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Reform Update: NCQA Previews New Medical Home Standards
The National Committee for Quality Assurance, under increasing pressure to demonstrate the value of its recognition programs, previewed new patient-centered medical home standards intended to put more emphasis on team-based care, integrating behavioral health and sustaining practice transformation.
The National Committee for Quality Assurance, under increasing pressure to demonstrate the value of its recognition programs, previewed new patient-centered medical home standards (PDF) intended to put more emphasis on team-based care, integrating behavioral health and sustaining practice transformation.
The NCQA has now recognized more than 7,000 practices in which about 36,000 clinicians practice as medical homes. But a recent Journal of the American Medicine Association study, conducted by RAND Corp. researchers between 2008 and 2011, found little quality improvement in 32 Southeast Pennsylvania practices that had NCQA recognition compared with 29 that were not recognized.
NCQA President Margaret O'Kane noted Monday during an online question-and-answer period that the JAMA study reflected a snapshot in time capturing the early days of the medical home movement with practices using the 2008 standards, which were revised in 2011 and now again in 2014.
Read the full story here: http://bit.ly/1i2Yztj
Source: Modern Healthcare
ACOs’ Focus on Rooting Out Fraud Aligns With CMS Vision Under Oz
April 23rd 2025Accountable care organizations (ACOs) are increasingly playing the role of data sleuths as they identify and report trends of anomalous billing in hopes of salvaging their shared savings. This mission dovetails with that of CMS, which under the new administration plans to prioritize rooting out fraud, waste, and abuse.
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Examining Low-Value Cancer Care Trends Amidst the COVID-19 Pandemic
April 25th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the April 2024 issue of The American Journal of Managed Care® about their findings on the rates of low-value cancer care services throughout the COVID-19 pandemic.
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Bridging Care Gaps With a Systemwide Value-Based Care Strategy
March 29th 2025Mapping care management needs by defining patient populations and then stratifying them according to risk and their needs can help to spur the transformation of a siloed health care system into an integrated system that is able to better provide holistic, value-based care despite the many transitions that continue among hospital, primary, specialty, and community care environments.
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