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As enrollment in Medicaid managed care grew through the 1990s, the number of health plans willing to participate in … state Medicaid programs became a growing concern. Notes that between 1997 and 1999, 15 to 17 of participating plans exited … Medicaid annually, a higher rate than in previous years. …
Persistent link: https://www.econbiz.de/10011100812
Medicare coverage. However, Medicaid participation for these groups is low. Using recent experience in promoting SCHIP …For the low-income elderly and disabled, Medicaid can cover some or all of the out-of-pocket expenses that remain after … participation, this brief examines barriers to Medicaid enrollment for eligible Medicare beneficiaries. It also reviews steps that …
Persistent link: https://www.econbiz.de/10010609870
Presents findings from a study designed to look at how some of the nation's high-performing HMOs have achieved their success. Notes that delivering high-quality care is a driving force for nearly all of the plans studied, as is a culture of respect for clinicians. For printed copies call The...
Persistent link: https://www.econbiz.de/10011262078
Center for Medicare & Medicaid Services' administrator Donald Berwick's "triple aim" of improving population health and care …
Persistent link: https://www.econbiz.de/10011262126
Confidentiality is a key element of mental health and substance abuse treatment. In the absence of assured confidentiality, many individuals with mental disorders or substance abuse problems may refuse or fail to seek treatment. As the payers of treatment, however, managed care organizations and...
Persistent link: https://www.econbiz.de/10011262185
service use of Medicaid beneficiaries with special health care needs, using State Medicaid Research Files data for four states …
Persistent link: https://www.econbiz.de/10011262207
Senior hospital executives responding to a 2005 national telephone survey report that Hospital Compare and other public reports on hospital quality measures have helped to focus hospital leadership attention on quality matters. This article notes that the executives also report increased...
Persistent link: https://www.econbiz.de/10010838188
Health information technology has great potential for improving health care through Health Information Exchange (HIE), the exchange of health-related information electronically across providers, with strong privacy, confidentiality, and security protections. If safety-net providers are to keep...
Persistent link: https://www.econbiz.de/10010838234
The end of long-standing exclusive contracts between the dominant Greenville Hospital System and two major health plans, coupled with increased hospital expansion, suggests health care costs will continue to rise in Greenville.
Persistent link: https://www.econbiz.de/10011122063
implemented by the Centers for Medicare & Medicaid Services (CMS). A large proportion of practices (43 percent) were unable or …
Persistent link: https://www.econbiz.de/10011163256