Medicaid State Plans (Regular Medicaid) in most states, but not all, will pay for home care in the form of Personal Care Services (PCS) or Personal Attendant Services (PAS). Institutional Medicaid is provided in long-term-care institutions (nursing homes and intermediate care facilities). There...
The projects were controversial and chaotic in the beginning but have matured with time. Survey data indicate that Tennessee's expansion reduced uninsurance rates among low-income persons. States must periodically assess the adequacy of capitation rates to ensure that enough plans participate. States ...
Capitated health plans would reduce relianceon expensive care provided in hospital emergency rooms. The health plans would providebeneficiaries with office-based medical homes. The improved delivery system would emphasize primary care, educate beneficiaries on the benefits of healthy lifestyles, and ...
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The American Rescue Plan provides a pathway for states to expand postpartum Medicaid coverage for low-income mothers through 12 months after delivery. Data suggests that extension of post-partum Medicaid coverage should improve access to outpatient healt
The table only shows MCOs that provide comprehensive services to Medicaid beneficiaries. Prepaid Inpatient Health Plans (PIHP), Programs of All-Inclusive Care for the Elderly (PACE) and Prepaid Ambulatory Health Plans (PAHP) are not included here. To see which providers are available near you, ...
(1999). Medicaid Managed Care Payment Rates in 1998: New survey data show twofold variation in what states pay managed care plans. This variation could affect plans’ participation and beneficiaries’ access to care. Health Affairs, 18(3), 217–227. Article CAS Google Scholar Honsberger, K....
2012, Princeton, NJ: Robert Wood Johnson Foundation Google Scholar Lewin Group Medicaid Managed Care Cost Savings: A Synthesis of 24 Studies Working Paper 17236 (Prepared for America's Health Insurance Plans). 2009, Falls Church, VA: The Lewin Group Google Scholar Duggan M, Hayford T: Has...
A multi-site study of medicaid-funded managed care versus fee-for-service plans' effects on mental health service utilization of children with severe emoti... Although Medicaid-funded managed care arrangements are commonly used in the delivery of mental health and substance abuse services to low-in...
Out-of-pocket expenses are capped for enrollees in Medicare Advantage (MA) plans but not for beneficiaries in traditional Medicare, which also requires a h... Cathy,Schoen,Karen,... - 《Issue Brief》 被引量: 0发表: 2018年 Conflict Attached to Special District Bid Administrator Used Sick Lea...