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Thursday, July 23, 2020 | History

2 edition of Nationwide evaluation of Medicaid competition demonstrations. found in the catalog.

Nationwide evaluation of Medicaid competition demonstrations.

Nationwide evaluation of Medicaid competition demonstrations.

  • 133 Want to read
  • 25 Currently reading

Published by U.S. Dept. of Health and Human Services, Health Care Financing Administration, Office of Research and Demonstrations in Baltimore, Md .
Written in English

    Subjects:
  • Medicaid -- Research -- United States -- Case studies.,
  • Medical care -- United States -- Case studies.

  • Edition Notes

    GenreCase studies.
    SeriesHealth care financing, HCFA pub -- no. 03236., HCFA pub -- 03236.
    ContributionsUnited States. Health Care Financing Administration. Office of Research and Demonstrations., Research Triangle Institute.
    The Physical Object
    Pagination1 v. (various pagings) :
    ID Numbers
    Open LibraryOL14656964M

      The various agencies and offices of the Department of Health and Human Services (HHS) maintain their own evaluation program including the functions of evaluation planning and policy review, quality assurance through technical review, project coordination and management, dissemination of reports, and utilization of results. This chapter is a compendium of the evaluations completed and in   Initially 68 plans participated nationwide, but 18 plans have left, of which 11 were in New York. The federal Medicare agency has commissioned an independent evaluation of the demonstrations, with a mandate to identify impacts on access to care, service use, quality of care, and cost. Evaluation of the Medicaid Health Home Option for

    2 days ago  Demonstrations (58) Food/Nutrient Analysis (33) Food Security (29) General/Other (22) Impacts/Evaluations (58) National Academy of Sciences/IOM (14) Nutrition Education (34) Participation Characteristics (72) Participation Rates (83) Payment Accuracy and Program Integrity (75) Policy Analysis (27) Program Access (31) Promoting Healthy Eating   "Evaluation of the Medicaid Competition Demonstrations." Health Care Financing Review – GANZ, MICHAEL LEE, and SISK, JANE E. "Evaluation of Medicaid Managed Care for Children: Access and Satisfaction." American Journal of Public Health – HEALTH INSURANCE ASSOCIATION OF AMERICA.

    A Centers for Medicare & Medicaid Services bulletin notes that states can cover non-opioid pain management therapies using several Medicaid authorities, including Section health home benefits, (i) state plan amendments, Section demonstrations, and managed care :// Prior to Medicaid entry, new Medicaid participants had greater use of health care services than beneficiaries who did not join Medicaid. Among beneficiaries who aged into Medicare, the proportion using hospital services at any point during the study was three times greater among beneficiaries who entered Medicaid compared with those who did


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Nationwide evaluation of Medicaid competition demonstrations Download PDF EPUB FB2

The Nationwide Evaluation of Medicaid Competition Demonstrations was funded by the Health Care Financing Administration (Contract No.

1The evaluation was initiated in by Research Triangle Institute (RTI) under contract with HCFA. Subcontractors to RTJ for the evaluation included the University of North Carolina at Chapel Get this from a library. Nationwide evaluation of Medicaid competition demonstrations. [United States.

Health Care Financing Administration. Office of Research and Demonstrations   Hurley RE, Freund DA. A typology of Medicaid managed care. Med Care ; I Woolhandler S, Himmelstein DU. Reverse targeting of preventive care due to lack of health insurance. JAMA ; Carey TS, Weis K.

Nationwide evaluation of Medicaid competition demonstrations. book Evaluation of Medicaid Competition Demonstrations: Quality of Care, Vol. 4; Contract No. HCFA Abstract.

We develop a synthetic difference-in-differences statistical design to apply to experimental data for adult women living in Hennepin County, Minnesota, to estimate the impact of Medicaid managed care on various modes of medical care e the outcomes of interest are utilization counts with many persons using none of a particular mode of care we use count regression models that   Research, “Medicaid State Reports,FY ,’ Elk Grove Village, IL, March American Dental Association, Bureau of Economic and Behavioral Research, “ State and County Level Demographic ReportOregon,” Chicago, IL, provided to the Office of Technology Assess-ment in American Hospital Association,Hospital Statistics, ~ota/disk1///PDF.

The Medicaid beneficiaries in these programs are usually eligible for Medicaid as recipients of Aid to Families with Dependent Children (AFDC). Thus, pregnancy is the major risk factor affecting their costs, and a physician's cost may vary widely depending on the   Evaluation of Medicaid Demonstrations under New CMS Guidance.

The Centers for Medicare & Medicaid Services (CMS) has formalized and strengthened requirements for evaluation of state Section Medicaid demonstrations, including new demonstration programs being permitted by the current administration that are both unprecedented and ://?page=4.

2 days ago  Medicaid and the Children’s Health Insurance Program (CHIP) provide critical health coverage for millions of people. Through these programs, the Centers for Medicare and Medicaid Services (CMS) supports access to care in many ways.

Most importantly, people gain access to health care services that may not be affordable without Medicaid or ://   The evaluation found that (from the sample of clinics surveyed) access to health care is increased to an extent to justify increased costs.

Disadvantages to the program are primarily that the gains in access are in more heavily populated rural areas and that competition for Medicaid patients exists in medically underserved :// Through strengthening negotiation and maximizing competition, we contributed to lowering the CMS approved 27 state Medicaid demonstrations to improve access to SUD treatment, nationwide, and streamlining expectations for inspections performed each :// Medicaid Program Evaluation: Final Report.

Washington, DC.: U.S. Department of Health and Human Services; [Google Scholar] Holahan J, Cohen J. Medicaid: The Trade-Off Between Cost Containment and Access to Care.

Washington, DC.: The Urban Institute Press; [Google Scholar] Hurley RE. Status of Medicaid Competition ://   Many state Medicaid programs have embraced managed care as a way to control costs and encourage competition among providers. As of Jtwenty-nine   Section Medicaid demonstration waivers provide states an avenue to test new approaches in Medicaid not otherwise allowed under current law, provided the demonstrations  › Home.

Books at Amazon. The Books homepage helps you explore Earth's Biggest Bookstore without ever leaving the comfort of your couch. Here you'll find current best sellers in books, new releases in books, deals in books, Kindle eBooks, Audible audiobooks, and so much ://   The Centers for Medicare and Medicaid Services (CMS) is investigating the effects of different episode-based payment methodologies on health care cost efficiency and quality in the Medicare program.

A new report released by the U.S. Government Accountability Office (GAO) details the results of some of CMS’ most recent Medicare payment reform :// 2 days ago  It is possible for Medicaid beneficiaries to have one or more additional sources of coverage for health care services. Third Party Liability (TPL) refers to the legal obligation of third parties (for example, certain individuals, entities, insurers, or programs) to pay part or all of the expenditures for medical assistance furnished under a Medicaid state :// The evaluation committee met in Portland, Oregon, the week of January, and reviewed the remaining seven proposals in Phase I – Technical Proposals.

Six offerors qualified to move out of Phase I and moved on to Phase 2 – Product Demonstrations. The Phase 2 meetings were held in Portland the week of January 29 – February 2, Among the attempted demonstrations is a five-year pilot project modeled on the same ACO concept included in the PPACA.

The results of that demonstration have already come up well short of expectations. The problem is that the only way to build a high-quality, low-cost network is to exclude low-value and high-cost ://   Medicaid Source Book: Background Data and Analysis (A Update), House Commerce Committee Print A, January, pp.

General Accounting Office. › Home. Dual eligibles who used Medicaid-covered institutional LTSS had the highest per-beneficiary Medicare spending ($31,) and Medicaid spending ($45,), compared with users of other types of Medicaid LTSS and non-LTSS users.

Among Medicaid LTSS users aged 65 and older, total per-beneficiary Medicare and Medicaid spending was considerably.

CMS Strengthens Monitoring and Evaluation Expectations for Medicaid Demonstrations. On Ma the Centers for Medicare & Medicaid Services (CMS) released new state tools and guidance that provide standard monitoring metrics and recommended research methods for Section ://Inthe broad work requirements of TANF coveredadults; in contrast, 22 million Medicaid enrollees (about 30% of total Medicaid enrollment) could be subject to work requirements nationwide.

37 Although many of the Medicaid work requirements are too recent for a robust evaluation of their impact, preliminary evidence suggests that Freund, Deborah, Louis F.

Rossiter, Peter D. Fox, et al., “Evaluation of the Medicaid Competition Demonstrations”, Health Care Financing Review, 11(2): 81–97, Google Scholar Goodall, Colin, “A Simple Objective Method for Determining % Standard in Mixed Reimbursement Systems”, Journal of Health Economics, (in press).