Medicaid Eligibility Quality Control PDF Download

Author: United States. Social and Rehabilitation Service
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 460

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Author: United States
Publisher:
ISBN:
Category : Child health services
Languages : en
Pages : 104

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Author: United States. Social Security Administration
Publisher:
ISBN:
Category : Hospitals
Languages : en
Pages : 72

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Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 030946921X
Category : Medical
Languages : en
Pages : 161

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Book Description
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Author: United States. Office of Management and Budget
Publisher:
ISBN:
Category : Budget
Languages : en
Pages : 316

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Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309493439
Category : Medical
Languages : en
Pages : 195

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Book Description
Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.

Author: Tamara Thompson
Publisher: Greenhaven Publishing LLC
ISBN: 0737771496
Category : Young Adult Nonfiction
Languages : en
Pages : 130

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Book Description
The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout.

Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309669820
Category : Social Science
Languages : en
Pages : 369

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Book Description
The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.

Author: Joel B. Teitelbaum
Publisher: Jones & Bartlett Publishers
ISBN: 1284117014
Category : Education
Languages : en
Pages : 399

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Book Description
Essentials of Health Policy and Law helps readers understand the broad context of health policy and law, the essential policy and legal issues impacting and flowing out of the health care and public health systems, and the way health policies and laws are formulated. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.

Author: Nancy J. Niles
Publisher: Jones & Bartlett Learning
ISBN: 1284262987
Category : Business & Economics
Languages : en
Pages : 496

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Book Description
Basics of the U.S. Health Care System provides a broad introduction to the workings of the health care system in the US. Engaging and activities-oriented, the text offers an accessible overview of the major concepts of healthcare operations; the role of government and public health; inpatient, outpatient, and long-term care services; payors and financing; careers; and legal and ethical issues. Updated with new data throughout, Basics of the U.S. Health Care System, Fifth Edition also includes coverage of the COVID-19 pandemic, including the global impact of the pandemic and global vaccination rates; the impact of socioeconomic factors on COVID outcomes; the disease's impact on mental health; the U.S. government role in managing the pandemic, and more. Thoroughly revised, Basics of the U.S. Health Care System, Fifth Edition includes: - Updated data, including new Organization for Economic Cooperation and Development (OECD) at-a-Glance 2021 data. - Expanded discussion on social justice and the social determinants of health. - New chapter on U.S. Population Health discusses the differences between public health population health, and community health. - New laws and legislation passed during the Trump and Biden administrations, including the healthcare provisions of the Inflation Reduction Act of 2022 and the Bipartisan Safer Communities Act of 2022, and discussion of the Supreme Court's Dobbs decision overturning Roe v. Wade. - Expanded careers chapter offers eight new healthcare career opportunities. - Final chapter takes a comparative look the US health care system vs. other developed countries, and discusses trends that impact the U.S. healthcare system including digital health, systems and design thinking, pay for performance and value based purchasing, and more.