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As one of only a few states that require hospitals to provide charity care, Washington state has had a charity care law on the books since 1989. In 2006, the state legislature took another look at the issue.
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Like many states, Vermont has been "disappointed" with the support of the current federal administration for its health care reform efforts, says Susan W. Besio, PhD, director of health care reform for the Vermont Agency of Administration. Dr. Besio also is newly appointed as the state's Medicaid director.
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Washington state currently is in "survival mode," struggling to preserve as much of its core state Medicaid program as possible, in the face of a staggering $5 billion shortfall.
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Many state Medicaid directors say the federal-state partnership has never been worse, due in part to proposed regulations from the Centers for Medicare & Medicaid Services (CMS) that would shift costs to states.
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Trauma patients have a wide variety of presentations and acuity, and range from healthy patients with minor injuries to patients with extensive medical histories and major trauma.
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At University of Utah Health Care, a transition case manager acts as a liaison between the outpatient care team at community clinics and the inpatient care team.
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Even if the patient standing in front of you obtained coverage on the Health Insurance Exchange Marketplace, the claim still could end up being denied.
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Weekly extended stay rounds help move along patients who have issues and barriers to a timely discharge, experts say.
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It seems that every year case managers are asked to take on more and more roles and functions. Every time a new rule or regulation comes out from the Centers for Medicare & Medicaid Services (CMS), administrators turn to case management as the group to take the new problem or task on. This translates to more work!