On November 15, 2023, the Centers for Medicare & Medicaid Services released its proposed 2025 Notice of Benefit and Payment Parameters, the annual regulation which governs core provisions of the Affordable Care Act. This expert perspective focuses on aspects of the proposed rule likely to be of interest to state officials, including requirements for State-Based Marketplaces to align with the standards of the Federally Facilitated Marketplace, proposals for states to update essential health benefits, and initiatives to ease the eligibility and enrollment process for consumers.
Using Hospital Admission, Discharge, and Transfer (ADT) Data to Coordinate Care: Lessons from Tennessee and Washington
On September 6, 2018, the Robert Wood Johnson Foundation’s State Health and Value Strategies program hosted a webinar on effective use of admissions, discharge, and transfer (ADT) data. Considered to be the most relevant real-time electronic data for health care providers, ADT, if used effectively, can help states improve overall health of their populations. This webinar featured the use of ADT data feeds to coordinate care for patients with behavioral health and other complex care issues by two states, Tennessee and Washington. Presenters provided an overview of their respective state programs, including operational and financing strategies, linkages to quality metrics and outcomes, and alignment with other statewide payment and delivery system efforts. Presenters also shared lessons learned and advice to states.