In accordance to the new study, expanding Medicaid provides people access to a broader array of hospital choices than they had when they were uninsured.
The researchers reported that often, people are selecting hospitals closer to home. The research uses data from 2 investor-owned hospital systems to observe either the 2014 Medicaid expansion provided under the Affordable Care Act (ACA) – often known as Obamacare -- impacted emergency department (ED) use.
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A Medicare-Medicaid accountable care organization (ACO) model has been recently disclosed by CMS (Centers for Medicare and Medicaid Services) that will allow participating providers in the Medicare Shared Savings Program to take on accountability for Medicaid charges and quality of care for dual-eligible beneficiaries.
McKesson Health Solutions (MHS) declared today that the Centers for Medicare & Medicaid Services (CMS) will sustain their long-term use of InterQual®Criteria for Medicare services auditing programs, extending a seventeen year connection with McKesson Health Solutions. The agreement, which will be administered and managed by Baltimore-based Ventech Solutions Inc. on behalf of the Centers for Medicare and Medicaid Services, gives access across the spectrum of InterQual Criteria to assist support quality oversight, appeals decision and utilization review.
One of the real joys this holiday season is the opportunity to say THANK YOU to all of our customers for their loyalty to Claims Med. We wish you the very best holiday and a Happy New Year filled with health, happiness, and spectacular success!
We will be closed the following Holidays Hours:
From our office to yours, Season Greetings and Happy Holidays! In young and healthy people, the flu generally does not constitute a health emergency— it seems that millennials are taking themselves to urgent care or hospitals for their symptoms more frequently than anyone else.
A controversial proposal has been dropped by the Obama administration to overhaul how Medicare reimburses doctors for drugs, after pharmaceutical groups and physicians rallied against it.
Several doctors who dispense drugs in their offices or outpatient environments, like oncologists, said they stood to lose under the proposal. In Medicare Part B, which covers care in offices and outpatient settings of doctors, doctors are paid 6 percent above average wholesale prices of drugs. The administration proposed decreasing that percentage in few cases and adding a flat fee to its payments to doctors, with the target of decreasing the financial incentive to prescribe more-costly medicines. CMS has recently announced the news for officially reopening applications for physicians to join 2 value-based care models in the year of 2018 — both of which qualify as advanced alternative payment models (APM) under the Medicare Access and CHIP Reauthorization Act (MACRA).
On Thursday, the Centers for Medicare & Medicaid Services (CMS) announced that its Innovation Center is initiating a pair of five-year demonstration projects targeted at evaluating several different approaches to shared decision making between physicians and sufferers.
Medical Billing: Bills for ‘Unexpected’ Out-of-network medical expenses continues in 201712/14/2016 To protect individuals from receiving bills for 'surprise' or 'unexpected' out-of-network medical expenses, legislation will continue in the year of early 2017 after going on pause earlier this month.
To approve legislation that would regulate and control out-of-network medical bills that New Jersey sufferers might surprisingly get; state lawmakers, consumer advocates, health insurers and health providers have been on an 8-year mission. It is compulsory for providers and health plans to educate patients about where to seek care for non-acute medical problems, to neglect overusing emergency rooms and decrease costs, wrote Bruce Broussard, CEO of Humana.
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