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 ...
To control rising costs, state Medicaid agencies are enrolling recipients in managed care health plans (MCPs). We performed this study to assess this policy's impact on accessibility and outcomes of Medicaid-funded prenatal care. Methods. We performed a retrospective, controlled study with three ...
First, politicians oftentimes say things they don’t mean (remember Obama’s pledge that people could keep their doctors and their health plans if Obamacare was enacted?). Second, the plans to fix Social Security, Medicare, and Medicaid don’t involve any cuts. Instead, reformers are proposing...
Do dual eligible beneficiaries experience better health care in special needs plans? Health Serv Res. 2021;56(3):517-527. doi:10.1111/1475-6773.13620 PubMedGoogle ScholarCrossref 16. Mellor JM, Cunningham PJ, Britton E, Behrens M, Urmi AF, Vega V...
States are required to set network adequacy standards (NAS) for Medicaid managed care plans to ensure adequate access to mental health (MH) care. We examined the association between NAS and MH care access (including any MH services, inpatient MH stays, outpatient MH visits, MH prescriptions, an...
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. ...
agencies including the Substance Abuse and Mental Health Services Administration. The report contains the plans of several states to change practice standards for community mental health and substance use treatment providers. A comparison of health homes versus patient-centered medical homes is also ...
Compare and contrast the risks to the employee in regard to defined contribution and defined-benefit pension plans. Using information from your outside research, compare and contrast the differences between private and public healthcare entitie...
Part A covers hospital bills, Part B covers doctor bills, Part C provides the option to choose from a package of health care plans, and Part D offers prescription drug coverage. Medicare A- its covers the hospital bills for 65 years or older, which include skilled nursing facility, hospice...
To help promote primary care physician participation, the ACA increases Medicaid reimbursements for evaluation and management and immunization services to at least 100 percent of Medicare reimbursement in 2013 and 2014. The increase applies to both fee-for-service and managed care Medicaid plans. The ...