Care Coordination/Care Management
Care coordination facilitates the appropriate delivery of health care services by integrating care activities across multiple providers who are dependent upon each other to carry out disparate activities in a single patient’s care. Every participant requires adequate knowledge about his/her own and others’ roles, as well as about available resources, and must rely on the exchange of information to acquire this knowledge. Care coordination involves entities such as Accountable Care Organizations (ACOs) and Medical/Health Homes; communication and sharing of information between and among providers; treatment, discharge, and transfer planning; and disease management.
Published on February 8, 2013
Author: U.S. Government Accountability Office
The U.S. GAO's report examines the limitations of data sharing by state and federal officials based on inconsistencies in federal law, lack of standardized data, and concerns over violating federal privacy standards.
Published on November 1, 2012
Colorado set up its All Payer Claims Database (APCD) on November, 1, 2012. The database is being managed by the Center for Improving Value in Health Care. The APCD currently holds historical claims data from the last three years from the largest commercial payers and Medicaid. Additional payer data and Medicare claims data will be subsequently added.
Published on October 26, 2012
Author: Robert Wood Johnson Foundation
This report by the Robert Wood Johnson Foundation outlines improvements and new ways health care payors could use the Physician Compare website. The Centers for Medicare and Medicaid Services' Physician Compare website, mandated by the Affordable Care Act (ACA), allows consumers to compare physicians based on quality of care.
Published on October 4, 2012
Author: Bipartisan Policy Center Health Project
The Bipartisan Policy Center (BPC) released a new report detailing recommendations for the transition to electronic health records. Health information technology (IT) and electronic health information sharing will play important roles in addressing the trifecta of cost, quality, and access U.S. health care reform.
Published on August 22, 2012
Author: Center for Medicare and Medicaid Innovation
The Center for Medicare and Medicaid Innovation (CMMI) announced the Comprehensive Primary Care Initiative as a way to assist primary care providers in delivering higher quality, patient-centered, coordinated care.
Published on July 30, 2012
Publication: Federal Register
This proposed rule would update the payment rates under the Medicare Physician Fee Schedule for Part B drugs and other Part B services based on national uniform relative value units (RVUs). The rule also proposes implementing the Affordable Care Act by requiring a face to face encounter as a condition of payment for durable medical equipment(DME) items.
Published on May 31, 2012
Author: Leon Rodriguez, Director, Office of Civil Rights
Publication: Office of Civil Rights
This memo released by the Department of Health and Human Services' Office of Civil Rights was put out to educate consumers of health care of their legal right to access their own medical records.
Published on May 31, 2012
Author: Joel Teitelbaum, JD, LLM, Lara Cartwright-Smith, JD, MPH, and Sara Rosenbaum, JD
Publication: American Journal of Law Medicine and Ethics
In this article, the authors present evidence regarding the role of communication in health care quality as well as evidence of the scope of the language access problem; provide an overview of the rise of the concept of informed consent as a basic dimension of the law of health care quality; trace the evolution of relevant language services in health law and policy; review the various ways in which the ACA presents opportunities to advance effective communication in health care; and conclude with a discussion of the legal, policy, and delivery challenges that remain, including the need for vigilant oversight of relevant ACA provisions and strong enforcement of extant laws to ensure LEP individuals’ meaningful access to care.
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