Polis raised his own suggestions during his fall budget presentation. His proposals include paying some health care providers less for Medicaid services, by chipping away at an increase in provider rates that lawmakers celebrated during the 2024 legislative session; changes to dental coverage reimbursemen...
This info-graphic illustrates how the “provider fee” scam operates. The net result of all this is a nightmare for federal taxpayers, but states also are losing out when you consider the long-run consequences. And that’s even true with the Medicaid expansions contained in Obamacare, which ...
ColoradoColorado’sElderly, Blind and Disabled Medicaid Waiverpays for both personal care assistance at home, as well as other supports to help individuals remain living at home. These include modifications to improve the access and safety of the residence. TheCDASS Programis an option for waiver...
The initial focus on primary care now includes integration of behavioral health services and primary care under RAEs, but RAEs do not currently involve coordination of specialty, ancillary or hospital care. Provider payments include incentives for quality and there is no downside risk; savings of ...
Colorado Medicaid Hospital Rate Change:The Importance of the Broader Multi-Provider, Multi-Payer Environmentdoi:10.21767/2471-9927.100031AnaMaria ConleyKate DavidsoniMedPub
34 For example, Massachusetts required all MMC enrollees to travel no more than 30 miles or minutes to MH outpatient services,35,36 but Colorado allowed enrollees to travel up to 90 miles or minutes to visit an MH provider.29,35 Furthermore, some states, such as Rhode Island, have ...
I conclude that efforts to expand primary care capacity should focus on provider recruitment to underserved communities, rather than simply training more providers. Second, I examine whether it is possible to obtain an unbiased estimate of health care use conditional on Medicaid take-up, from non-...
"From a patient's perspective, having all imaging and laboratory studies done in one place is likely more cost effective than going to a [primary care provider] clinic and having gone elsewhere to get further testing," writes Roberta Capp, assistant professor of emergency medicine at the CU ...
• Colorado and Delaware developed care coordination programs for children with special health care needs. • New Mexico required MCOs to cover case management services for specific populations, such as women and their infants, children up to age three, adults with developmental ...
Methods Data and Study Population We obtained inpatient discharge data from 11 Medicaid expansion states (Arizona, Arkansas, California, Colorado, Illinois, Iowa, Kentucky, New Jersey, New York, Oregon, and Pennsylvania) and 6 states that did not expand Medicaid before December 31, 2017 (Florida,...