Medicaid Eligibility Quality Control PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download Medicaid Eligibility Quality Control PDF full book. Access full book title Medicaid Eligibility Quality Control by United States. Social and Rehabilitation Service. Download full books in PDF and EPUB format.
Author: United States. Social and Rehabilitation Service
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 460
Get Book Here
Book Description
Author: United States. Social and Rehabilitation Service
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 460
Get Book Here
Book Description
Author: Institute of Medicine and National Research Council
Publisher: National Academies Press
ISBN: 0309173930
Category : Medical
Languages : en
Pages : 216
Get Book Here
Book Description
America's Children is a comprehensive, easy-to-read analysis of the relationship between health insurance and access to care. The book addresses three broad questions: How is children's health care currently financed? Does insurance equal access to care? How should the nation address the health needs of this vulnerable population? America's Children explores the changing role of Medicaid under managed care; state-initiated and private sector children's insurance programs; specific effects of insurance status on the care children receive; and the impact of chronic medical conditions and special health care needs. It also examines the status of "safety net" health providers, including community health centers, children's hospitals, school-based health centers, and others and reviews the changing patterns of coverage and tax policy options to increase coverage of private-sector, employer-based health insurance. In response to growing public concerns about uninsured children, last year Congress voted to provide $24 billion over five years for new state insurance initiatives. This volume will serve as a primer for concerned federal policymakers and regulators, state agency officials, health plan decisionmakers, health care providers, children's health advocates, and researchers.
Author: United States. Congress. Senate. Committee on Finance
Publisher:
ISBN:
Category : Child health services
Languages : en
Pages : 256
Get Book Here
Book Description
Author: Marty Sparks
Publisher:
ISBN: 9781634836760
Category : POLITICAL SCIENCE
Languages : en
Pages : 185
Get Book Here
Book Description
The State Children's Health Insurance Program (CHIP) is a means-tested program that provides health coverage to targeted low-income children and pregnant women in families that have annual income above Medicaid eligibility levels but have no health insurance. CHIP is jointly financed by the federal government and states, and the states are responsible for administering CHIP. Under the CHIP program, the federal government sets basic requirements for CHIP, but states have the flexibility to design their own version of CHIP within the federal government's basic framework. As a result, there is significant variation across CHIP programs. This book describes the basic elements of CHIP, focusing on how the program is designed, who is eligible, what services are covered, how enrollees share in the cost of care, and how the program is financed. The book also includes a brief discussion of the future of CHIP. Furthermore, this book examines provisions of H.R. 2, which is the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015; CHIP financing, beginning with an explanation of the federal matching rate; and the ACA MOE requirement for children if federal CHIP funding expires.
Author: The Law The Law Library
Publisher: Createspace Independent Publishing Platform
ISBN: 9781721535354
Category :
Languages : en
Pages : 742
Get Book Here
Book Description
Medicaid and Children's Health Insurance Program (CHIP) Programs - Medicaid Managed Care, CHIP Delivered in Managed Care (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid and Children's Health Insurance Program (CHIP) Programs - Medicaid Managed Care, CHIP Delivered in Managed Care (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule modernizes the Medicaid managed care regulations to reflect changes in the usage of managed care delivery systems. The final rule aligns, where feasible, many of the rules governing Medicaid managed care with those of other major sources of coverage, including coverage through Qualified Health Plans and Medicare Advantage plans; implements statutory provisions; strengthens actuarial soundness payment provisions to promote the accountability of Medicaid managed care program rates; and promotes the quality of care and strengthens efforts to reform delivery systems that serve Medicaid and CHIP beneficiaries. It also ensures appropriate beneficiary protections and enhances policies related to program integrity. This final rule also implements provisions of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) and addresses third party liability for trauma codes. This book contains: - The complete text of the Medicaid and Children's Health Insurance Program (CHIP) Programs - Medicaid Managed Care, CHIP Delivered in Managed Care (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section
Author: David G. Smith
Publisher: Transaction Publishers
ISBN: 1412845629
Category : Political Science
Languages : en
Pages : 121
Get Book Here
Book Description
The Children’s Health Insurance Program was crafted in a period of intense partisan and ideological controversy over health care entitlements to provide "creditable coverage" for American children below 200 percent of the Federal Poverty Level. This objective was widely supported, though achieved only by a compromise between the structural alternatives of a block grant, similar to the Maternal and Child Health Block Grant or an entitlement resembling Medicaid. According to David G. Smith, the CHIP compromise has been a successful experiment that far exceeded expectations, both in identifying and enrolling "targeted low-income children" and in earning political capital. He argues that beyond this core mission, the reauthorization of CHIPRA (Children’s Health Insurance Program Reauthorization Act of 2009) invites a larger mission: going beyond enrollment of children to include assuring access, improving quality, and containing costs of health care for them. Extending this thrust, the author notes that CHIP could be used to establish children’s health as a niche—much like care for the elderly—within the larger scheme of health care insurance for all. Several areas of successful performance needed for the program to be adjudged a success as well as its limitations are discussed in the book. These areas include initial implementation, enrolling kids, federal-state relations, and the uses and misuses of waivers to modify the program. A description of changes made by the CHIPRA reauthorization and the new Patient Protection Affordable Care Act (PPACA) is also included. This is followed by a consideration of lessons learned from CHIP’s evolution and recommendations for future development. In short, this is a valuable and readable account for those interested in the current and future trends of health care for the young.
Author: The Law The Law Library
Publisher: Createspace Independent Publishing Platform
ISBN: 9781721523290
Category :
Languages : en
Pages : 72
Get Book Here
Book Description
Medicaid - CHIP Program - Medicaid Program and Children's Health Insurance Program - Changes to Medicaid Eligibility Quality Control and Payment Error (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid - CHIP Program - Medicaid Program and Children's Health Insurance Program - Changes to Medicaid Eligibility Quality Control and Payment Error (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule updates the Medicaid Eligibility Quality Control (MEQC) and Payment Error Rate Measurement (PERM) programs based on the changes to Medicaid and the Children's Health Insurance Program (CHIP) eligibility under the Patient Protection and Affordable Care Act. This rule also implements various other improvements to the PERM program. This book contains: - The complete text of the Medicaid - CHIP Program - Medicaid Program and Children's Health Insurance Program - Changes to Medicaid Eligibility Quality Control and Payment Error (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section
Author: Carolyn Y. Yocom
Publisher: DIANE Publishing
ISBN: 1437928099
Category : Health & Fitness
Languages : en
Pages : 50
Get Book Here
Book Description
Fiscal pressures, rising health care costs, and increases in the number of uninsured may lead states to look toward public-private partnerships to help finance health insurance (HI) coverage. Through Medicaid and the State CHIP, states have authority to operate premium assistance programs that subsidize the purchase of private HI. This report describes states' premium assistance programs, including the: (1) funding source, operating authority, and type of private HI coverage subsidized; (2) policies regarding eligibility and enrollment; (3) benefits, premiums, and cost sharing; (4) expenditures and cost-effectiveness policies; and (5) challenges program officials reported in implementing and operating such programs. Figures. A print on demand report.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages :
Get Book Here
Book Description
Author: Steven D. Pearson
Publisher: Oxford University Press, USA
ISBN: 0195158962
Category : Language Arts & Disciplines
Languages : en
Pages : 191
Get Book Here
Book Description
Can the ethical mission of health care survive among organizations competing for survival in the marketplace? This book presents both an analytic framework and a menu of pragmatic answers.
