Solutions to Help Health Plans in Challenging Markets Core Administration Processing Technology and Services Organizations choose the flexibility of our turnkey modules or full outsourcing solutions from enrollment to EDI to call center services. Learn More Total Cost of Care Management Our solutions...
Debra A. Draper
Quality management practices in Medicaid managed care: a national survey of Medicaid and commercial health plans participating in the Medicaid program. JAMA. 1999;282(18):1769-177510568652Google ScholarCrossref 10. Epstein AM. Medicaid managed care and high quality: can we have both? JAMA. ...
Providing a good quality care for Medicaid patients has been a persistent challenge. To evaluate quality of care provided by Medicaid plans in comparison with that of commercial plans, this study used the CAHPS (Consumer Assessment of Health Plan Study) survey, which measured the experiences of ...
CONCLUSIONS: The likelihood of discontinuation was similar for patients who initiated therapy with brand or generic antidepressants, and shortterm health care costs and pharmacy costs were lower in patients starting a generic SSRI/SNRI. The results suggest that the use of generic antidepressants as ...
U.S. Health and Human Services Secretary Alex Azar threw the healthcare industry for a loop last week afterunveiling a long-awaited proposalto ban the rebate deals struck between drug-makers and PBMs for Medicare and managed Medicaid prescription drug plans. ...
Surest is not the only plan improving its price transparency strategies. Health plans have beenboosting their price transparency toolsafter major legislation passed requiring payers and hospitals to be more open about the costs of care. Separate research from AHIPshowsthat consumers a...
Many states have turned to commercial health plans to serve Medicaid beneficiaries and to achieve cost-containment goals. Assumptions that the quality of care provided to Medicaid beneficiaries through these programs is acceptable have not been tested.To compare the quality of care provided to children...
Non-group health plans are purchased by individuals either in or out of their state’s Health Insurance Marketplace. Medical care can be expensive. If you don’t have health insurance, you’d have to pay for all of your doctor visits, procedures, prescription drugs, and other medical ...
Many commercial health insurance plans today are structured as either apreferred provider organization (PPO)orhealth maintenance organization (HMO), the two most common types of managed care plans. The main difference between these two types of plans is that an HMO generally requires patients to use...