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Medicaid programs now have a new option to offer "health homes" to enrollees with chronic conditions, included in the Affordable Care Act (ACA). "The main reason we will see strong interest is that this is a population that is very high-cost, and often goes without needed care," says Jocelyn Guyer, co-executive director of Georgetown University's Center for Children and Families in Washington, DC.
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Leadership and the convening of stakeholders, payment incentives, support for infrastructure, information feedback and monitoring, and certification and recognition are key factors for successful delivery system reforms, according to a December 2010 report from The Commonwealth Fund.
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The federally funded increase in Medicaid primary care reimbursement rates, which requires providers to be reimbursed at parity with Medicare rates in 2013 and 2014, presents states with both challenges and opportunities, according to a January 2011 brief from the Hamilton, NJ-based Center for Health Care Strategies (CHCS), Increasing Primary Care Rates, Maximizing Access and Quality.
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Adults with mental illnesses in the Cash and Counseling program had higher satisfaction, both with their quality of life and with their paid caregivers, compared to those receiving traditional Medicaid services, according to an April 2010 study done for the Substance Abuse and Mental Health Services Administration, Self-Directed Care in Mental Health: Learnings from the Cash & Counseling Demonstration Evaluation.
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On March 14, there was a big celebration at Mercy Memorial Hospital in Monroe, MI, attended by officials from the Michigan Hospital Association.
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There are literally dozens of studies that enumerate some of the problems that plague patients as a result of imperfect transitions of care.
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Most people have trouble planning the next week's dinners or their next vacation, let alone something that is two and a half years away.
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Increasing data show that variations in care have a negative impact on outcomes and costs some estimates are that almost a third of healthcare dollars are spent in a wasteful manner or go to overuse of the system.
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The Joint Commission can start accrediting psychiatric hospitals, the Centers for Medicare & Medicaid Services announced in late February 2011.
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As self-pay patients continue to rise in number, you'll need effective strategies for screening these individuals for charity eligibility.