For example, states that perform well might be rewarded with a small bonus payment and those that perform poorly might be required to put in place a remedial program to help them improve. The politics of changing Medicaid will be challenging. It’s hard for me to imagine a Republican-...
Any questions related to the enrollment process and other services can be communicated by phone2. For example, if you have general questions about the program, you may call 800-633-4227, the Medicaid phone number. Another option is to access CMS.gov, select Contacts Database and search for ...
Last year, for example, the GAO found that about 9.8 percent of federal Medicaid expenditures, or about $29 billion, was spent improperly. …This year, the total has risen once again. About 10.5 percent, or $36 billion, of federal spending on the program isn’t up to snuff, according ...
For example, a study in South Carolina found that adults with intellectual disability experienced more than 21 000 potentially avoidable visits to the emergency department and had more than $35 million in health care costs due to ambulatory care–sensitive conditions, which are often overlooked in...
Medicaid支付医院门诊服务指南说明书 Conduent Health Government Healthcare Solutions Paying for Hospital Outpatient Services A Guide for Medicaid Programs
Policy makers hope the waiver reduces the number of emergency department visits and inpatient hospitalizations as well as allcause deaths close to the release date.4 “We’re talking about literally tens of millions of [individuals] potentially impacted by this policy, so any efforts to better ...
An example of justification for refills includes, but is not limited to, multiple weekly visits for radiation or for chemotherapy. For recipients under age 21 only, portable oxygen may be approved when needed for travel to and from school. All requests for portable oxygen should be submitted ...
Stage 0 breast cancer sometimes is considered a pre-cancerous condition. Ductal carcinoma in situ (DCIS) is an example of stage 0 breast cancer. In DCIS, cancer cells are located within a milk duct, but have not invaded breast tissue or spread to lymph nodes or distant sites. Other types...
Our findings have policy and research implications. First, this study suggests that expanding Medicaid eligibility in nonexpansion states may improve key health outcome measures for many patients with chronic conditions. For example, a 2-PP increase in hypertension control across all FQHCs equates to...
Additionally, private payers might borrow tools from Medicare. For example, many payers' payment mechanisms are similar to those in Medicare, the Mercatus brief mentioned. The brief noted that some payers even adopt Medicare's billing codes. ...