Articles Tagged With: Medicaid
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In 5 Minutes, Patient Access Can Stop Lost Medicaid Coverage
Researchers analyzed Medicaid claims data from 2017. They found 22.9% of patients with a homelessness code experienced coverage interruption at least once vs. 18.8% of Medicaid patients without a homelessness code. Other common reasons people lose their Medicaid coverage include income changes, residency changes, the insured is no longer pregnant, the insured’s children age out, noncompliance with status updates, or the insured is no longer disabled.
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Understanding Medical Necessity Improves Utilization Review Process, Reduces Denials
The case management team should be trained thoroughly on utilization review and medical necessity to avoid payer denials. The goal is to ensure patients receive medically necessary, high-quality care. -
Biden Administration Abandons ‘Public Charge’ Rule
Under Trump era proposal, immigrants who received public benefits, including Medicaid, above a certain level would be considered a “public charge.”
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Hospital-SNF Partnership Brings Better Care for Complex Patients
Coordinating post-acute services for patients has been an ongoing challenge during the COVID-19 pandemic. One solution is for hospitals to form partnerships with local skilled nursing facilities. These partnerships can help hospitals find adequate care for complex patients. Hospital case managers and other staff can help the skilled nursing facility with difficult problem-solving and care coordination.
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Controversial ‘Public Charge’ Rule Under Further Review
Scrutiny on DHS policy that targeted immigrants using government benefits such as Medicaid.
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Biden Boosts ACA, Women’s Health
Executive actions aim to re-expand Obamacare access, protect reproductive health.
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Rural Hospitals Face Uphill Battle with Financial Viability
Lawmakers are plugging holes in a leaky boat while experts are calling for more comprehensive solutions.
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Expanded Medicaid Led to Better Outcomes for Colon Cancer Patients
News arrives after USPSTF recommended expanding eligible starting age for colon cancer screening.
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CHECK Program Addresses Chronic Illnesses with a Holistic Approach
A program created to help children and young people, from birth to age 25 years, with chronic illnesses has evolved into a way to prevent emergency department visits and rehospitalizations for any population, including at-risk, older adults.
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COVID-19 Increases Need for Case Managers
COVID-19 has spurred myriad changes in hospitals as providers scrambled to adapt to the new normal. That includes new and creative ways to connect and support patients.