Thus, the performance of administrative rules to reduce overuse through coverage policy, cost sharing, or value-based payment (eg, pay for performance) may depend heavily on measure definition. Such strategies may be appropriate for select services whose value is invariably low or whose low-value ...
Some medical interventions are unnecessary and contribute to the inefficient use of health resources, by creating unnecessary costs and foregone health benefits [1,2]. These interventions are often referred to as cost-ineffective care or low-value care [1,2]. Examples of low-value care are routi...
Interviews were conducted with 43 senior medical and pharmacy health plan executives from representative plans. Main Outcomes and Measures Medical necessity and coverage status for the treatments examined, as well as the use of utilization management tools and cost-sharing magnitude and structure. ...
Welcome to the official iCan website, where our mission is to provide you with a wide variety of affordable health coverage options. We offer major medical plans that are fully compliant with the Affordable Care Act, supplemental insurance plans, non-insured benefit programs to help you lead a ...
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Even with growing needs, Cho said the Medicaid "unwinding"—the process underway to reexamine post-pandemic eligibility for the government program that provides health coverage for people with low incomes and disabilities—has created financial uncertainty. He said he worries about meeting the upfront...
Even with growing needs, Cho said the Medicaid "unwinding" — the process underway toreexamine post-pandemic eligibilityfor the government program that provides health coverage for people with low incomes and disabilities — has created financial uncertainty. He said he worries about meeting the upfro...
However, your dog or cat shouldn't have to suffer. Save money over a normal visit to the vet's office and take advantage of low cost pet vaccinations, heartworm and parasite prevention, and more at this special clinic. While I still take my pets to my local veterinarian if I have ...
(HealthDay)—From 2012 to 2013, coverage for adolescents aged 13 to 17 years increased for all routinely recommended vaccinations. Increases ranged from 1.4 percentage points for at least one tetanus toxoid, reduced diphtheria toxoid, and acellular pertu
limitedcoverage foradult •Medicalequipment andsupplies •School-based healthcenters •Chiropractictreatment services •Therapies: speech/language physicaloccupational •Vision screening/eyeglasses •Hearingtest/hearing aids •Ambulance •Casemanagement ...