The Centers for Medicare & Medicaid Services and the state of Illinois are teaming up in a dual eligible payment demonstration.
Better coordination of care for individuals eligible for both Medicare and Medicaid could result in savings of nearly $190 billion by 2022, according to a recent UnitedHealth Center report.
The cumulative effect of cuts has been "devastating," AHCA President and CEO Mark Parkinson said.
December 17, 2012
Long-term care providers struck back quickly late last week after the chairman of the U.S. Senate Finance Committee accused them of "gaming" the reimbursement system during a hearing on caring for individuals eligible for both Medicare and Medicaid.
December 07, 2012
A federal experiment for dual-eligibles that hopes to cut Medicaid and Medicare costs through managed care is set to exponentially expand, and some are worried it is destined to fail, according to a report from Kaiser Health News.
Attempts to better manage care for "dual-eligible" seniors produced a small savings, according to a study from the Kaiser Family Foundation. The findings show that hopes for a significant decrease in government spending on patients eligible for both Medicare and Medicaid might not be realized.
The Affordable Care Act's Medicaid expansion incentives are too attractive for Republican governors to turn down indefinitely, predicted one health policy consultant this week.
About 90% of seniors, including dually eligible Medicare and Medicaid beneficiaries, are happy with Medicare's prescription drug program, a new survey reveals.
September 28, 2012
A new federal program aimed at the reduction of hospitalization among nursing home residents, especially dual eligibles, announced seven health system participants Thursday.
One of the first care coordination demonstration projects for Medicare beneficiaries achieved significant provider savings for dually eligible Medicare and Medicaid beneficiaries, a new analysis found.
Long-Term care providers should be more interested than ever in what goes on at a daylong, national summit next week dedicated to improving care coordination. The event takes place Sept. 14 at the National Press Club in Washington. Experts will lead participants through sessions that will cover Accountable Care Organizations (ACOs), improving care for individuals certified under both Medicaid and Medicare, and much more. Experts at the point of care will discuss forward-thinking initiatives and innovative best practices. In less than four weeks, hospitals will begin getting penalized financially for rehospitalization rates that are too high, thus making relationships with long-term care providers more important than ever.
Long-Term care providers should be more interested than ever in what goes on at a daylong, national summit next week dedicated to improving care coordination. The event takes place Sept. 14 at the National Press Club in Washington. Experts will lead participants through sessions that will cover Accountable Care Organizations (ACOs), improving care for individuals certified under both Medicaid and Medicare, and much more. Experts at the point of care will discuss forward-thinking initiatives and innovative best practices. In less than four weeks, hospitals will begin getting penalized financially for rehospitalization rates that are too high, thus making relationships with long-term care providers more important than ever.
August 06, 2012
Effective oversight is the key to ensuring access to care for states using managed care organizations for elderly and disabled Medicaid enrollees, a new report suggests.
Dual eligibles in an Arizona integrated coordinated care plan had a 21% lower hospital readmission rate than their counterparts in Medicare fee-for-service programs, a new analysis reveals.
July 19, 2012
A federal official defended government demonstration programs that coordinate care for dually eligible Medicare and Medicaid beneficiaries in a Senate hearing Wednesday.
July 13, 2012
Large demonstration programs meant to coordinate the care of dually eligible Medicare and Medicaid beneficiaries could limit access to care and require more thorough testing, critics said this week.
Monthly expenditures for individuals eligible for Medicare and Medicaid is nearly two times higher than that of people who receive just Medicare benefits, a new government report finds.
June 18, 2012
Program of All-Inclusive Care for the Elderly providers should be paid more generous Medicare Advantage rates, according to a payment panel. The Medicare Payment Advisory Commission also called for changes that would allow people younger than age 55 to participate in the program, which targets dual eligible seniors.
More focused treatment of common illnesses among dually eligible Medicare and Medicaid beneficiaries could cut costs and lower hospital readmissions, researchers found.
The vast majority of the medications used by people who are dually eligible for Medicare and Medicaid can find what they need through Medicare Part D formularies, a federal report finds.
Government officials say safeguards are in place to prevent dually eligible Medicare and Medicaid beneficiaries from losing access to care when they enroll in demonstration projects.
May 31, 2012
Of the states participating in federal demonstration programs that coordinate care for dual eligibles, most are pursuing a capitated payment model, a government official said this week.
As policymakers seek to integrate care for dual eligibles, they need to consider the cost of treating beneficiaries with dementia, new data suggests.
The Department of Health and Human Services has announced its newest round of grant recipients under its Health Care Innovation Awards.
May 02, 2012
Medicare advocates are concerned about the speed with which the federal government is implementing care coordination plans for dual eligibles, according to reports.
April 23, 2012
Skilled nursing facility operators have responded positively to a Center for Medicare & Medicaid Services initiative to reduce hospital readmissions among dual eligibles, agency officials said.
April 06, 2012
A Medicare advisory panel has expressed concern that automatic enrollment into managed care plans for dually eligible Medicare and Medicaid beneficiaries would harm their access to healthcare.
March 29, 2012
Gainsharing and caring for dual eligibles are hot topics for healthcare providers — and rightfully so — experts said Thursday.
Correcting overpayments in the Medicare Advantage program could save the federal government billions of dollars, according to a new Government Accountability Office report.
In order to promote coordination between Medicare and Medicaid services and to save money, the federal government and states should create an integrated care model for dual-eligible beneficiaries, a new report recommends.
