Special Needs Plans (SNP).You may qualify if you have both Medicare and Medicaid, have a chronic or disabling condition, and need long-term care. SNPs are not available in every state. Some SNPs may cover dental care benefits. Program of All-Inclusive Care for the Elderly (PACE).If you ...
You’ll want to do some research beforehand, but depending on your employment situation and the state you live in, you may qualify for Medicaid. Medicaid is a government-sponsored social welfare program that provides health coverage to those in need who would otherwise not be able to afford it...
The estimated cost function provides evidence that Medicaid reimbursement rates are lower than the average incremental cost of care for Medicaid patients in approximately one quarter to one third of Florida nursing homes. One possible explanation for this apparent cross-subsidization, considered here, is...
The South Florida Memorial Healthcare System settled with the OCR in 2017 for$5.5 millionafter they disclosed that two employees unlawfully accessed and stole the PHI of more than 115,000 patients with the intent to sell the information. A comprehensive investigation discovered that a dozen staff ...
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We use Florida hospital discharge records data from 1996 through 2000, HMO market penetration data, hospital systems data, and the Area Resource File and develop a set of econometric models to predict the probability of complication among major surgery patients. For this analysis, we specifically ...
Discusses the benchmark magnitudes of patient service costs needed to assess whether Medicaid patients are being subsidized by other residents in nursing homes in Florida. Evidence that Medicaid reimbursement rates are lower than the average incremental cost of care for Medicaid patients; Patients' ...
Furthermore, in cases where a HIPAA violation is considered criminal in nature,the Department of Justicewill prosecute the individuals involved. While theCenters for Medicare and Medicaid Services (CMS)is not directly responsible for enforcing HIPAA, it does have a role in enforcing the HIPAA Admini...