This article by the Kaiser Family Foundation notes that the Affordable Care Act (ACA) establishes streamlined enrollment and renewal procedures for Medicaid and CHIP (Children’s Health Insurance Program). As someone who has worked in Medicaid managed care plans, I can personally attest that one of the more vexing issues has […]
Accountable Care Organizations (ACOs) are the latest attempts by payers, particularly the Centers for Medicare and Medicaid Services (CMS), to curtail the growth in healthcare spending and improve outcomes. This article from Government Health IT discusses the recent CMS ruling on updating the Medicare Shared Savings Program (MSSP). This article […]
This article from the Kaiser Family Foundation is an excellent overview of the myriad ways that Medicaid delivers and funds healthcare to beneficiaries. It provides brief descriptions on the alphabet soup of plans such as primary care case management (PCCM), managed care organzations (MCOs), prepaid health plans (PHPs), patient-centered medical […]