Physicians Health Plan appeals committee recommendation on Medicaid Health Plan LANSING, MI - Physicians Health Plan (PHP) has announced it is appealing the recommendation of the Michigan Department of Health and Human Services (MDHHS) Joint Evaluation Committee to discontinue the PHP Medicaid Health Plan in Region 7 (Ingham, Eaton and Clinton counties). If the appeal is successful, the Lansing-based health insurer, which has offered Medicaid Managed Care coverage to the mid-Michigan region since 1998, will continue to be an option for Medicaid-eligible individuals and families.. On Aug. 3, 2015, PHP submitted a comprehensive and competitive Medicaid Health Plan proposal to the MDHHS Joint Evaluation Committee in response to a Request for Proposals, with the goal of continuing to serve Medicaid-eligible individuals throughout Ingham, Eaton and Clinton counties.. The MDHHS Joint Evaluation Committee recommendations were announced Tuesday, Oct. 13 and the deadline for the appeal is Tuesday, Oct. ...
This article originally appeared on heartland.org.. A new study by the Office of Inspector General for the Department of Health and Human Services found half of all providers listed in Medicaid managed care plan are not available to new Medicaid patients, either because they are not at the listed location or they are but aren ??t accepting new Medicaid patients.. For doctors who are accepting new Medicaid patients, the average wait to get an appointment is two weeks, with a quarter of patients having waits of one month or longer.. The study ??s findings come as enrollment in Medicaid continues to grow, largely from the expansion in eligibility through the Affordable Care Act and also as a result of a lackluster economy.. Devon Herrick, a senior fellow and health care researcher for the National Center for Policy Analysis, says the fees state Medicaid programs pay are often only about half of what private insurers pay for the same service. As a result, doctors are reluctant to participate in ...
A substantial body of research has investigated effects of the Medicaid expansion under the Affordable Care Act (ACA) on coverage, access to care, and various economic measures. These findings can inform understanding of the broader effects of the ACA and ongoing debate over ACA repeal, including the Medicaid expansion.. This issue brief summarizes findings from 153 studies of the impact of state Medicaid expansions under the ACA published between January 2014 (when the coverage provisions of the ACA went into effect) and June 2017.1 It includes peer-reviewed studies as well as freestanding reports, government reports, and white papers published by research and policy organizations, using data from 2014 or later. This brief only includes studies that examine impacts of the Medicaid expansion; it excludes studies on impacts of ACA coverage expansions generally (not specific to Medicaid expansion alone) and studies investigating potential effects of expansion in states that have not (or had not, ...
Medicaid premium assistance, where Medicaid acts as wrap-around coverage for a private health insurance plan, is administratively complex for states and may not work well. In an issue brief, the Kaiser Family Foundation (KFF) considered what is known about wrap-around Medicaid coverage, and looked at financial implications of such a program.. Wrap arounds. According to KFF, states with Medicaid premium assistance programs use Medicaid funds to purchase private coverage for Medicaid beneficiaries. Federal law requires these programs to make the purchased private coverage on par with what the states Medicaid program would cover, but private insurance generally covers less than Medicaid and requires more out-of-pocket payments. Therefore, states with these programs must provide supplemental benefits and cost-sharing protections, known as "wrap arounds," to insure that cost sharing does not exceed Medicaid limits. In general, states with these programs have low enrollment rates, and therefore, ...
Purpose. This was a Data Capacity-Building Project, to build a robust comparative effectiveness research infrastructure, agenda, and collaborative partnerships focused on eliminating health disparities. Specifically, a database was built comprised of all Medicaid enrollees and claims in the states that share in common both adverse minority health outcomes and the historical roots of racial health disparities in the South. Setting and Participants. A 100 percent sample of four years 2004-2007 of Medicaid Analytic Extract (MAX-file) data (plus Medicare-linked claims for dual-eligibles) from fourteen southern states, representing 3.8 to 5.4 million persons each year (one-third of all United States Medicaid enrollees, nearly half [48 percent] of African American and 21 percent of Latino Medicaid enrollees in the United States) was obtained from the Centers for Medicare and Medicaid Services (CMS). This region is the epicenter of the Black-White health disparities epidemic, and has also experienced a ...
Medicaid expansion, which took effect as the opioid epidemic ballooned, provided insurance coverage to people at highest risk of opioid use disorder (OUD) - lower-income, younger adults. Because Medicaid covers the overdose-reversal drug naloxone, the expansion gave Harvard Medical School professor Richard Frank an opportunity to compare how Medicaid expansion impacted naloxone prescribing in expansion and non-expansion states.. In a recent study published in the journal Addiction, Frank found that expansion states dramatically increased their Medicaid-covered naloxone prescriptions. In 2016, states that did not expand Medicaid averaged 83.1 Medicaid-covered prescriptions per 100,000 enrollees, while expansion states averaged nearly four-times that amount - 215.6 per 100,000 enrollees. On average, naloxone (Narcan) saves one life for every 14 prescriptions written, which means expansion states saved an additional 22.7 lives per year per state.. Franks study suggests Medicaid expansion has been ...
Among the conclusions of the June 2013 MACPAC report is that more research is needed on how nonphysician practitioners could improve access to care for Medicaid enrollees with disabilities. The Medicaid and the State Childrens Health Insurance Program (CHIP) Payment and Access Commission (MACPAC) released its Report to the Congress on Medicaid and CHIP last week. The report, issued annually, includes a chapter on access to care for adults with disabilities. Based on large-scale population surveys, provider and stakeholder data, consumer interviews and other qualitative data, and state Medicaid program data, MACPAC reported that access to health care among Medicaid-only enrollees with disabilities is comparable to that of other insured persons with disabilities; that unmet need among Medicaid-only enrollees with disabilities is lower than that of individuals with disabilities covered by private insurance or Medicare only; and that preventive services are underused among Medicaid enrollees with ...
The Trump Administration has issued guidance permitting state Medicaid programs to apply for waivers to institute work requirements as a condition of Medicaid eligibility, a departure from the programs history. To date, 20 states have sought approval for such waivers, which remain controversial and face challenges in court.1 (For up to date information on state status of Medicaid work requirement waivers, see the Kaiser Medicaid Waiver Tracker.). A separate KFF analysis of data on the general Medicaid population found that most (63%) non-dual, non-SSI, non-elderly Medicaid beneficiaries were already working and many others faced barriers to work that could make them exempt from the requirements.2 Additionally, large numbers of beneficiaries could face difficulties demonstrating that they were in compliance with or exempt from work requirements and as a result could lose coverage. For example, early state experience with work requirements has resulted in significant disenrollment from the state ...
Im sure everyone thats reading this knows better, but I cant let it go unaddressed.. LePage is absolutely wrong about the costs of Medicaid expansion. And its not "free." The people of Maine are already paying for Medicaid expansion right now even if they cant access it. The federal government currently covers 95 percent of the cost of Medicaid expansion and will still cover 90 percent of the cost in 2020 and beyond. Federal taxpayers who live in Maine are already paying for it.. LePage claims Medicaid expansion will cost the state $100 million per year, which is a relatively small number in the grand scheme of things, but hes also wrong about that. The current cost to the state will be roughly half that or around $55 million according to the Maine Office of Fiscal and Program Review (the states version of the non-partisan Congressional Budget Office).. We should be clear that LePage is picking a fight with all of his constituents, not just heathen liberals.. I followed the vote live last ...
Correspondence issued by the Government Accountability Office with an abstract that begins Spending on prescription drugs in Medicaid--the joint federal-state program that finances medical services for certain low-income adults and children--totaled $15.2 billion in fiscal year 2008. State Medicaid programs do not directly purchase prescription drugs; instead, they reimburse retail pharmacies for covered prescription drugs dispensed to Medicaid beneficiaries. The federal government provides matching funds to state Medicaid programs to help cover a portion of the cost of these reimbursements. For certain outpatient prescription drugs for which there are three or more therapeutically equivalent versions, state Medicaid programs may only receive federal matching funds for reimbursements up to a maximum amount, which is known as a federal upper limit (FUL). FULs were designed as a cost-containment strategy and have historically been calculated as 150 percent of the lowest published price for the
The Centers for Medicare and Medicaid Services (CMS) recently released a proposed rule that has important implications for Medicaid beneficiaries who require rehabilitative and habilitative services and devices. In the rule, CMS proposes changes to provide states more flexibility to coordinate Medicaid and the Childrens Health Insurance Program (CHIP) eligibility notices, appeals, and other related administrative procedures with similar procedures used by other health coverage programs authorized under the Affordable Care Act (ACA), such as coordination of benefits between Medicaid and health plans offered in the health insurance exchanges (Exchanges). Specifically, CMS is soliciting comments on whether the habilitative benefit should be offered in parity with the rehabilitative benefit under the Medicaid program (as they must be under the Exchanges). Additionally, CMS requests input on whether the state defined habilitative benefit definition for the Exchanges should apply to Medicaid or ...
Reports suggest that the Medicaid population includes a higher percentage of smokers than the general population. A high prevalence of smokers in a population is likely to lead to a higher burden of chronic obstructive pulmonary disease (COPD). Few studies have evaluated the economic burden of COPD in a Medicaid population. The objective of this observational, retrospective cohort study is to estimate the economic burden of COPD in subjects with a COPD diagnosis who are enrolled in Medicaid and are receiving maintenance treatment covered by Medicaid.. Specifically, the null hypothesis for the primary outcome measure is that no difference is observed in all-cause costs between subjects with and without COPD. The test hypothesis is that there is a difference in all-cause costs between subjects with and without COPD.. Secondary outcomes to be evaluated include all-cause resource use and COPD-related costs for the COPD cohort.. The study uses a medical and pharmacy administrative claims database ...
Medicaid provides 1/4 of all funding for mental health care.. Doesnt the Medicaid program cost a lot of money? Yes it does. But its a good deal if you consider that the average annual Medicaid spending per child is $2,422 and $7,683 for each adult and that the costs per enrollee is growing more slowly than premiums from employer based coverage (4.6% vs 7.7%).. Medicaid costs are going up because millions more are are needing it in these difficult times. Medicaid would be your safety net if you were to lose a job or experience a sudden drop in income.. For community health centers like mine, Medicaid is a lifeline. 37% of health center patients are covered by Medicaid. And this money is well spent. Community health centers have been shown to provide high quality cost effective care its 23 million patients.. Medicaid has its faults but few would argue that it is a lynch pin for our health care system and represents our nations moral commitment to help low income communities.. Attempts to make ...
Medicaid is a nationwide program that is administered not only by the federal government but also the government of each individual state. Types of assistance programs and eligibility requirements vary from state to state. Utah Medicaid is administered by the Utah Department of Health. At your local Medicaid office, you can fill out an application and find out more about the eligibility requirements and verifications youll need to provide before your application can be processed. You will also be assigned a case worker who will serve as your point of contact regarding your Medicaid application and/or coverage. There are Medicaid programs for children and Medicaid programs for adults. Children whose parents meet income requirements can qualify for one of the various programs. Medicaid for Newborns is a program for children from birth to age six whose parents meet the income requirements. Newborn Plus is for children ages six to eighteen, which certainly are not newborns but do fall under this ...
The leader of the largest trade group for Medicaid health plans wants states to think twice before enacting work requirements for beneficiaries of the public insurance program. If states choose to go that route, they could end up facing higher costs in the long run, Jeff Myers, president and CEO of Medicaid Health Plans of America, tells FierceHealthPayer.
Given the extraordinarily negative public reception to Governor Pat McCrorys idea to privatize the NC Medicaid program and the way it fell flat in its first presentation at the NC General Assembly, you might be forgiven in thinking that this particular Medicaid "reform" was dead in the water in NC. Unfortunately you would be wrong.. Today Governor McCrory issued a press release saying he would be coordinating with the Senate and House to require the Governors Department of Health and Human Services to request a Medicaid waiver from the federal government. This federal waiver would allow NC to make unspecified changes to Medicaid and "create a predictable and sustainable Medicaid program for taxpayers.". Let me translate this for you. The only reason for NC to get a "federal waiver" to change its Medicaid program in this way would be to give NC the option to sell parts of the Medicaid program off to private companies - which has been the plan here all along. Why? Because if you sell off part of ...
... (4/5/07)- The 2005 Deficit Reduction Act seeks, amongst other things, to reduce the joint federal-state Medicaid program by $8.4 billion over 5 years. The savings would come mainly through changing how the government calculates reimbursement to pharmacies and PBMs. The CMS put forth the proposal in December, and is required by law to finalize the new rule on Medicaid reimbursement by July 1.. The controversy over the new rule centers on the definition of an average manufacturer price, which is used to calculate the reimbursements to pharmacies for generic drugs. Under the proposal the generic price would take into account the rebates that PBMs receive, even for generic drugs. Most pharmacies do not receive these rebates, so they are paying a higher price for a generic drug than is the average PBM.. The government pays for Medicaid prescriptions in two ways: The federal government reimburses the pharmacy for the cost of the ...
The U.S. Department of Justice estimates that 1.3 million individuals with mental illness were in state or Federal prisons or local jails in 2005. More than half of all prison and jail inmates showed symptoms of a mental disorder, and about a quarter had mental health problems diagnosed within the past 12 months. For many adults with mental illness, Medicaid is the primary source of health care coverage when they reenter their communities after a stay in a public institution. Many states suspend Medicaid eligibility for adults while they reside in public institutions, since Medicaid regulations preclude the use of federal Medicaid dollars to pay for health services for most persons in state institutions. In addition, applying for federal disability benefits can be complex and requires coordination among local institutions, state agencies and federal agencies.. This publication, Establishing and Maintaining Medical Eligibility upon Release from Public Institutions may be downloaded or ordered at ...
Many people who do not fall into the low-income category reject the idea of going on Medicaid as they age, become frail, and in need of home and health services that Medicaid programs provide.. Medicaid is a federal health-care program for the poor, and elderly people who work all their lives often dont believe its for them. In fact, many of them are insulted when anyone suggests that they apply for it. And the idea of applying for Medicaid, public assistance, or "government aid" doesnt make it any better when they learn that Medicare -- the federal health-care program for the aged -- does not pay for the long-term care needs of aging citizens.. For anyone who does not have private funds or insurance to pay for long-term care, Medicaid pays the bill. And senior citizens who worked all their lives and who may have a little money saved can still apply to Medicaid to get help with their personal and home care.. Northwest Ohio Area Office on Aging officials say that its unfortunate for senior ...
data.medicaid.gov , Last Updated 2019-12-06T22:22:54.000Z. Total Medicaid Enrollees - VIII Group Break Out Report Reported on the CMS-64 The enrollment information is a state-reported count of unduplicated individuals enrolled in the states Medicaid program at any time during each month in the quarterly reporting period. The enrollment data identifies the total number of Medicaid enrollees and, for states that have expanded Medicaid, provides specific counts for the number of individuals enrolled in the new adult eligibility group, also referred to as the "VIII Group". The VIII Group is only applicable for states that have expanded their Medicaid programs by adopting the VIII Group. This data includes state-by-state data for this population as well as a count of individuals whom the state has determined are newly eligible for Medicaid. All 50 states, the District of Columbia and the US territories are represented in these data. Notes: 1. "VIII GROUP" is also known as the "New Adult Group." 2. ...
Californias Medicaid agency has posted draft language of a new state plan amendment (SPA) that would make major changes to federally qualified health center (FQHC) and Rural Health Clinic (RHC) reimbursement.
Introduction Approximately 20 million new sexually transmitted infections (STIs) are diagnosed yearly in the United States costing the healthcare system an estimated $16 billion in direct medical expenses. The presence of other STIs increases the risk of HIV transmission. The Centers for Disease Control and Prevention (CDC) has long recommended routine HIV screening for individuals with a diagnosed STI. Unfortunately, HIV screening prevalence among STI diagnosed patients are still sub-optimal in many healthcare settings. Objective To determine the proportion of STI-diagnosed persons in the Medicaid population who are screened for HIV, examine correlates of HIV screening, and to suggest critical intervention points to increase HIV screening in this population. Methods A retrospective database analysis was conducted to examine the prevalence and correlates of HIV screening among participants. Participant eligibility was restricted to Medicaid enrollees in 29 states with a primary STI diagnosis ...
Officials dont know when applications will be ready for Healthy Michigan - the states new Medicaid program for people at or below 133 percent of the federal poverty level. Medicaid enrollment and coverage officially begins April 1, according to legislation approved last year. Eligibility covers a single adult with annual income of $15,000 or less and families of four with annual income below $34,000.
Health,... ORLANDO Fla. Sept. 11 /- MEDai Inc. headquartered...The presentation will demonstrate how MEDais predictive modeling tool... MEDai has several state Medicaid agencies that leverage our analytics...For more than a decade MEDais predictive modeling applications have...,MEDais,Predictive,Analytics,Impact,How,State,Medicaid,Agencies,Triage,High-,Risk,Members,medicine,medical news today,latest medical news,medical newsletters,current medical news,latest medicine news
PubMed Central Canada (PMC Canada) provides free access to a stable and permanent online digital archive of full-text, peer-reviewed health and life sciences research publications. It builds on PubMed Central (PMC), the U.S. National Institutes of Health (NIH) free digital archive of biomedical and life sciences journal literature and is a member of the broader PMC International (PMCI) network of e-repositories.
Ann SannerCOLUMBUS: The leader of the Ohio House says his Republican colleagues have concerns about the expense of expanding Medicaid, though he has yet to discuss with them whether the state should increase Medicaid coverage.Gov. John Kasich is expected to decide soon whether Ohio should opt for the Medicaid expansion under the federal health care law known as the Affordable Care Act.House Speaker William Batchelder acknowledged Wednesday that expanding Medicaid poses not just financial questions, but also philosophical ones for lawmakers who oppose the law and its mandate for almost everyone to obtain insurance.A recent study by a nonpartisan health policy organization says expanding Medicaid could net Ohio $1.4 billion over the next decade. The report said about 456,000 uninsured Ohioans would gain health care coverage by 2022.
States are already struggling to pay their Medicaid bills. Why put taxpayers on the hook to pay even more?. Medicaid is the single biggest item in state budgets today. It consumes, on average, 23 percent of state dollars spent, pinching funds for other high-priority functions - such as education, transportation and emergency services.. Yet expanding Medicaid was a central tenet of the Patient Protection and Affordable Care Act. It required states to open their program to all individuals earning less than 138 percent of the federal poverty level. The goal was to reduce the number of uninsured - by dumping 17 million Americans onto the Medicaid rolls.. Such a huge expansion wouldnt come cheap, and cash-strapped states grumbled that they couldnt possibly afford it. So the architects of Obamacare decided to take a carrot-and-stick approach to get the states to play ball.. The carrot: We, the feds, will pick up 100 percent of your expansion costs for three years, and lesser percentages thereafter. ...
This article explores the impact on Medicaid costs of new AIDS treatments and other technology advances. Available data on total projected Medicaid expenditures and actual expenditures for antiretroviral drugs are presented. The article further addresses Medicaid State agencies efforts to assure that Medicaid-eligible persons with AIDS receive quality care, and reviews recent studies on utilization of services among persons with HIV disease ...
Background No study has assessed the cost of treating adult Medicaid cancer patients with preexisting chronic conditions. This information is essential for understanding the cost of cancer care to the Medicaid program above that expended for other chronic conditions, given the increasing prevalence of chronic conditions among cancer patients. Research Design We used administrative data from 3 state Medicaid programs linked cancer registry data to estimate cost of care during the first 6 months following cancer diagnosis for beneficiaries with 4 preexisting chronic conditions: cardiac disease, respiratory diseases, diabetes, and mental health disorders. Our base cohort consisted of 6,212 Medicaid cancer patients aged 21 to 64 years (cancer diagnosed during 2001-2003) who were continuously enrolled in fee-for-service Medicaid for 6 months after diagnosis. A subset of these patients who did not die during the 6-month follow-up (n=4,628), were matched with 2 non-cancer patients each (n=8,536) to ...
State Medicaid programs continue to change in response to various factors, from Florida changing its hepatitis C treatment policy to favor patients, to non-expansion states considering the financial impact of potential options. Louisiana just began enrolling the newly eligible this week, and the state projects that many more will seek coverage. South Dakotas governor is employing some creative techniques to argue that expansion will not cost the state additional funds, and North Carolina is trying to shift plan oversight to outside organizations.. Florida and Hepatitis C. Florida is now providing vital medications to Medicaid patients with hepatitis C at an earlier stage of the disease. In the past, patients have only been offered the drug when they were at fibrosis level three or four, which indicates a high level of scar tissue in the liver and is sometimes the point where patients are in need of a transplant. These drugs are expensive to the program, costing as much as $31,000 each month. ...
While I certainly believe that medicaid expansion is great for medicine, it has thus far proven to be a nightmare for NCs mental health providers. This difference is due, primarily, to the NCGAs decision to implement mental health, developmental disability, and substance abuse services as a Medicaid waiver "carve out". While medical professionals are overseen by Community Care of North Carolina, MH/DD/SA professionals are overseen by "Local Management Entities" or LMEs for short. As indicated in a previous blog post, NC is touting millions upon millions in savings from medicaid waiver programs. Interestingly, no one seems to stop and ask from where these savings are coming. In 2010, the LMEs across the State that reported their fund balances held over 600,000,000.00. Some LMEs have built 10,000,000.00 administrative complexes for themselves and budgeted hundreds of thousands of dollars for offices leases and associated contracts. In addition they will require ongoing State and Federal monies ...
Since the average cost of having a baby today is over $8,800, access to affordable, quality, comprehensive health care is a critical component in a womans decision whether to parent a child. Also many medical conditions are aggravated by pregnancy including sickle-cell disease, heart disease, diabetes, asthma and high blood pressure, so for a woman with these and other conditions, the costs can be far higher.. Women of reproductive age (15-44) are the most likely of any demographic group to lack health insurance. Medicaid, a federal and state program that provides health insurance for certain low-income individuals, helps fill that gap. Approximately seven million women of reproductive age rely on Medicaid; and women comprise 71% of the programs adult insurees. Medicaid helps guarantee that low-income women have an equal right to health care and the ability to control their reproductive destiny.. Through Medicaid, women can access a wide range of services including pregnancy-related care, ...
Individuals enrolled in a state Medicaid program change health care providers by contacting the existing health plan company to discuss options, according to New York Medicaid Choice. In states such...
States do not have to be forced to board a runaway Medicaid budget whose brakes have failed. By combining Medicaid expansion with federal funding designed to reward innovations in health care delivery, states can better manage care, improve the health of more of their residents and reduce costs. Medicaid is under the microscope these days. And it should be. Its one of the most important tools we have in the United States to protect our most vulnerable citizens.. ...
Newer HCV therapies have been hailed by the IDSA and the AASLD for their improved simplicity and safety compared with older, interferon-based treatments; thus, nonspecialist physicians, rather than a limited number of specialists, may be able to manage treatment for most HCV-infected persons (that is, nonrelapsing patients without serious comorbid conditions). However, 30 states require that sofosbuvir be prescribed by, or in consultation with, a specialist-usually a hepatologist, gastroenterologist, or infectious disease physician. The extent to which finding a specialist who accepts Medicaid may pose a barrier to HCV treatment remains unclear, although some Medicaid directors reported concern for patients living in rural areas. The IDSA/AASLD guidelines recommend collaboration with specialists (through the use of telemedicine, if needed) for treatment management when primary care physicians have limited experience. Many prior authorization criteria require abstinence from the use of alcohol, ...
Has Medicaid expansion inadvertently contributed to rising opioid use in the US, by way of increased access to opioid medications and medication-assisted treatment by Medicaid recipients?
Im going to cannabalize and tweak something I wrote for the Incidental Economist. Im not sure this even needs a cite. It was near the bottom of a long post. No one may even know that its there.. People ask: Is Medicaid better or worse than private insurance in gaining access to needed care? I think it is difficult, and probably misplaced, to give a simple thumbs-up or thumbs-down answer to that broad question. One should give different answers for different people, who face different challenges in their access to medical and social services. Both Medicaid and private insurance have distinct advantages and challenges. Neither provides the reliable, practical access to proficient services vulnerable people really need.. Ive been writing about that NEJM audit study of Cook County. That study showed that medical specialists turn away Medicaid patients with dismaying regularity. In that study, patients faced serious but basic issues: A broken bone, diagnosing type I diabetes, and so on. Medicaid ...
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Type 2 diabetes is common in the United States; about 1 in 10 people have the disease. Diabetes can cause devastating health events, such as hospitalizations, kidney failure, blindness, amputation, heart attack, stroke, painful nerve damage (neuropathy), and death. There are many barriers for patients with diabetes that get in the way of controlling risk factors, following recommendations, and getting the care they need from the health system to help prevent these complications; this is especially true for those with other health problems too. Those living in poverty and racial/ethnic minorities are more likely to have complications from diabetes, and less likely to get recommended care from health systems. In order to improve care and outcomes for people with complex medical problems, several states have started the Medicaid Health Home (HH) program, including New York State (NYS) in 2012. This program is for people with two or more chronic health conditions, such as diabetes and heart disease, ...
1115 Managed Medical Assistance Waiver The Managed Medical Assistance program provides primary and acute medical care, and behavioral health and dental services for the majority of Medicaid recipients. Recipients receive their services through competitively selected health plans.. 1115 Family Planning Waiver. The family planning waiver provides family planning and family planning-related services to all women of child bearing ages (14-55) losing Medicaid coverage, who have a family income at or below 185 percent of the federal poverty level and who are not otherwise eligible for Medicaid, Childrens Health Insurance Program, or other health insurance coverage providing family planning services. Coverage is available for up to two years after loss of Medicaid eligibility.. ...
12 Medicaid Health System jobs available in Saratoga Springs, NY on Indeed.com. Direct Service Provider, Social Worker, Home Manager and more!
List of Sources. Medi-Cal: The Cornerstone of Ca Kids Health Care. More than 5.7 million California kids have Medi-Cal.1. Over half (54%) of Californias children are in Medi-Cal; Medi-Cal is the state Medicaid program for low-income people.2. They get health coverage that includes: preventive care, emergency care, mental health care, and dental care.3 Kids who are covered by Medicaid: Do better in school and miss fewer school days; Are more likely to graduate from high school and go to college; Have fewer emergency visits and hospitalizations as adults and; Earn more money as adults.4. Because of Medi-Cal, the uninsured rate for Californias children has been cut by more than half since 2001 (from 10.3% in 2001 to 4.5% in 2014).5. We are one step closer to ensuring that all kids living in California have health coverage! Since the May 2016 expansion of Medi-Cal to #Health4AllKids, about 142,000 undocumented children now have access to comprehensive Medi-Cal coverage. Thousands more still need ...
WEDNESDAY, April 17, 2019 (HealthDay News) -- For women who deliver a baby by cesarean section, the risk of developing a surgical site infection is higher if she is covered by Medicaid versus private insurance, a new study finds.. Several factors may be at play, including a patients living situation and social support after leaving the hospital, as well as differences in the type of care covered by insurers, according to the researchers.. The study included data on nearly 292,000 C-section deliveries that took place in California between 2011 and 2013. Of those, 48% were covered by Medicaid, a government program that provides health care to people with low income or disabilities.. Surgical site infections occurred in 0.75% of the deliveries covered by Medicaid and 0.63% of those covered by private insurance. In other words, women covered by Medicaid had a 1.4-fold higher risk, the researchers reported.. Such infections were more often detected after women left the hospital and were readmitted, ...
How much Health-care freedom should Trump give states?, By Mattie Quinn, September 2017, Governing: "From the onset of the Affordable Care Act, critics protested that it amounted to federal overreach and was too strict on states. That fight has besieged the two political parties for the past decade. Now, much of the federal battle over health care has coalesced around how much freedom states should have in crafting their Medicaid programs ...
Presenting a live 90 minute webinar with interactive Q&A VA Benefits and Medicaid Eligibility Meeting Complex Requirements for Benefits Qualification and Application WEDNESDAY, JANUARY 30, pm Eastern
The House-passed American Health Care Act (AHCA) would threaten Medicaid coverage and access to care for millions of people with disabilities and their families. It would radically restructure federal Medicaid financing and effectively end the Affordable Care Acts (ACA) Medicaid expansion, reducing enrollment by 14 million people by 2026 and cutting federal spending by $834 billion over ten years.
An analysis conducted by Bloomberg found that Medicaid programs in 31 states paid drastically different prices for 90 of the most popular generic drugs. Some states got good deals; others faced markups that were triple what the pharmacy paid.. ...
For every U.S. state, this dataset includes captures whether a state has decided to expand Medicaid and, if so, detailed information about the states Medicaid expansion efforts.
Frequent Reenrollment for Medicaid Enrollees Linked to Gaps in Coverage; Authors Urge States to Limit Interruptions in Coverage, , , , New York, NY Interruptions in Medicaid coverage are associated with...
The year 2014 was the first year of the Affordable Care Acts (ACAs) broad expansion of Medicaid to individuals up to 138% of the federal poverty level. Despite the fact that 22 states have yet to agree to the expansion, Medicaid enrollment has surged. By December 2014, 70 million individuals-about one in five Americans-were enrolled in Medicaid or its sister program, the Childrens Health Insurance Program, an increase of 11 million from mid-2013.1
The White House has declared on Thursday that it would exempt the millions of vulnerable Medicaid recipients from the new law which requires them to give proof of their citizenship
TUESDAY, Sept. 4, 2018 (HealthDay News) -- States that expanded Medicaid had a greater reduction in the proportion of uninsured hospitalizations for major cardiovascular events, according to a study published online Aug. 24 in JAMA Network Open.. Ehimare Akhabue, M.D., from the Northwestern University Feinberg School of Medicine in Chicago, and colleagues compared the mean payer mix proportions and in-hospital mortality for expansion and non-expansion states for 2009 to 2013 (preceding the Affordable Care Act [ACA] Medicaid expansion) and 2014 (the year after expansion).. The researchers found that there were 801,819 hospitalizations in the 17 expansion states in 2014 and 719,459 in the 13 non-expansion states. In 2014, there were 281,184 non-Medicare hospitalizations for major cardiovascular events in the 17 expansion states and 243,664 in the 13 non-expansion states. Compared with non-expansion states, the expansion states had a significant 5.8-percentage-point decrease in the proportion of ...
State Medicaid spending rose a higher-than-expected 8.8% in fiscal 2010 as the majority of states added provider rate cuts or freezes, according to a survey of state officials conducted by a division of the Kaiser Family Foundation. The growth in 2010 easily surpassed the 6.3% growth originally projected by the directors and was the highest in eight years, according to a news release from the Kaiser Commission on Medicaid and the Uninsured. The directors budgeted for Medicaid spending growth of 7.4% in fiscal 2010. ...
It became apparent to us through the enthusiastic response we received after our eNews featuring the Noble Heart Fund that many of the applicants were on Medicaid and were unaware that Medicaid, in many states, covers ReidSleeve products! We thought we should bring awareness to this topic and give our eNews readers some additional information about coverage with Medicaid.. Peninsula Medical is contracted with many state Medicaid programs and the benefits under these programs cover ReidSleeve products!. If you know someone on Medicaid in any of the following states (maybe even yourself!) and you would like to pursue a compression garment please contact us to get your authorization going.. Arkansas. California (MediCal). Idaho. Illinois. Indiana. Iowa. Kansas. Kentucky. Maine. Michigan. Minnesota. Ohio. Tennessee (Tenncare). Utah. Virginia. Washington. Wisconsin. There are several other states in which Medicaid covers the ReidSleeve, where we have authorized providers we can refer you to. So even ...
TY - JOUR. T1 - Assessing antiretroviral use during gaps in HIV primary care using multisite medicaid claims and clinical data. AU - Monroe,Anne K.. AU - Fleishman,John A.. AU - Voss,Cindy C.. AU - Keruly,Jeanne C.. AU - Nijhawan,Ank E.. AU - Agwu,Allison L.. AU - Aberg,Judith A.. AU - Rutstein,Richard M.. AU - Moore,Richard D.. AU - Gebo,Kelly A.. PY - 2017/9/1. Y1 - 2017/9/1. N2 - Background: Some individuals who appear poorly retained by clinic visit-based retention measures are using antiretroviral therapy (ART) and maintaining viral suppression. We examined whether individuals with a gap in HIV primary care (≥180 days between HIV outpatient clinic visits) obtained ART during that gap after 180 days. Setting: HIV Research Network data from 5 sites and Medicaid Analytic Extract eligibility and pharmacy data were combined. Methods: Factors associated with having both an HIV primary care gap and a new (ie, nonrefill) ART prescription during a gap were evaluated with multinomial logistic ...
A study published in the current issue of Health Services Research re-examines the effects of Medicaid payment generosity on access and care. The authors found that higher payments improve the probability of adult beneficiaries having at least one doctor/healthcare professional visit in a year, but does not affect their use of the emergency department or dentist. Among the adult population, higher payments also lead to increased beneficiary satisfaction and better communication between doctors and patients. There was no effect to the preventative care or immediate medical care among children. The results show, "the limited impact of Medicaid rates on beneficiary access and use suggests that modest pay cuts might be an appropriate policy option when state budgets get tight," co-author Stephen Zuckerman explains. The authors examined the National Surveys of Americas Families for years 1997, 1999, and 2002 and the Urban Institute Medicaid capitation rate surveys. The authors conclude that states ...
Medicaid expansion may have led to reductions in opioid-related hospitalizations between 2005 and 2017, according to a study published in JAMA Internal Medicine. “Our findings suggest that expanding Medicaid may be a useful strategy for reducing opioid-related hospitalizations,” Hefei Wen, PhD, faculty member of the Harvard Medical School Department of Population Medicine at the
The recent report about the rising cost of Medicaid from the N.C. Center for Public Policy Research has some sobering news for policymakers --most notably, that the rapid growth of the states aging population will spur even more increases in Medicaid spending and significantly increase the percentage of the state budget that goes to the program.. Medicaid is a successful and critically important program. In 2007, it covered 1.7 million children, seniors, the blind and people with disabilities without much of the administrative overhead seen in the private health care industry. It is a program targeted at specific groups of the states most vulnerable people; most uninsured adults do not qualify for Medicaid regardless of income.. State Health and Human Services Secretary Lanier Cansler told lawmakers recently that the state may have to stop covering some services to reduce costs, such as hospice care, transplants, and respiratory care for children -- care that doesnt sound too "optional." So ...
The current legislature in Montgomery, AL wants to cut $13 million to the Medicaid budget. This will cause a loss of an additional $33 million in federal funding for a total loss of $46 million.. The Medicaid program is most known for providing medical care and dental care for low income children and pregnant women. However, Medicaid also provides a wide variety of services for adults with disabilities and the elderly. In addition to medical care, Medicaid provides residential services and day habilitation services. Without residential services, some adults with disabilities would live in unsafe and unsanitary conditions and in some instances be homeless. Group homes provide a home and staff that ensures they receive needed medications, have proper meals and stay safe. Day habilitation services provide a safe, secure environment for adults with disabilities to learn daily living and work skills. Day habilitation centers also provide work for people with disabilities, encourage volunteering and ...
Pres Clinton signs legislation that prohibits nursing homes from evicting people on Medicaid, as some have done in recent years as part of an effort to recruit more affluent patients; bill, passed by Congress with bipartisan support, protects Medicaid patients who live in nursing homes that decide to withdraw from program; photo (M)
Gov. Jeb Bushs mammoth experiment to test a new kind of Medicaid coverage in Broward and Duval counties won federal approval on Wednesday.The signing of the states Medicaid waiver application by
SALT LAKE CITY- Anyone targeted by the Medicaid expansion waiver approved this month became eligible as of Monday to be reimbursed by the federal program, Centers for Medicare and Medicaid Services administrator Seema Verma announced during a visit to Utah. Medicaid enrollment itself has been available to an additional 4,000 to 6,000 of some of Utahs very...
I highlighted the second article below, and many others reaching similar conclusions, in my last column: Childhood Medicaid Coverage Improves Adult Earning and Health, NBER Digest: Medicaid today covers more Americans than any other public health insurance program. Introduced in...
This overview describes the Medicare and Medicaid dually eligible beneficiaries, and it summarizes challenges in obtaining information and designing health care and supportive systems across the continuum of their needs. Some of the challenges include: the complexities of Medicaid eligibility, key structural differences between Medicare and Medicaid, long-standing data limitations, and determining appropriate payment mechanisms and amounts. The overview discusses and highlights changes that are expected to improve the potential for research on dual eligible issues ...
This analysis revealed a statistically significant association between adherence to the periodic well-child visit schedule during the first 2 years of life and fewer potentially avoidable hospitalizations among a birth cohort of Medicaid-enrolled children in 3 states with large numbers of Medicaid-enrolled newborns. The association was present regardless of race or ethnicity, level of illness, gender, level of poverty, or local resources. Our results help substantiate conventional wisdom that has fueled efforts to ensure that poor children receive early periodic preventive care. The results of this research are consistent with findings from 2 other studies. A mid-1960s experiment that offered primary care to a group of poor families found that free comprehensive services increased physician use and reduced hospitalizations, and an evaluation of a Medicaid managed care program in Maryland found that the number of primary care visits was inversely associated with avoidable hospitalizations.14,,25 ...
Administrative costs in the state Medicaid program are relatively low compared to other states, according to a report by the state legislatures Fiscal Research Division.
Medicaid patients appear to receive worse cancer care than people who can afford private insurance, a trio of new studies says. Those covered by Medicaid, the f
Though metro hospitals would receive more federal Medicaid funding (because they serve more patients), large and small hospitals saw similar percentage reductions in uncompensated care and increases in Medicaid revenue.
The latest Senate health reform bill, known as Graham-Cassidy-Heller-Johnson, puts Medicaid back on the chopping block. The proposal would change the way the federal government currently funds Medicaid by limiting federal funding and shifting cost over time to both states and Medicaid enrollees, and...
State program has cut fees to doctors, must temporarily stop paying hospitals Californias Medi-Cal program, which funds health care for 6.6 million low-income people, is being hit with a double whammy. Starting next week, Medi-Cal payments will cease for about 4,700 hospitals, clinics, adult day care centers, convalescent homes and other institutions until the states budget deadlock ends. [...] last month, a 10 percent fee cut took effect for the large network of doctors, pharmacists, dentists and other health care professionals who serve Medi-Cal patients around the state. The state, which is facing a $17.2 billion deficit and has been operating without a budget since July 1, is being sued by the California Hospital Association and other organizations over the rate cuts. Historically, Medi-Cal rates have been low - the program spends less per enrollee than any other state Medicaid program, and reimbursements to providers are among the lowest in the nation. Some doctors, optometrists,
This paper describes the results of a pilot test to link HUD administrative data to CMS claims data. The project was successful in matching files for 12 geographic areas using 2008 claims. The results show that older adults receiving HUD assistance have higher Medicare and Medicaid utilization than individuals in the community not receiving HUD assistance. When comparing
As early as 1996, in an article by Joyce Price in Insight magazine, titled "Public Schools Milk Medicaid" by Tom Randall, "a Chicago writer who has investigated Medicaid funding in local schools… believes the current compensation arrangement amounts to taxpayers paying twice for the same services…" With "Meaningful Choice" private and religious school parents will be paying three times for an education identical to all schools.. What are Senator Alexander, Senator Murray, Representative Kline, and Representative Murphy NOT telling their colleagues about the Reauthorization of ESEA? They are purposely not pointing out the impact of how each states MEDICAID costs will skyrocket with the passage of the Reauthorization of ESEA. Its all about mental health and "direct student services" which are described as "meaningful CHOICE." These mandatory psychological services in the affective domain - attitudes, values, beliefs, and dispositions of the students - are included in both bills for the ...
Q:Ive heard that the federal agency that administers the Medicare and Medicaid programs has changed its name with the new administration. Will these programs change, too?. A: Heres the answer from the newly named Centers for Medicare & Medicaid Services:. On June 14, U.S. Department of Health and Human Services Secretary Tommy G. Thompson announced the first wave of efforts to reform and strengthen the services and information available to the nearly 70 million Medicare and Medicaid beneficiaries and the health care providers who serve them.. As part of this effort, Thompson unveiled the new name for the federal agency that administers the Medicare and joint federal-state Medicaid programs the Centers for Medicare & Medicaid Services, formerly the Health Care Financing Administration. The new name reflects the increased emphasis at CMS on responsiveness to beneficiaries and providers and on improving the quality of care that beneficiaries receive in all parts of Medicare and Medicaid.. To ...
CAPE GIRARDEAU, Mo. , A state lawmaker is pushing legislation that would provide health care workers tax breaks as an incentive for them to see more Medicaid recipients.. State Sen. Jason Crowell, R-Cape Girardeau, said the bill would allow doctors, nurses and dentists to deduct Medicaid payments from their taxable income.. He said such a move would make up some of the gap between how much the taxpayer-funded program reimburses for health care and how much that care actually costs. The generally low payments have led many health care providers to avoid treating Medicaid patients, creating a bottleneck for those patients to find care.. In the year that ended June 30, Medicaid payments to health care providers was $206.7 million. Crowell estimates his bill would provide tax savings to those providers of about $12.4 million.. Ultimately, Crowell said hed like to see the Medicaid payments closer to those of Medicare, a health program for the elderly that closer matches actual costs.. It is an ...
The survey asked Medicaid agency representatives to indicate whether they used several specific methods of collaboration with various other state agencies (see table, page 3). Based on their responses, the methods of collaboration used can be grouped into three basic types: activity, structural, and financial.. Activity methods, which include cross-agency awareness training and multi-agency working groups, are practices that can be overlaid on an existing system without requiring structural or institutional change. Activities are the simplest way to collaborate, particularly in new collaborations among agencies that have not traditionally worked together. As would be expected based on their ease of implementation, activities were the most often reported types of collaboration. Medicaid agencies reported high levels of cross-agency awareness training (over 70% of respondents) with MR/DD, MH, VR, TANF, and Welfare to Work agencies and similar levels of participation in multi-agency working groups ...
Review of Medicaid rule changes sought. Eligibility of recipients affected. HARRISBURG - A formal review of a proposal to change eligibility requirements for the poor and disabled receiving state Medicaid services is being sought by two ranking House lawmakers and several advocacy groups. The state Department of Public Welfare wants to implement the changes on Sept. 1 to an existing assessment done by physicians or health care practitioners that determines whether individuals receiving or seeking medical assistance are employable. A determination that someone can hold a job would mean they are not eligible for medical assistance, observers said. The assessment proposal is apart from changes to state public welfare programs enacted in the 2012-13 state budget. It could affect thousands of Pennsylvanians who receive medical assistance through the states General Assistance program. These include adults with disabilities.. The two caucus chairmen of the House Human Services Committee are calling on ...
SAN FRANCISCO, CA & BOSTON, MA (Oct. 23, 2017) - The National Viral Hepatitis Roundtable (NVHR) and the Center for Health Law and Policy Innovation of Harvard Law School (CHLPI) today released "Hepatitis C: State of Medicaid Access" - a report and interactive project grading all 50 state Medicaid programs, as well as the District of Columbia and Puerto Rico ...
The findings from this multistate analysis of children in Medicaid suggest that as health resource use increases across patients, spending rises unevenly across different types of health services. For example, spending on primary and dental care was similar for low and high resource users. In contrast, spending on hospital, mental health, specialty, and pharmacy care was substantially less for low versus high resource users. For child HRUs, primary care made up 0.5% of total health care spending, and inpatient, mental health, specialty, and pharmacy spending made up ,90% of spending. More investigation is needed to assess the appropriateness of this distribution of spending and to investigate whether more spending on primary care could lead to better quality of care and cost containment for HRUs.. Our findings are consistent with literature suggesting that medical complexity is a common attribute among the most expensive children with Medicaid.19,28 In the current study, the top 1% spending ...
Quantitative consumer insights about the current Medicaid population and potential new entrants to the program have been difficult to come by. To help address this gap, McKinsey surveyed more than 1,100 consumers across the United States in 2012, focusing on the following segments: current Medicaid members (both dual eligibles and non-dual enrollees), people who are currently
One of the most common ways that states cover home health services for Medicaid recipients is to operate "home- and community-based waiver" (HCBW) programs. These programs target specific population groups and often are capped, financially or through enrollment limits or limits on geographic areas served. This article, which updates an earlier article on Medicaid home health resources, focuses on case law that has evolved as a result of recipients challenging denials or limitations of services under HCBW programs, and provides strategies for addressing such denials.. Download this article ...
A new study on the efficacy of Medicaid is out. Normally, there is no practical way to do large, randomly-controlled studies of Medicaid patients. However, for budgetary reasons Oregon admitted patients to Medicaid by lottery in 2008. This is a...
If you are now enrolled in your state Medicaid program or the Childrens Health Insurance Program (CHIP), here are some things you need to know.
A statewide coalition of consumers, providers, educators, and advocates representing the voice for alcohol and drug abuse services SUBSTANCE USE DISORDER (SUD)BENEFIT UNDER MEDICAID EXPANSION The Coalition
WEDNESDAY, May 1 (HealthDay News) -- As states prepare to expand Medicaid in 2014, a new study provides insight into how that health insurance coverage might affect low-income adults and what it means for access to care and the cost of care. The study found that having Medicaid -- the U.S. public health insurance program for lower-income Americans -- reduced financial strain related to out-of-pocket health care costs and improved mental health during the first two years of enrollment.. Medicaid also increased prescription drug use and office visits, according to the study, which is based on data from Oregons 2008 Medicaid expansion. People with Medicaid spent $1,172 a year more -- about 35 percent more -- on medical care than a comparable group of adults not enrolled in the program. Yet theres no clear evidence that having Medicaid improved control of diabetes, high-blood pressure and high cholesterol, at least in the early years of enrollment. "One thing it doesnt tell us is what happens ...
Health care advocates say a report on the impact of health care reform on the state's medicaid costs prepared by Florida's Agency for Health Care Administration gives wrong impression
On April 1, 2016, most Iowa Medicaid programs were joined together into one managed care program called IA Health Link. Most existing Medicaid members were enrolled in IA Health Link on April 1, 2016, and most new members who become eligible after April 1, 2016, will also be enrolled in IA Health Link. MKSN members receive coverage from the IA Health Link program. This program gives you health coverage through a Managed Care Organization (MCO) that you get to choose.. What is Medicaid for Kids with Special Needs (MKSN)? ...
My initial reactions: hmm, some of this looks like lack of Medicaid expansion, some might be from a combination of too-high premiums/insufficient subsidies/ignorance of subsidies etc on the exchanges ...
Housing advocates say the Medicaid expansion included in the health care law could reduce homelessness significantly, but there are obstacles to reaching and enrolling homeless people.
In recent years, falling immunization rates in the United States have resulted in an increased number of cases of preventable diseases. For example, the United States ranks behind 16 other nations in proportion of infants immunized against polio. Reasons for the decline of immunizations include skyrocketing vaccine costs, rising poverty rates, inadequate access to health care, and underfunding of public health programs. This document reports the results of a national survey of Medicaid programs conducted in 1991. Results indicated that states typically reimburse Medicaid providers for 53 percent of the usual fees for diphtheria, tetanus, and pertussis vaccine, 67 percent for polio vaccine, 72 percent for measles, mumps, and rubella vaccine, and 84 percent for meningitis vaccine. Of the 30 states that use a fee-for-service system, only one pays providers more than 85 percent of usual fees for the four vaccinations. Some states reimburse physicians for immunization services at a rate
This paper reports analyses of Current Population Survey Medicaid responses matched to individual-level, high-quality administrative data on Medicaid enrollment.
In a speech to the National Association of Medicaid Directors, HHS Secretary Alex Azar said CMS is giving states more flexibility to enact inpatient mental health treatment for Medicaid beneficiaries.
Temporary Moratorium: Medicare and state Medicaid agencies will be able to impose temporary enrollment moratoria for a particular type of provider or supplier if determined to be "necessary to combat fraud, waste, or abuse." For Medicare enrollments, CMS will announce any planned moratoria in the Federal Register along with its rationale for why a particular moratorium is needed. An imposed moratorium would affect newly enrolling providers and suppliers (i.e., initial enrollment applications) and the establishment of new practice locations. The relocation of an existing practice location and change of ownership generally are not affected by a moratorium. There is, however, an exception for any HHA change of ownership that is affected by the 36-month rule (i.e., the new owner would not be able to accept assignment of the provider agreement); such a situation would equally be affected by a moratorium ...
In a way it is a pity that this is limited to primary care only, but I view this also as a first step. The need is certainly greatest in primary care, and I suspect and hope that this will in time be expanded to other specialties. The other thing that is good about this is that the cost differential will be borne by the feds (at least I think so -- anyone got a hard source on this point?) which is the first step towards federalization of the whole Medicaid program. It was a stupid and damaging accident of history that Medicaid wound up being state-administered while Medicare was national (if I recall correctly, it arose from the politics of race in the 60s, but I could be wrong). One of many problems about Medicaid is that the costs fall on the states inelastic budgets hardest when states are experiencing the hardest economic conditions. States cannot run deficits, generally, and must balance their budgets every year. A recession produces huge shortfalls in revenue for the states, creating ...
h) to transfer medical or prescription information between pharmacists as provided by law; (i) government agencies acting within the scope of their statutory authority; or (j) a person or entity who is allowed to receive such information under HIPAA. If you are a Medicaid recipient, we will disclose your information only if it is directly related to treating you, to promote improved quality of care, or to assist with an investigation, prosecution, or civil or criminal proceeding related to the administration of the Medicaid program. We will not disclose any HIV/AIDS-related information, except if you have provided us with a written authorization allowing the release or if we are authorized or required by state or federal law to do so.. Montana: If you are a Medicaid recipient, we will only use your information only for purposes directly connected with Medicaid program administration and except for disclosing to state authorities, we will not disclose your information without your written ...
The debate over Medicaid expansion in Missouri began in earnest in late 2012.Hospitals, chambers of commerce and others lined up to urge the General Assembly to accept expansion, while Republican legislators made it clear Missouri would turn the proposal aside. Medicaid expansion became a political football, putting the future health care of nearly 300,000 Missourians who would have qualified for help at risk.The Affordable Care Act - widely referred to as Obamacare - uses federal
A study from the University of Colorado School of Medicine shows patients with Medicaid insurance seeking care in an emergency department may be driven by lack of alternatives instead of the severity of their illness. The ...
Medicaid is a lifeline for Latinas, their families and their communities. In 2009, the U.S. Census Bureau found that over 1-in-4 Latino adults (26.4%) and almost half of Latino children (49.4% or approximately 8.6 million children) depend on Medicaid and/or the Childrens Health Insurance Program (CHIP) to access their health care. Under health care reform,…
MEDICARE. Beneficiaries would be largely unaffected by a shutdown, especially if it is short. Patients would continue to receive their insurance coverage, and Medicare would continue to process reimbursement payments to medical providers. But those checks could be delayed if the shutdown were prolonged.. MEDICAID. States already have their funding for Medicaid through the second quarter, so no shortfall in coverage for enrollees or payments to providers is expected. Enrolling new Medicaid applicants is a state function, so that process should not be affected.. States also handle much of the Childrens Health Insurance Program (CHIP), which provides coverage for lower-income children whose families earn too much to qualify for Medicaid. But federal funding for CHIP is running dry - its regular authorization expired on Oct. 1, and Congress has not agreed on a long-term funding solution. Federal officials announced Friday that the staff necessary to make payments to states running low on funds ...
December 27, 2011 -- Times are tough for recent dental school graduates. They can easily accrue a personal debt for school loans in excess of $150,000 to $250,000 before even a single dollar is earned in clinical practice.. In recent years, interstate Medicaid clinics have come onto the scene. Their focus is primarily the niche market of underserved Medicaid-eligible children. They would argue that they fill the need of a demographic that receives little to no dental care. They would further point out that most private sector dentists will not serve this population.. Because of their debt burden, many of our junior colleagues are opting to work in these clinics. But they are basically working as transient laborers. They may see little immediate hope of getting out of debt while attempting to raise young families. Some working conditions would disgust an Occupational Safety and Health Administration inspector or peer-review member. Unfortunately, many recent graduates need the income too badly to ...
PHOENIX (AP) - A lawsuit challenging Arizona Gov. Jan Brewers Medicaid expansion plan that was filed by fellow Republicans in the state Legislature was dismissed in a ruling released Saturday, handing Brewer a major victory in her battle against conservative members of her own party.