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Medicaid Primary Care Pay: The Next SGR?
Reid Blackwelder, MD, a family physician in Kingsport, Tenn., said primary care physicians in his state would benefit immensely from a federal proposal raising Medicaid payments to equal what Medicare pays for the same services.
TennCare, the state’s Medicaid program, currently pays him only 60% of Medicare rates, Dr. Blackwelder said. If TennCare had paid 100% of Medicare rates for the previous 10 months of billing, from July 2011 through April 2012, “we would have made an additional $400,000 in our three residency programs,” said Dr. Blackwelder, a professor of family medicine at East Tennessee State University Quillen College of Medicine. Medicaid beneficiaries make up nearly 40% of the residency programs’ patient base.
Read the full story: http://hcp.lv/JyxcZA
Source: amednews.com
Navigating Health Policy in an Election Year: Insights From Dr Dennis Scanlon
April 2nd 2024On this episode of Managed Care Cast, we're talking with Dennis Scanlon, PhD, the editor in chief of The American Journal of Accountable Care®, about prior authorization, price transparency, the impact of health policy on the upcoming election, and more.
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Commonwealth Fund Report Details Pervasive Racial and Ethnic Disparities in US Health Care, Outcomes
April 18th 2024Using 25 health system performance indicators, the Commonwealth Fund 2024 State Health Disparities Report evaluated racial and ethnic disparities in health care and health outcomes both within and across US states and highlighted the urgent need for equitable health care policies and practices in the US.
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Exploring Medicare Advantage Prior Authorization Variations
March 26th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the March 2024 issue of The American Journal of Managed Care® about their findings on variations in prior authorization use across Medicare Advantage plans.
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