Health Information Exchange

Alabama Medicaid attests its providers and beneficiaries utilization of ALOHR Health IT infrastructure and investment in systems and services will improve health outcomes by: • Ability to flag each Medicaid recipient participating both in the Alabama Coordinated Health Network (ACHN), thereby reducing Emergency Room and hospital readmissions by improving care coordination with more timely patient engagement by their community care team.

Medicaid providers and Medicaid beneficiaries use the HIE to improve care coordination and reduce readmissions while working towards the goal of reducing unnecessary hospitalizations. The HIE will demonstrate its ability to notify PCMHS when their attributed member has an encounter at a hospital. These real-time notifications provide information to PCMHs about a patient’s medical services encounter, demographics, as well as the date and time of the event. The timely collection and distribution of these notifications to the PCMH facilitates the needed follow up care required to improve the overall quality as well as lower the cost of care delivered to patients.

To improve care coordination of PASSE members by providing real time data to the PASSE. The HIE will demonstrate the ability to send real time ADTs to Medicaid attributed PASSE members to the PASSE’s analytical tool. The real time flow of ADTs for intense care coordination improves patient’s outcomes and improves follow up after an acute encounter. Once the PASSE receives the ADT, the system generates automated tasks and transitions protocols established by Medicaid.

The state will use the HIE to send ADT notifications to RAEs, which will use those alerts to improve care coordination and targeted follow-up with Medicaid beneficiaries.

CT Medicaid attests Medicaid providers and Medicaid beneficiaries use of the HIE care coordination technical investments will improve health outcomes including: •The Empanelment and Encounter Alert Service triggers alerts and flags patients who present to the hospital, allowing for improved outreach and care coordination across care team members aimed at improved care as seen by reducing future Emergency Department visits and hospital readmissions.

DHCF attests that Medicaid providers use of the HIE care coordination technical investments for Medicaid beneficiaries will improve health outcomes. Here is how: • The notification system triggers alerts and flags patients, including Medicaid beneficiaries, who present to the hospital, allowing for improved outreach and care coordination across care team members aimed at reducing future Emergency Department visits and hospital readmissions.

Department of Healthcare Finance (DHCF) attests that Medicaid providers use of the HIE care coordination technical investments for Medicaid beneficiaries will improve health outcomes. Here is how: • Medicaid providers are able to view and share radiological images and results/results within the Image Exchange system to improve care management for their patients.

County Health Department providers can securely and efficiently leverage health information exchange services to access clinical records for use in improving Medicaid patient care.

The eCR system will reduce administrative burden on providers by allowing them to submit required case reporting electronically. Medicaid providers will spend less time compiling and managing generation and submission of reportable disease case reports.

Improve Medicaid providers’ access to clinical data through the ePartnerViewer and Platinum connection, to improve care coordination and overall health outcomes of Medicaid beneficiaries.

Improve Medicaid providers’ access to clinical data through the ePartnerViewer and Platinum connection, to improve care coordination and overall health outcomes of Medicaid beneficiaries.

Improve Medicaid providers’ access to clinical data through the ePartnerViewer and Platinum connection, to improve care coordination and overall health outcomes of Medicaid beneficiaries.

Increase the number of Event Notifications exchanged in order to deliver healthcare providers with the most current patient information. Thereby reducing duplication of services and gaps in care ensuring beneficiaries receive quality healthcare by well-informed providers.

Provide direct secure messaging to participants to enable information exchange where KHIE connections lapse.

Use the CDIP ecosystem to identify beneficiaries who are high utilizers of DOM services and assigned to care management

The activity will deliver a consolidated clinical data feed to Medicaid that will reduce data duplication and improve data consistency and eliminate the additional cost and infrastructure to build and maintain direct data interfaces from Montana Medicaid to multiple health systems and other Medicaid certified providers in the BSCC network. BSCC manages a network of data interfaces from clinical providers across the state of Montana. Data is ingested, normalized, matched to patients and integrated into a single longitudinal patient record and combined with clinical data from Medicaid claims as well as clinical claims data from other participating payor organizations. This combined patient record data set is then delivered to Medicaid on a scheduled basis as described above.

This activity will provide a tool/platform that will improve the Medicaid program and Medicaid providers ability to track, manage and report on quality metrics, risk profiling and population health. The platform will provide Medicaid a comprehensive suite of medical risk scores based on the claims and clinical data in the HIE. The Department will use these risk scores to complement its own population health data to create a comprehensive health profile of Medicaid members which will inform care program assignment, care coordinator clinical recommendations, and improve member outcomes. The increased access by Medicaid Provider users will give them real-time access at the point of care to the metrics that describe a Medicaid member’s health status and conditions which will support improved member outcomes. If users don’t have access to the metrics, they will make suboptimal healthcare decisions that could negatively impact Medicaid member overall health condition. Access to these metrics enables Medicaid to improve the quality and coordination as well as lower the cost of care delivered to patients.

Improve Medicaid providers’ access to clinical data through NJHIN to improve care coordination, overall health outcomes of Medicaid beneficiaries and allowing consumers to access their health information.

The state’s Medicaid providers will receive valuable alerts on their patients when they utilize any of these services allowing them to proactively engage the patients in follow-up care which supports the CMS ADT CoP Notification mandate.

The state’s Medicaid providers will receive valuable alerts on their patients when they utilize any of these services allowing them to proactively engage the patients in follow-up care which supports the CMS ADT CoP Notification mandate.

Support Medicaid providers by facilitating earlier identification of patients with HCV at the point of care and the number that achieve Sustained Virologic Response (SRV)

Support Medicaid providers by facilitating earlier identification of patients with documented histories of SUD and Substance Exposed Infants (SEI)

Expedite and increase Medicaid providers’ access to beneficiaries’ clinical records through the SYNCRONYS HIE to directly advance care coordination and improve care outcomes among the Medicaid population.

Expedite and increase Medicaid providers’ access to beneficiaries’ clinical records through the SYNCRONYS HIE to directly advance care coordination and improve care outcomes among the Medicaid population.

SHIN-NY entities make clinical data available to support the development and implementation of NYS Medicaid’s value-based payment (VBP) program.

SHIN-NY entities make clinical data available to support the development and implementation of NYS Medicaid’s value-based payment (VBP) program.

Improve Medicaid providers’ access to clinical data through the NDHIN Clinical Portal to improve care coordination and overall health outcomes of Medicaid beneficiaries.

Improve Medicaid providers’ access to clinical data through the NDHIN Clinical Portal to improve care coordination and overall health outcomes of Medicaid beneficiaries.

Improve Medicaid providers’ access to clinical data through the NDHIN Clinical Portal to improve care coordination and overall health outcomes of Medicaid beneficiaries.

Improve electronic public health reporting data quality in North Dakota to support Medicaid providers’ ability to coordinate care as it relates to improving population health for the Medicaid beneficiaries.

Improve electronic public health reporting data quality in North Dakota to support Medicaid providers’ ability to coordinate care as it relates to improving population health for the Medicaid beneficiaries.

Improve Medicaid1 providers’ access to clinical data and event notifications through HIE services to improve care coordination and transitions of care, and to positively impact health outcomes of Medicaid beneficiaries. Timely access to relevant information for patient care and treatment is one of the most important core functions of an HIE. By monitoring providers’ use of HIE services, EOHHS and Medicaid can better administer the Medicaid program, working with the Accountable Entities (AE) and Managed Care Organizations (MCO) to assure optimal benefit from the use of the State’s HIE and its services.

Improve Medicaid1 providers’ access to clinical data and event notifications through HIE services to improve care coordination and transitions of care, and to positively impact health outcomes of Medicaid beneficiaries. Timely access to relevant information for patient care and treatment is one of the most important core functions of an HIE. By monitoring providers’ use of HIE services, EOHHS and Medicaid can better administer the Medicaid program, working with the Accountable Entities (AE) and Managed Care Organizations (MCO) to assure optimal benefit from the use of the State’s HIE and its services.

Reduce administrative and reporting burden for Medicaid providers, and create efficiencies and optimizations for the Medicaid program, by supporting connections for public health and quality reporting where appropriate. The HIE is uniquely positioned to facilitate connections by utilizing existing clinical interfaces with provider systems for additional state and federal reporting needs.

Reduce administrative and reporting burden for Medicaid providers, and create efficiencies and optimizations for the Medicaid program, by supporting connections for public health and quality reporting where appropriate. The HIE is uniquely positioned to facilitate connections by utilizing existing clinical interfaces with provider systems for additional state and federal reporting needs.

The state will use the HIE to send ADT notifications, which will improve care coordination and targeted follow-up with Medicaid beneficiaries. In addition, the state will use the ADT data from the HIE to improve health outcomes by improving insight into Medicaid service usage by identifying utilization of Emergency Department (ED) and hospital admissions and gaps in services. This information will be used to inform Medicaid administration and providers about the Medicaid population’s health and improve the evaluation of Medicaid program performance and client’s health outcomes.

The state will use the HIE to send ADT notifications, which will improve care coordination and targeted follow-up with Medicaid beneficiaries. In addition, the state will use the ADT data from the HIE to improve health outcomes by improving insight into Medicaid service usage by identifying utilization of Emergency Department (ED) and hospital admissions and gaps in services. This information will be used to inform Medicaid administration and providers about the Medicaid population’s health and improve the evaluation of Medicaid program performance and client’s health outcomes.

The State will use the HIE’s referral function to improve care coordination and targeted follow-up with Medicaid beneficiaries. In addition, the state will use the ADT data from the HIE to improve health outcomes for Medicaid diabetes and prediabetes patients through closed loop referrals between PCPs and RDs as part of the CDC’s National Diabetes Prevention Program (DPP).

The State will use the HIE’s referral function to improve care coordination and targeted follow-up with Medicaid beneficiaries. In addition, the state will use the ADT data from the HIE to improve health outcomes for Medicaid diabetes and prediabetes patients through closed loop referrals between PCPs and RDs as part of the CDC’s National Diabetes Prevention Program (DPP).

The state will use the HIE’s ability to aggregate health data from multiple sources to improve care coordination by enabling Medicaid care team members to see all relevant health data for Medicaid Patients. It will improve outcomes by maintaining continuity as patients’ transition into and out of Medicaid eligibility.

The state will use the HIE’s ability to aggregate health data from multiple sources to improve care coordination by enabling Medicaid care team members to see all relevant health data for Medicaid Patients. It will improve outcomes by maintaining continuity as patients’ transition into and out of Medicaid eligibility.