41,43,48-50 To improve specialist participation, states may consider increasing reimbursement rates, simplifying billing procedures, expediting the reimbursement process, and improving administrative protocols to address claims denials and resubmissions.41,49,50 Moreover, practitioner shortages, especially ...
We analyzed Delaware Medicaid administrative data, including medical claims, eligibility, and client data. The Delaware Division of Medicaid and Medical Assistance provides weekly data updates to the University of Delaware Center for Community Research and Service (CCRS). The CCRS accesses data for ...
Sub-analyses were performed to address differences between mail order and community pharmacy related to therapeutic class and dual-eligible patients. Data for the study derived from pharmacy claims database of Ohio Medicaid State program for the period January 2000-September 2004. Drug claims were ...
Interventions that optimize physical function to support aging-in-place are needed, particularly in settings that care for disabled and older adults. We propose to address this urgent need through the testing of an implementation strategy bundle on adoption and sustainability of an adapted intervention...
the federal matching rate for such administrative activities can be lower than that for direct services. To date, there has been relatively low use by states of a special $500 million fund for Medicaid outreach to children losing welfare. For federal matching ...
Methods Data Our data consist of all-payer claims data for all in- patient and emergency department (ED) encounters for Medicare-Medicaid dually eligible enrollees in South Carolina from January 2011 to December 2016. Add- itionally, we obtained data on all outpatient encounters during the same ...
41,43,48-50 To improve specialist participation, states may consider increasing reimbursement rates, simplifying billing procedures, expediting the reimbursement process, and improving administrative protocols to address claims denials and resubmissions.41,49,50 Moreover, practitioner shortages, especially ...
The governor countered these claims by arguing that cutting TennCare would do more harm to rural and presumably white beneficiaries instead of urban or black residents [45]. Notwithstanding this grassroots opposition, the governor and state legislature still moved forward with a major overhaul of ...