The skyrocketing costs caused by Medicaid’s fee-for-service approach have states struggling to meet their government budgets, and access to quality health care is becoming scarcer. In hopes of ...
On April 22, 2024, the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) issued a Final Rule (CMS-2439-F), effective July 9, 2024, aimed at ...
Medicaid expansion was associated with substantial changes in Medicaid managed care plan composition, which may influence a plan’s performance on enrollee experience metrics. Objectives: To examine ...
The agency is also hosting in-person listening sessions around the state to hear from people currently using Medicaid, family members or caregivers of those on Medicaid, health care providers, and ...
Schizophrenia, chronic pain, and multiple medical diagnoses at enrollment into a large managed Medicaid system are associated with long-term high health care utilization. Objectives: Prior studies ...
"In a managed care system, everything has to fit together," said Pam Shipman, a long-time PBH employee who recently took over as CEO. In 2011, lawmakers looking for a way to control ballooning ...
The Centers for Medicare & Medicaid Services issued a proposed rule on June 1, 2015 revising provisions of the Medicaid managed care program for the first time in over 12 years. 1. CMS’s changes will ...
Jo Ellen McNamara ([email protected]), National Equity Fund, Phoenix, Arizona. Emily Chen, National Equity Fund, New York, New York. Social drivers of health (SDH) bonds have been proposed as a way of ...
I am writing in regard to recent articles appearing in your paper following the state Department of Health and Hospitals decision not to move forward with its plans to implement managed care for those ...
Objective: A study was performed to evaluate military beneficiaries' motivation for choosing to change from a civilian managed care system to the military managed care system. Background: Concerns ...
Gift Article 10 Remaining As a subscriber, you have 10 articles to gift each month. Gifting allows recipients to access the article for free. High quality is the gold standard of health care. A new ...
In my 21 years as an Arizona pediatrician, I’ve seen the same challenge time and again: patients who don’t know they’re eligible for certain support services and who suffer for a lack of coordinated ...
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