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E-mail practices and mobile e-mail cause the most concern for data protection and regulatory compliance, according to the 830 individuals whose responses were included in a study conducted by the Ponemon Institute and Zix Corp., an e-mail encryption service.
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Members of the patient access staff at West Virginia University Hospitals East collected 110% more in 2010 than the previous year and are hoping to increase that by an additional 10% for 2011, reports Audrey Hodson, system director for patient access services.
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Anna Dapelo-Garcia, administrative director of patient access services at Stanford (CA) Hospitals and Clinics, anticipates point-of-service (POS) collections will increase by more than $1 million in 2012.
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Patients at the Women's Hospital of Greensboro (NC) might have multiple visits during their pregnancies, which allows registrars to create an ongoing relationship, says Donald B. Conrad, patient access supervisor.
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The foundation that was laid for the operation of Arkansas' Cash and Counseling demonstration and the Independent Choices program was "unique from the very start," says Deborah Ellis, a program administrator with the Arkansas Department of Human Services' Division of Aging and Adult Services. "It truly was a spirit of teamwork on all levels to implement this new program."
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Hospitalization rates in Medicaid programs were lower in areas with a greater number of primary care physicians, and in states that on average provided more outpatient visits and paid more per outpatient visit, according to a study published in Health Affairs.
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Medicaid beneficiaries who receive care for mental health or substance abuse have greater physical health needs and higher overall costs than other beneficiaries, indicating the need for better integration of physical and behavioral health care under Medicaid, according to Providing Care to Medicaid Beneficiaries with Behavioral Health Conditions: Challenges for New York, a February 2011 report from the Medicaid Institute at United Hospital Fund in New York City.
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Six state Medicaid programs are currently coming up with strategies to maximize the benefits of the mandated primary care rate increase, as participants in Leveraging the Medicaid Primary Care Rate Increase, an initiative from the Hamilton, NJ-based Center for Health Care Strategies (CHCS).
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Interestingly, the Patient Protection and Affordable Care Act (PPACA) takes some steps toward federalization of Medicaid from both a philosophical and a financial perspective, says Nicole Huberfeld, an associate professor at the University of Kentucky's College of Law in Lexington.
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IRBs and research offices need a variety of procedures and tools to ensure compliance. One tool that sometimes is overlooked is requiring research sites to develop corrective action plans (CAPs) when they have problems.
