Payments made on a fee-for-service basis; States with Medicaid managed care programs; States with pending requests for waivers to introduce programs or expand existing ones.EBSCO_AspOphthalmology Times
are enrolling children with special needs, as defined by the Balanced Budget Act (BBA), in capitated managed care plans; and (2) scope and effectiveness of the safeguards states are implementing to ensure that children with special needs receive appropriate care within Medicaid managed care."关键...
Increasingly, in the United States, public and social insurance plans are turning to managed care as a method to control health care expenditure. Some government insurance plans, such as Medicare and Medicaid, also increasingly offer managed health options. The trend, for now, in the United ...
States That Turn Down Medicaid Would Leave Citizens Uninsured While Immigrants Get CoveredGovernors who reject health insurance for the poor under the federal health care overhaul could wind up in a politically awkward position on immigration: A quirk in the law means some U.S. citizen...
Although states have been cautious in assuming that managed care can be applied to long-term care, interest i the concept reflects factors other than efficient delivery of high-quality care. Capitation, especially combining Medicare with Medicaid dollars, offers states financial advantages:the opportunit...
Long-Term Care: Federal Oversight of Growing Medicaid Home and Community-Based Waivers Should Be Strengthened A letter report issued by the General Accounting Office with an that begins "Home and community-based settings have become a growing part of states' Medic... GA Office - 《Government Acc...
At least thirteen states have removed the GME com- ponent of their Medicaid managed care capi- tation rates to provide more direct payments for teaching programs and institutions.1 Min- nesota uses new general-fund tax revenues and, just this past year, additional appropria- tions from the ...
Florida's Medicaid mental health carve-out: lessons from the first years of implementation. Florida, like many other states, has embarked on an experiment with managed mental health care for Medicaid enrollees. Under a 1915(b) waiver, the state's ... MS Ridgely,J Giard,D Shern - 《Journa...
Medicaid coverage was able to help some people lower their blood pressure according to a new study. September 19th 2024 Exploring Consumer Perspectives on Network Adequacy Definitions Brooke McCormick On this episode of Managed Care Cast, we're talking with the author of a study published in the ...
In a few cases (such as Medicaid reform), the changes would take several years. In all cases, however, the ultimate goal should be to get Washington out of the business of subsidizing activities that should be solely the responsibility of state and local government (or, in most cases, acti...