OBJECTIVE :The objective of this study was to quantify the rate of provider participation beyond year 1 incentive in the Florida Medicaid Promoting Interoperability (PI) program, formerly the Electronic Health Record Incentive program, and identify the provider and practice characteristics associated with...
An individual or group plan provides, or pays the cost of, medical care. A health plan combines health insurance coverage benefits under a product with a specific cost-sharing structure and provider network, within a geographic area. There are various types of health plans. 50...
"To DCF's credit, the plan was to put the most vulnerable people last," she said. "But we don't have a dedicated phone line at the relevant agencies … as far as we know, there is no special team or unit set up (to assist). … Florida didn't do that."...
https://medicaid.ohio.gov/static/Providers/ProviderTypes/Managed+Care/Provider+Agreements/ManagedCare-PA-201601.pdf 20. SAMHSA Research Data Center. Guidelines for SAMHSA RDC Data Users. Substance Abuse and Mental Health Services Administration; June 26, 2023. Accessed December 19, 2023. https://...
Medicare and Medicaid expert witnesses may also be brought in for cases involving medical malpractice, as some healthcare provider and physicians may face a lawsuit as a result of violating healthcare ethics and health insurance policies. Health information management, regulatory compliance, and regulato...
For 2012, we considered data from 39 states, excluding Arizona, California, Florida, Hawaii, Idaho, Michigan, Missouri, North Dakota, Pennsylvania, South Carolina, and South Dakota. The primary exclusion criterion was insufficient provider-level data in the Medicaid Service provider identification and...
"For many patients, Title X-funded health centers serve as their sole source of health care. The Title X family planning program is already chronically underfunded, and this executive action risks destabilizing a health provider network that is already operating under immense strain," said Clare ...
In a recent demonstration project, Florida Medicaid enrollees were required to pick a managed care plan that was either a Health Maintenance Organization (HMO) or a Provider Service Network (PSN). PSNs are a form of managed care very similar to Accountable Care Organizations (ACOs) that ...
To identify patient characteristics and the provider specialty associated with overall and appropriate use of HPV DNA tests over time, and to examine the associations between clinical guidelines and adoption of the test in an underserved population. DESIGN Retrospective longitudinal study using Florida Me...
Another way of committing fraud is to impersonate a licensed provider. For example, in 2022, a Texas woman was accused of using her ex-husband’s provider number to submit fraudulent claims to Medicaid for counseling services that were never provided, receiving more than $600,000 in fraudulent ...