Your Calendar: Implementing the Medicaid Managed Care Rule
The Countdown Has Started: Implementing the Medicaid Access Rule
Medicaid Managed Care Rule: What’s Next for States and Managed Care Plans?
Strengthening Quality Measurement in Medicaid and CHIP Through the Access and Managed Care Rules
Advisory Committee Requirements in the Access Rule: What’s Next for Implementation?
HCBS Requirements in the CMS Access Rule: What’s Next for Implementation?
Opportunities to Expand and Optimize Medicaid Managed Care in Schools
The Final Medicaid Access and Managed Care Rules Expected Soon from CMS: Are You Ready?
REPORT: Closing the Gap in California’s Health Data Exchange: Necessary Investments and Funding Opportunities
In July 2021, California Governor Gavin Newsom signed into law AB 133, which calls for the development and implementation of a statewide Health and Human Services Data Exchange Framework — consisting of a data sharing agreement, policies, and procedures — to govern the exchange of health information among health care entities and government agencies by January 31, 2024.
California’s Public Hospitals are Improving Quality and Health Outcomes through PRIME
By Trish Violett, Junior Policy Consultant and Megan Thomas, Director, Quality Initiatives
Over the past four years, the 52 hospitals and health systems participating in the California Public Hospital Redesign and Incentives in Medi-Cal (PRIME) program have been working to improve care delivery and maximize health care value through a “pay-for-performance” model. The PRIME hospitals are using evidence-based quality improvement methods to achieve designated goals and outcomes on select clinical projects and associated performance metrics.