Idaho clinic cited for fraud, loses Medicaid provider status.The article reports on the fraud allegation on billing and paperwork practices filed against Seasons of Hope, a mental health clinic and developmental disabilities agency in Chubbuck, Idaho....
Hawaii converted its Medicaid Waiver programs, Nursing Homes without Walls and Residential Alternative Community Care into managed care. Home care may still be covered for Hawaii Medicaid beneficiaries but it will be at the discretion of the managed care provider. Learn more aboutHawaii managed Medicai...
Elevance Health aims to expand the infusion therapy provider’s geographical footprint and improve therapeutic coverage. Continue Reading By Victoria Bailey, Xtelligent News 05 Jan 2024 US Drug Prices Are 8x the Cost in Peer Countries for Some Drugs For nine out of ten Medicare-negotiated dr...
provider directories that are flat out wrong, insurance companies determining what care you need. from Commonwealth Fund From a Medicare Advantage member: “I have very little control over my actual medical care,” he says, adding that he now advises friends not to sign up for the private plan...
Duplicates were eliminated by using National Provider Identifier Number as provided by the CMS Physician Compare data set. Baseline Covariates Clinician-level baseline variables included sex, number of years since medical school graduation, and whether they have hospital privileges. We chose to compare ...
benefit packages, provider agreements, financing arrangements, and other issues outlined in the terms and conditions of New York's temporary waiver program provide an example of how this state used the flexibility under Section 1115 to address specific health care needs in the wake of an emergency...
! some have concerns about quality of care and low levels of provider participation limiting access; ! cultural differences, language barriers and immigration policies may prevent some families from enrolling in Medicaid; ! for many, Medicaid has a negative image associated with its historical ties ...