Category Archives: Medicaid

Enhanced Medical Home for High-Risk Children Dramatically Reduces Hospital Costs, Illnesses

High-risk children suffering from chronic diseases who received comprehensive care at a special clinic at The University of Texas Health Science Center at Houston (UTHealth) experienced dramatic reductions in both serious illnesses and hospital costs, according to a study recently … finish reading Enhanced Medical Home for High-Risk Children Dramatically Reduces Hospital Costs, Illnesses

Posted in Avoidable Hospitalization, Case Managers, Disease Management, Emergency Room, Healthcare Costs, Hospital Readmissions, Improving Patient Care, Intensive Care Unit, Medicaid, Medical Home, Patient Satisfaction, Patient-Centered Medical Home, Primary Care | Tagged , , , , , , , | Leave a comment

Duals Geriatric Care Management: Melding the Medical, Social and Behavioral

When developing a geriatric care management program for the dually eligible, coordinating social and medical components is key, says Timothy C. Schwab, MD, FACP, former chief medical officer of SCAN Health Plan and president and CEO of Tim Schwab Healthcare … finish reading Duals Geriatric Care Management: Melding the Medical, Social and Behavioral

Posted in Behavioral Health, Care Coordination, dual eligibles, Medicaid, Medicare | Leave a comment

CMS to Test Models for Beneficiary Engagement, Incentives, Behavioral Insights

The Centers for Medicare & Medicaid Services (CMS) are seeking input on models to increase engagement among multiple beneficiary populations in health self-management in order to generate better care and better health at lower costs. The Center for Medicare and … finish reading CMS to Test Models for Beneficiary Engagement, Incentives, Behavioral Insights

Posted in Behavioral Health, Disease Management, Incentives, Medicaid, Medicare, Medication Adherence | Tagged , , | Leave a comment

States’ Restrictions on ACA Implementation Hinder Access to Coverage

Community health centers across the country are waging intensive efforts to find and enroll eligible and uninsured patients and community residents, but are hampered by states resistant to healthcare reform, according to the Geiger Gibson/RCHN Community Health Foundation Research Collaborative … finish reading States’ Restrictions on ACA Implementation Hinder Access to Coverage

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New CMS Data Sharing Tool Provides Remote Access to Medicare Data

Designed to make the healthcare system more transparent and accountable, CMS’s new Virtual Research Data Center (VRDC) promises secure, timely access to data at a lower cost, according to CMS. Part of the administration’s Big Data Research and Development Initiative, … finish reading New CMS Data Sharing Tool Provides Remote Access to Medicare Data

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Colorado Medicaid Accountable Care Effort Doubles Savings in One Year

Three years into an Accountable Care Collaborative (ACC) program, the Colorado Department of Health Care Policy and Financing achieved $44 million in gross savings or cost avoidance, officials report, more than double the amount of cost avoidance achieved by the … finish reading Colorado Medicaid Accountable Care Effort Doubles Savings in One Year

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Doctors Likely to Accept New Medicaid Patients as Coverage Expands

Doctors are likely to accept new Medicaid patients as coverage expands, but they may not accept patients who remain uninsured, according to a study from Virginia Commonwealth University, Richmond. Researchers analyzed data from a long-term, nationwide study of changes in … finish reading Doctors Likely to Accept New Medicaid Patients as Coverage Expands

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Significant Choice and Lower than Expected Premiums Available in New Health Insurance Marketplace

Increased competition in the health insurance marketplace will lead to multiple and affordable choices for consumers, according to the U.S. Department of Health & Human Services. Individuals in the 36 states where HHS will fully or partly run the online … finish reading Significant Choice and Lower than Expected Premiums Available in New Health Insurance Marketplace

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Adult Medicaid Beneficiaries in California Have Highest Increase in ED Visits: Study

While uninsured patients are often thought of as high emergency department (ED) utilizers, insured patients, particularly those with Medicaid coverage, have come to rely more frequently on EDs, according to a study from the University of California, San Francisco. In … finish reading Adult Medicaid Beneficiaries in California Have Highest Increase in ED Visits: Study

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4 Reasons Why Home Visits Are Effective

Engaging patients’ families and other support systems in the home are one benefit of home visits, explains Jessica Simo, program manager with Durham Community Health Network for the Duke Division of Community Health, enabling healthcare providers to see the patient … finish reading 4 Reasons Why Home Visits Are Effective

Posted in Care Coordination, Care Transitions, Disease Management, dual eligibles, Elderly Care, Medicaid | Tagged , , , | Leave a comment