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Lockwood - Charlotte:
North Carolina Medicaid managed care for people with mental illness and disabilities delayed again
The start date for these “tailored plans” that will cover roughly 160,000 people had been last Dec. 1.
How religious exemptions will affect Medicaid managed care
It is especially important to assert the religious freedoms of the individual over private, governmentally-funded organization to assert protections of the establishment clause.
What You Need to Know about Mental Illness and Aging Adults
Caregiver in Southport IN: Mental illness doesn’t just go away as someone ages.
10 Things to Know About Medicaid Managed Care
This brief describes 10 themes related to the use of comprehensive, risk-based managed care in the Medicaid program and highlights significant data and trends. Understanding these trends provides i…
Seniors & Mental Health: Is it Mental Illness or Aging?
Seniors are more at risk for mental illness than the general population. According to the Centers for Disease Control and Prevention (CDC), about 20 percent of people age 55 and older experience some kind of mental health concern. Not only are more seniors affected by mental illness, nearly one in three affected older adults does not receive treatment. By learning more about this often-misunderstood problem and…
How to Build a Successful Acute/Post-Acute Care Continuum
Hospitals are forming networks with post-acute care and continuing care partners to ensure quality across the continuum.
What happens to community hospitals if Medicaid isn't funded?
Critical illness race is ending but is a new one starting?
s the finishing line of the 'critical illness race' finally in sight? It’s a phrase we’ve used for decades to describe product providers adding more conditions to critical illness policies to stand out from their competitors. It’s been a never-ending event, a marathon without end.
10 tips for working with MCOs to advance Medicaid program integrity
Have you turned to managed care organizations (MCOs) to reduce Medicaid costs and improve patient care? If so, you probably know how difficult it is to know for sure whether your MCOs are doing all…
How insurance companies’ red tape can delay patient care
In health plans’ overused and inefficient requirements, physicians see more than just an administrative burden. They see real-life consequences for patient care.
Managing Employee Medical Leave: How Much Leave Is Reasonable?
To date, there are few bright line rules to guide employers in determining how much leave is reasonable under the Americans with Disabilities Act...
Must-know tips for clinical quality measure reporting
Clinical quality measure (CQM) reporting demonstrates meaningful use in Medicare and Medicaid electronic health records (EHRs) incentive programs. Get information and recommendations on CQM usage for your practice.
Why is Medicaid reimbursement below sustainability?
When Medicare rates are already considered the “bottom line,” why is Medicaid reimbursement below sustainability?
Finding a Revenue Cycle Management System for Post-Acute Care
The post-acute care space lacks revenue cycle management systems that align with longer-term care, but finding a solution that centralizes medical billing across several facilities can help.
Modularity: How to plan for the future
Planning for the future for states and medicaid enterprise using modularity
Information management helps medical practices improve care
Most healthcare practices are constantly looking for ways to improve the quality of care provided to patients.
What Patients Like — and Dislike — About Telemedicine
People like the product, but the process falls short.
Why It’s So Hard to Fix Medicare Fraud
Officials at the Centers of Medicare and Medicaid Services are looking for ways to reduce fraud and abuse without restricting access to medical care.
Eligibility for Medicaid: How it Relates to Revenue Cycle Management
Having a more streamlined hospital revenue cycle management is crucial especially in light of the expansion of Medicaid coverage that increases the number of enrollees.
Commission and why it still has a place in protection
Why commission still plays a vital part in the income protection, critical illness cover, and life insurance world.
Medicaid Delivery System and Payment Reform: A Guide to Key Terms and Concepts
There is wide state variation in Medicaid health care delivery and payment systems, as states design and combine service delivery models and payment approaches in a multitude of ways. To help those…
