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Now that the permanent Recovery Audit Contractor (RAC) program has gone into high gear, hospitals can lessen their vulnerability to losing revenue if they know how to respond and what to expect, says Deborah Hale, CCS, president of Administrative Consultant Services LLC, a health care consulting firm based in Shawnee, OK.
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Louisiana's Money Follows the Person (MFP) Rebalancing Demonstration focuses on three important areas for measuring results and benefits of the program. These are long-term stay in community living, quality of life measures, and fiscal measures.
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Vermont is looking to take an innovative Medicare waiver approach to advance integration of care for dual-eligibles one that has never been done anywhere in the country.
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Covering childless adults could be more costly than anticipated, because this population had more complex needs than expected, according to some states surveyed in a July 2010 report from the Washington, DC-based Kaiser Commission on Medicaid and the Uninsured, Expanding Medicaid to Low-Income Childless Adults Under Health Reform: Key Lessons from State Experiences.
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A growing number of states are implementing policies to deny or reduce payments for hospital-acquired conditions or potentially preventable readmissions. Exactly how much does this save?
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About 2 million children became uninsured in 2008, despite their ongoing eligibility for the Children's Health Insurance Program (CHIP), according to a new report from the Harvard School of Public Health, Enrolling Eligible Children In Medicaid And CHIP: A Research Update.
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The number of people in Medicaid's managed care plans is growing, but more of these new enrollees are children and their parents, rather than the higher-cost aged, blind, and disabled population. In 1997, Pennsylvania began to implement a program called HealthChoices and move people on Medicaid into mandatory managed care.
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While surging Medicaid enrollment and plunging revenues are making headlines, a less visible issue is how states pay for health care. However, this may be the single best answer to containing costs under health care reform, according to a May 2010 policy brief from the Center for Health Care Strategies (CHCS) in Hamilton, NJ.
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