The vaccine landscape is volatile. However, regulators, working hand-in-hand with public health partners and insurance plans, ...
We are facing a nursing knowledge shortage dressed in workforce statistics. The headcount problem has no good solution. The ...
Dual-eligible enrollees who use Medicaid-funded long-term services and supports (LTSS) often face care fragmentation between Medicare and Medicaid benefits. One strategy to improve care coordination ...
Earlier this year, Florida became the foremost battleground in a growing national debate over how states will sustain access ...
International scientific collaboration, when guided by rigorous peer review, transparency, accountability, and appropriate ...
Children in low-income households face health care barriers shaped by state Medicaid and Children’s Health Insurance Program (CHIP) income eligibility thresholds. Using 2016–23 National Survey of ...
Deborah Lipson discusses new federal limits on Medicaid state directed payments and how they could affect state budgets, ...
Beginning in 2024, the Centers for Medicare and Medicaid Services implemented version 28 of the Medicare Advantage (MA) risk-adjustment algorithm, which altered payments to MA plans. This article ...
CMS and state Medicaid agencies should consider several factors related to the ACO LEAD (ACO Long-Term Enhanced Design) model ...
When a patient with autism receives dental care, his dentist notices unmet health needs in his mother and caregiver.
The final “public charge” rule broadens the range of benefits used in determining public charge status, allows officials to ...
The 2025 budget reconciliation bill, H.R. 1, limits Medicaid state-directed payment (SDP) reimbursement for four provider types to Medicare-equivalent rates. This study assessed the provision’s ...
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