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A woman came in for breast implants and went under anesthesia. The silicone implants she had selected were not available; only saline ones were there.
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Well, this is a fine mess all us health care providers are all getting into isn't it? I mean, we have oil spills, the earthquakes, and volcanoes and various other sundries out there to make our lives more complicated and miserable.
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[Editor's note: This is the first part of a two-part series on avoiding liability in contracting. In this month's issue, we tell you about how you can end up contracting with the wrong company and what your liability can be. In next month's issue, we give you specific steps to investigate vendors, and we suggest items to watch for in the contract.]
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Medicaid managed care plans currently serve 21.6 million people, and this number is expected to increase significantly as a result of the health care reform legislation.
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This story is the second of a two-part series on improving care of high-risk youth enrolled in Medicaid. This month, we examine the impact of improved quality on subsequent contacts with the juvenile justice system.
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A "master planning" approach is needed to effectively leverage all of the incentives and resources for building statewide Health Information Exchange (HIE) capacity, says Lynn Dierker, RN, project director for the Chicago-based AHIMA Foundation's state-level HIE Consensus Project.
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Athos Alexandrou, director of Maryland's Medicaid pharmacy program, says the state will benefit fiscally from the health care reform legislation's drug rebate program, by getting a share of rebates for pharmaceuticals dispensed by managed care organizations (MCOs). On the other hand, money will be lost on the fee-for-service side.
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Like many state Medicaid directors, Elena Nicolella says that her biggest fiscal challenge is responding to an ever-increasing need for services with an ever-decreasing amount of revenue.