Payer & Financing Models Archives - Page 4 of 98

Behavioral Health Trends Affecting Payers

On-Demand Webinar April 20, 2023

The evolving mental healthcare landscape has a marked impact on payers. Psychiatrist Dr. Don Fowls, managed care expert and healthcare consultant, have worked with payers across the country. In this… Read More

6.7 Million Americans Have Alzheimer’s Dementia, By 2050 Nearly 13 Million Will Be Affected

Article April 17, 2023

An estimated 6.7 million individuals in the U.S. are living with Alzheimer’s disease as of 2023, representing about 10.8% of the population age 65 and older. By 2050 if current… Read More

CMS Implements Medicaid Home-& Community-Based Services Rules For Long-Term Care Settings, Effective March 18, 2023

Article April 10, 2023

The HCBS regulation was created to ensure that all people receiving Medicaid-funded HCBS have access to quality, person-centered services and is treated with privacy, dignity, and respect; and are able… Read More

Oregon Medicaid CCO To Convert Former Hotel In Seaside Into Behavioral Health Housing

Article April 3, 2023

On March 8, 2023, CareOregon, which provides health insurance and services to residents who qualify for Medicaid in the state, announced plans to convert a former Seaside, Oregon hotel into… Read More

Reaching In

Article April 3, 2023

When inmates are released from jail or prison and are not equipped for independent living, like individuals with a serious mental illness (SMI), the chances of success are low. Homelessness… Read More

Taking SDOH Solutions To Scale

Article April 3, 2023

Social service programs will soon play a new role in the health care system. Earlier this year, CMS changed the rules for Medicaid health plans, allowing them to spend health… Read More

North Carolina Governor Signs Medicaid Expansion Bill; Goes Into Effect When The 2023-2025 Appropriations Are Approved

Article April 3, 2023

On March 27, 2023, North Carolina Governor Roy Cooper signed legislation to expand Medicaid. An estimated 600,000 residents are likely to be eligible, and the expansion is anticipated to improve… Read More

Depression & Poor Mental Health Linked To Higher Heart Disease Risks Among Young Adults

Article February 20, 2023

During 2017 through 2020, depression and poor mental health were associated with premature cardiovascular disease and sub-optimal cardiovascular health among adults ages 18 to 49 years. Among this adult population,… Read More

Feds To Allow Medicaid & CHIP To Directly Reimburse Behavioral Health Specialists For Consultations With Primary Care Professionals

Article February 20, 2023

Under a new federal policy, state Medicaid and Children’s Health Insurance Program (CHIP) plans can reimburse behavioral health specialists for consultations provided to primary care professionals on behalf of a… Read More

Health Care Sector Bankruptcies Increase 84% Between 2021 & 2022

Article January 30, 2023

Between 2021 and 2022, the number of Chapter 11 bankruptcy filings by health care organizations with liabilities of $10 million or more increased by 84%, from 25 in 2021 to… Read More

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