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The Expanding Role of Managed Care in the Medicaid Program
States increasingly use managed care for Medicaid enrollees, yet evidence of its impact on healthcare outcomes is mixed. This research studies county-level Medicaid managed care penetration and healthcare outcomes among nonelderly disabled and nondisabled enrollees.
States increasingly use managed care for Medicaid enrollees, yet evidence of its impact on healthcare outcomes is mixed. This research studies county-level Medicaid managed care (MMC) penetration and healthcare outcomes among nonelderly disabled and nondisabled enrollees.
Results for nondisabled adults show that increased penetration is associated with increased probability of an emergency department visit, difficulty seeing a specialist, and unmet need for prescription drugs, and is not associated with reduced expenditures. We find no association between penetration and healthcare outcomes for disabled adults. This suggests that the primary gains from MMC may be administrative simplicity and budget predictability for states rather than reduced expenditures or improved access for individuals.
Read the article: http://urbn.is/1bEiP6m
Source: The Urban Institute
Oncology Onward: A Conversation With Thyme Care CEO and Cofounder Robin Shah
October 2nd 2023Robin Shah, CEO of Thyme Care, which he founded in 2020 with Bobby Green, MD, president and chief medical officer, joins hosts Emeline Aviki, MD, MBA, and Stephen Schleicher, MD, MBA, to discuss his evolution as an entrepreneur in oncology care innovation and his goal of positively changing how patients experience the cancer system.
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Study Validates Smartphone Analysis for Predicting Obstructive Sleep Apnea
November 29th 2023Findings show breathing sounds recorded by smartphones during sleep at home can reliably identify obstructive sleep apnea, presenting an innovative and accessible alternative to traditional in-laboratory polysomnography.
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Insufficient Data, Disparities Plague Lung Cancer Risk Factor Documentation
September 24th 2023On this episode of Managed Care Cast, we speak with the senior author of a study published in the September 2023 issue of The American Journal of Managed Care® on the importance of adequate and effective lung cancer risk factor documentation to determine a patient's eligibility for screening.
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