Author: United States. Social and Rehabilitation ServicePublisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 460
Book Description
Medicaid Eligibility Quality Control
Author: United States. Social and Rehabilitation ServicePublisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 460
Book Description
Medicaid Managed Care
Author: United States. General Accounting OfficePublisher:
ISBN:
Category : Capitation fees (Medical care)
Languages : en
Pages : 70
Book Description
Entering Into Medicaid Managed Care
Author: Carrie L. NorbinMedicaid Managed Care
Author: Walter OchinkoPublisher: DIANE Publishing
ISBN: 9780756717582
Category :
Languages : en
Pages : 64
Book Description
Since the mid-1990s, states have accelerated the enrollment of children with special needs in capitated MMC programs, which deliver medical services to beneficiaries for a fixed per-person fee. The Balanced Budget Act (BBA) of 1997 continued to require Federal approval for state Medicaid programs that mandate that these children enroll. This report: (1) presents data on the extent to which states are enrolling children with special needs, as defined in the BBA, in capitated MMC plans, & (2) assesses the scope & effectiveness of the safeguards that these states are implementing to ensure that children with special needs receive appropriate care within MMC.
Health-Care Utilization as a Proxy in Disability Determination
Author: National Academies of Sciences, Engineering, and MedicinePublisher: National Academies Press
ISBN: 030946921X
Category : Medical
Languages : en
Pages : 161
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.
Medicaid Managed Care
Author: United States. General Accounting OfficePublisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages : 36
Book Description
Managing Managed Care
Author: Institute of MedicinePublisher: National Academies Press
ISBN: 0309175054
Category : Medical
Languages : en
Pages : 394
Book Description
Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.
Guide to State Medicaid Managed Care Laws and Rules
Author: Jane M. AndersonPublisher: Jones & Bartlett Learning
ISBN: 9780834216068
Category : Law
Languages : en
Pages : 98
Book Description
Guide to State Medicaid Managed Care Laws and Rules: 1999 Edition reveals the current legislative and regulatory climate regarding Medicaid in every state, including federal waivers applied for and granted. It's the most complete and current information available on how you can maintain or increase your number of covered lives. In one easy-to-use guide you get specific details of each state's Medicaid laws and rules, including: * choice of physician, * provider reimbursement, * benefits packages, * quality assurance, * utilization management, and * names of contacts at state agencies, Best of all, you'll get the details on contracting with each state, as specified by the state Medicaid office itself. You'll also get hard-to-find answers to critical questions such as: * Which states allow Medicaid patients to choose their own physicians? * How do Medicaid provider reimbursement to choose their own physicians? * What are the rules on provider network development in states where you want to do business? Get the answer to these questions and many more in Guide to State Medicaid Managed Care Laws and Rules: 1999 Edition.
Medicaid Managed Care
Author: United States. Congress. Senate. Special Committee on AgingPublisher:
ISBN:
Category : Medical
Languages : en
Pages : 876
Book Description
Author: