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Becker's Hospital Review 09/21/2020 13:16
California hospital may end Medicaid agreement with Anthem.
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Avalere Health 09/21/2020 12:45
States have increasingly shifted to Medicaid managed care, with over three-quarters of all Medicaid beneficiaries now enrolled in a Medicaid Managed Care Organization (MCO.
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InsuranceNewsNet 09/21/2020 12:16
Julie Lundberg, certified genetic counsellor at the Albany Medical Center, New York, has issued a public comment on the Centers for Medicare and Medicaid Services proposed rule entitled "Medicare Program: CY 2021 Revisions to Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program...
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USAToday (United States) 09/19/2020 06:01
Separate research suggests that access to postpartum care improved dramatically after Medicaid expansion— which opened up Medicaid eligibility to people earning 138 percent of the federal poverty level, or, in 2020, $36,156 for a family of four.
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FierceHealthcare 09/18/2020 15:21
Coverage for these individuals is within reach, through the expansion of Medicaid in states that have not yet opted in.
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Denver Post (United States) 09/18/2020 07:27
Due to budget constraints, Colorado lawmakers recently cut the Medicaid reimbursement rate, even though it was already significantly below the level recommended by Colorado’s Medicaid Provider Rate Review Advisory Committee.
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This commenter also stated that given that acute appendicitis is more commonly encountered in non-Medicare patients and that MS-DRGs are a common payment methodology for private insurance and Medicaid claims, CMS should additionally analyze Medicaid claims.
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RevCycleIntelligence 09/17/2020 09:28
It also describes ways for Medicaid programs to implement value-based care models, such as bundled payments and capitation, using Medicaid managed care organizations or direct reimbursement to providers.
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GlobeNewswire 09/17/2020 08:00
The proposed amendment would establish a medication risk prevention program within New Jersey Medicaid.
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State Medicaid programs make Medicaid disproportionate share hospital (DSH) payments to hospitals to help offset costs of uncompensated care for Medicaid and uninsured patients.
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FeedNavigator (EU) 09/16/2020 11:07
Findings show Medicaid expansion significantly improved access to care for Medicaid eligible respondents in expansion states.
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Commonwealth Fund 09/16/2020 09:36
The loss of coverage combined with no net change in employment indicates that Medicaid work requirements in Arkansas were unsuccessful in meeting their stated goals.
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Anchorage Superior Court Judge Michael Wolverton found Lookhart guilty Jan. 17 of pressuring patients to needlessly undergo intravenous sedation to bill Medicaid for the service.
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STAT 09/16/2020 04:35
For women whose health care is covered by Medicaid, senseless bureaucracy can make this difficult.
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Tampa Business News 09/15/2020 16:08
A battle about whether Deloitte Consulting LLP should receive a major state Medicaid contract is ready to start playing out before an administrative law judge. The technology contract, which could be worth $135 million, has drawn scrutiny because the state Agency for Health Care Administration decided to award it to Deloitte this summer amid an uproar --- and litigation --- about problems with an online unemployment-compensation system that the company helped develop. IBM and Accenture LLP, which...

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