Articles Tagged With: Medicaid
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Medicaid Beneficiaries Often Lack Primary Care Access to Contraception, Especially LARC
A study of more than 250,000 primary care physicians revealed that fewer than half prescribed hormonal birth control methods and only 10% provided intrauterine devices or implants to patients with Medicaid coverage.
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Care Collaboration Helps Patients with At-Risk Heart Failure Illness
Researchers found social support and care affordability are important to obtain better outcomes among patients with heart failure and reduced ejection fraction.
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Patients Who Experience Homelessness Face Multiple Barriers to Contraceptive Care
Homelessness adds multiple barriers to contraception counseling and care. These patients often cannot access OB/GYNs or family planning clinics because of transportation and insurance obstacles. It is important for all clinicians to ask patients experiencing homelessness about their contraceptive needs and to counsel them on all methods.
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Discharge Navigators Facilitate More Efficient Transitions
SNF beds were limited in one hospital’s region, even before the COVID-19 pandemic decimated nursing home staffing across the United States. ECU Health’s solution has been to assign a discharge navigator to work on obtaining authorizations for transferring patients to SNFs. Instead of waiting for the SNF to obtain authorization for a particular patient, the discharge navigator handles this task.
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Tennessee Develops EMS Response Program for Low-Acuity Medicaid Patients
The program, modeled after ET3, once implemented statewide, is estimated to reduce unnecessary visits to the ED, ease crowding of emergency medical services, and generate more than $8 million annually in Tennessee Medicaid program savings.
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High-Risk Patients Benefit From Direct Social Needs Assistance
A case management team can help high-risk patients access social assistance. But to be most effective, they need to help clients access psychosocial support and direct assistance for social needs. A health system’s program reduced inpatient hospitalizations by 11% in a randomized study.
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How to Fight Denials
Case managers do not have to settle for denials. In fact, they can use their skills to overturn denials. There are certain tactics that can help in this process, and some case management professionals even specialize in this.
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Avoid Patient Abandonment Claims with Education, Follow-up
Patient abandonment claims can arise when a physician or hospital can no longer care for a patient or when there is insufficient follow-up. The risk can be ameliorated with proper procedures and communication.
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Ethical Responses if Family Abandons Loved One at Hospital
By leveraging their mediation skills, ethicists can build trust between weary family caregivers and clinicians who are unsure about how to handle a delicate situation. This can help everyone identify patient needs and find possible solutions.
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Family Planning Improved When Patients Obtained Preferred Contraceptives
The negative consequences of unintended pregnancies are well documented in the literature. Research also has shown it is possible to improve women’s lives through easier and more affordable contraception access. This leaves the question: Why are half of pregnancies in the United States unplanned and/or undesired?