Articles Tagged With: Medicaid
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Health Insurance Competition, Choice Declining in Many U.S. Markets
Annual analysis revealed commercial insurance became more concentrated between 2014 and 2019.
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When Hospitals Refuse to See Medicaid Patients
Serving the best interests of patients while remaining financially solvent is a high-wire act. Ethicists can help clarify a hospital’s obligations to Medicaid patients, including policies relating to admission criteria, such as for patients with inadequate funding. These policies also can clear up confusion over ethical and legal obligations to Medicaid patients who present with emergencies.
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CMS Releases Preliminary Data for Accountable Health Communities Model
One-third of Medicare and Medicaid beneficiaries screened so far have reported at least one health-related social need.
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Patients with Chronic Conditions Put Off Needed Care
More “near older” patients (age 50 to 64 years) with chronic health conditions are putting off needed care they cannot afford. Researchers found lack of coverage is a particular problem for this group, which lives with more chronic health conditions than younger groups, but is not old enough for Medicare. Their income, especially for those who still work part or full time, is too high to qualify for Medicaid.
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COVID-19 Nursing Home Cases Reflect Infection in Local Communities
Nursing homes with higher rates of complaints and deficiencies had more reported COVID-19 cases, according to a “snapshot” study of nursing homes that reported cases in late April 2020. The research, published July 29, 2020, on JAMA Network Open, also found that COVID-19 rates were significantly higher in counties where facilities had cases, showing how community spread affects local nursing homes.
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Many Skeptical Patients Do Meet Financial Assistance Criteria
Millions of people are uninsured, unemployed, and unable to pay their hospital bills. Patient access is stepping in to offer all kinds of help.
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HHS Distributing $175 Billion in CARES Act Provider Relief Fund
The Department of Health and Human Services is distributing $175 billion to hospitals and healthcare providers to compensate for their coronavirus response. Through the Provider Relief Funds, $50 billion is allocated proportional to providers’ share of 2018 net patient revenue.
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Study Reveals Low Rate of Contraceptive Use in Women with Recent Preterm Births
Medicaid claims data among a North Carolina cohort show that women were less likely to fill a contraceptive claim within 90 days after preterm birth. Investigators theorized it would be harder for women to access contraception after a preterm birth because they would be caring for a medically fragile infant. Also, women who deliver preterm experience shorter pregnancies, which means there is less time for a conversation with their healthcare providers about contraception.
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Think About Record Retention Now, Not at End
Physician practices and even hospitals sometimes make the mistake of putting off decisions on record retention until they think it is time to clear out a storage facility or reduce their data storage expenses. A better approach is to determine how long certain records should be kept and then establish a destruction date.
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How Providers Can Weather the Pandemic
As pandemic messaging moves from containment to mitigation to recovery, national experts are giving healthcare providers tips on how to weather the storm.