CMS Proposes Reporting Requirement for Medicaid, CHIP Quality Measures
CMS has released a proposed rule that aims to establish reporting requirements and standardize quality measures across Medicaid and the Children’s Health Insurance Program (CHIP) to help identify...Sponsored Article
How Payers Overcome Nursing Shortages to Improve Patient Experience
While Medicare continues to ramp up efforts to reward quality over quantity of services, payers find themselves strapped for personnel to ensure the collection and reporting of care quality data. More...UnitedHealthcare Grants Address Social Determinants of Health, Care Access
To reduce the impact of social determinants of health, UnitedHealthcare provided several grants through its Empowering Health program to improve the prevalence and quality of resources in 11...NCQA Adds New HEDIS Quality Measures to Improve Race, Gender Health Equity
The National Committee for Quality Assurance (NCQA) announced changes to its quality measures for the 2023 Healthcare Effectiveness Data and Information Set (HEDIS), including race and ethnicity data...Payer Uses Value-Based Care to Improve Musculoskeletal Disease Care
Blue Cross and Blue Shield of Florida (Florida Blue) recently formed a value-based care agreement with Healthcare Outcomes Performance Company (HOPCo), a value-based health outcomes...Sponsored Article
How Nurses Enable Health Plans to Support Members Aging in Place
The United States population is aging, with an influx of Baby Boomers set to dramatically increase the population of individuals over age 65 by tens of millions. According to the Federal Interagency...Sponsored Article
Leveraging a Network of RNs Boosts Member Experience, Spending
The healthcare system is buckling under rising costs. The situation will likely worsen as the number of older Americans increases rapidly unless payers and their partners make fundamental care...Sponsored Article
