-
-
After last year's round of budget cuts, Washington Medicaid seemingly exhausted all opportunities to achieve savings through purchasing initiatives.
-
Washington's Chronic Care Management Project targets the most medically expensive, high-risk Medicaid clients in its long-term care system. It has lowered mortality and improved the health of clients with chronic conditions such as diabetes, heart disease, and musculoskeletal diseases.
-
There is no question that decreasing inappropriate use of the emergency department for Medicaid patients can save significant costs, but getting results is a daunting challenge.
-
Medicaid programs may never have had as much reason to redouble their utilization review efforts, in order to be sure funds are not being spent inappropriately, as they do right now.
-
In fiscal year 2008, Alabama's Program Integrity Division's Pharmacy Audit unit reviewed 143 medical providers and 629 pharmacies to assure proper claim payment and recovery of identified overpayments.
-
On the one hand, expenditures for Medicaid Buy-In participants, who pay monthly premiums, more than doubled from $887 million to $1.9 billion between 2002 and 2005, as did program enrollment. On the other hand, this group was found to be less expensive than other adult disabled Medicaid enrollees, with lower average Medicaid expenditures.
-
Non-compliance with state or federal regulations can put a company out of business even faster than escalating health care costs. But too often, the important role played by occupational health in facilitating compliance is not understood by senior leaders.
-
Lack of interest by either mid-level or senior leaders in the safety and health program. Employees who don't really believe that safety and health are of major importance to the company. Lack of participation of the engineering department in the maintenance of equipment. Failure to perform health and safety audits.
-
Every occupational health program requires resources, ranging from tens of thousands of dollars for a fitness center to a few hours spent on educating employees. How do you decide whether these are best invested in a diabetes lunch-and-learn, a weight loss competition, or otherwise?
