Payer & Financing Models Archives - Page 6 of 10

Iowa Inadequately Monitored Its Medicaid Health Home Provider Organizations

Article June 1, 2020

Between January 2013 and December 2016, the Iowa Medicaid program may have failed to adequately document about half of claims paid to health home provider organizations. Iowa’s health home provider… Read More

Medical Practices Report 55% Decrease In Revenue Due To The Pandemic Crisis

Article June 1, 2020

A recent survey of medical practices found that practices report a 55% decrease in revenue and 60% decrease in health care consumer volume since the beginning of the Coronavirus Disease… Read More

The Global Pulse Of eMental Health Trends In Resource-Strapped Locales

Article June 1, 2020

The last decade has brought myriad innovations to digital technologies within the health and human services market. Health care payers and providers often turn to tech to boost access, improve… Read More

CMS Issues SNF Policy Changes For FY 2021; Projects Aggregate Payments To SNFs Will Rise By 2.3%

Article May 25, 2020

The Centers for Medicare & Medicaid Services (CMS) project that aggregate payments to skilled nursing facilities (SNFs) will rise by 2.3% during federal fiscal year (FY) 2021, according to statements… Read More

Oklahoma Submits State Plan Amendment Seeking To Expand Medicaid

Article April 27, 2020

On March 6, 2020, the Oklahoma Health Care Authority (OHCA) announced it had submitted a Medicaid state plan amendment to expand eligibility to the new adult group ages 19 to… Read More

Veterans’ Long-Term Care Expenses Rose 33% From 2014 To 2018

Article April 13, 2020

According to the U.S. Government Accountability Office (GAO), the Department of Veterans Affairs (VA) spending on long-term care services rose by 33%, from $6.8 in 2014 to $9.1 billion in… Read More

Out-Of-Network Primary Care Associated With Higher Medicare ACO Costs

Article April 13, 2020

Out-of-network (OON) primary care is associated with higher median quarterly costs for Medicare beneficiaries attributed to a Medicare Shared Savings Plan (MSSP) accountable care organization (ACO). Median per-beneficiary spending for… Read More

Former Outcome Health Employees Charged In Alleged $1 Billion Fraud

Article March 9, 2020

On November 21, 2019, the U.S. Department of Justice (DOJ) indicted four former employees of Outcome Health—including the two co-founders and two former executives—for defrauding the company’s clients, lenders, and… Read More

PsychU 360 Magazine

Downloadable Resource February 17, 2020

PsychU 360 – January 2020 Despite vast improvements in diagnosis and treatment over the last half-century, mental illness is underdiagnosed and undertreated. The reasons are many and varied. Among them:… Read More

Innovations In Mental Health Service Delivery & Implications For Providers

Podcast January 28, 2020

New technologies, changing reimbursements, and corporate consolidations are amongst the many drivers evolving the health care landscape.1 During this webinar archive, the speakers discuss strategies for future sustainability in an… Read More

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