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Slow Start for Medicaid Fee-for-Service Rate Bump
The Patient Protection and Affordable Care Act relies heavily on expanding Medicaid eligibility to increase insurance coverage and healthcare access. But its authors had to make sure that physicians would accept new Medicaid patients.
The Patient Protection and Affordable Care Act relies heavily on expanding Medicaid eligibility to increase insurance coverage and healthcare access. But its authors had to make sure that physicians would accept new Medicaid patients. So congressional Democrats included a temporary pay increase that ups fees for primary-care doctors serving Medicaid patients to Medicare rates for 2013 and 2014. Still, implementation has been slow.
The initiative got off to a late start when the CMS did not issue its final rule on the program until Nov. 1 last year. States had until March 31 to submit a plan to the CMS, which then had 90 days to approve them or ask for revisions. California remains the only state without an approved plan. But no matter how late approval is received, the payments are retroactive to Jan. 1, 2013.
Read the full story here: http://bit.ly/13OAe1p
Source: Modern Healthcare
According to the American Academy of Family Physicians, at least 26 states now are paying the increased Medicaid fee-for-service rate. Among the first to do so were Alabama, Arkansas, Florida, Kansas, Massachusetts, Maryland, Maine, Michigan, Missouri, Montana, Pennsylvania, Vermont and Wyoming.
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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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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What We’re Reading: Affordable Home Care; Mycoplasma Infections Rise; Opioid Crisis Settlement
December 4th 2023Families struggle to find affordable, reliable home health aides; reports of increased pediatric pneumonia cases; legal battle ensues over Purdue Pharma’s bankruptcy settlement.
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