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Healthcare Dive 07/18/2019 11:50
Privately-run Medicare Advantage plans continued to be a boon for the insurer, adding 540,000 more covered lives in the program (including those dually eligible for Medicare and Medicaid and other social programs) year over year.
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The newspaper’s calculations largely reflected admission of Medicaid-only patients, not those who entered as dual-eligibles, or those who moved from Medicare to Medicaid during their stay.
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InsuranceNewsNet 07/10/2019 11:00
Centene also provides healthcare services to groups and individuals delivered through commercial health plans.
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FierceHealthcare 07/01/2019 16:49
The results come as the federal government is searching for ways to better coordinate the care for dual-eligible beneficiaries between Medicare and Medicaid services because of the high cost of spending on such beneficiaries.
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Commonwealth Fund 06/27/2019
To see if beneficiaries with one or more of three vulnerable characteristics — dementia, dual eligibility for Medicare and Medicaid, and recent institutional care — were negatively impacted relative to other groups, researchers looked at changes in emergency department (ED) visits, unplanned hospital readmissions, and all-cause mortality within 90 days ...
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HealthPayerIntelligence 06/25/2019 13:00
The combined company would also grow membership in “duals” who are dual eligible for Medicare and Medicaid, as well as long-term service and support, taking the first rank in both categories.
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Market Exclusive 06/24/2019 18:08
The Specialty Services segment consists of its specialty companies offering a range of healthcare services and products to state programs, correctional facilities, healthcare organizations, employer groups and other commercial organizations.
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Healthcare Finance News 06/20/2019 10:22
Oak Street Health works with about 14 different health plans, including Medicare Advantage plans.
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Based on Centers for Medicare & Medicaid Services (CMS) data on the number of dual-eligible beneficiaries versus the number of LIS full-benefit enrollees, more than 1 million people fell into this group in 2018.
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National Law Review 06/13/2019 15:36
However, the state Medicaid agencies also contract with managed care organizations ("MCOs") to provide Medicaid services to beneficiaries and shifts financial risk to the MCOs.
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This document corrects technical and typographical errors that appeared in the final rule published in the April 16, 2019 Federal Register titled ``Medicare and Medicaid Programs; Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Programs of All-Inclusive Care for the Elderly (PACE), Medicaid Fee- For-Service, and Medicaid Managed Care Programs for Years 2020 and 2021''.
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