I’m not a person with particularly complex healthcare needs. That said, over the course of my life, I’ve seen a series of crummy physicians, ranging from those with a poor bedside manner who...
Nursing homes blamed for high opt-out rates in dual eligible demo
By
John Hall
May 18, 2015
Huge numbers of dual-eligible beneficiaries are leaving a demonstration project that hopes to improve payments for people eligible for both Medicare and Medicaid.
More than $80 million paid out to Pioneer ACO beneficiaries, report finds
By
Elizabeth Newman
Jan 05, 2015
Nearly $81 million has been made in payments on behalf of beneficiaries in Pioneer accountable care organizations through Sept. 30, a new report finds.
Dual eligibles in nursing homes have fewer hospitalizations than those in home- and community-based care,...
By
Tim Mullaney
Mar 19, 2014
Elderly, frail people are more likely to be hospitalized if they are receiving home- or community-based services than if they live in a nursing home, according to newly published research. Recent Medicaid...
Medicaid-only long-term care residents driving up state expenditures, report finds
By
Tim Mullaney
Feb 20, 2014
Among people eligible for Medicaid but not Medicare, long-term care residents are most likely to be among the costliest beneficiaries for a state, according to a new report from the Government Accountability...
The safety net for seniors
By
James Lomastro
Jan 02, 2014
Healthcare reform, especially the expansion of Medicaid, will bring into focus the fragility of the safety net. This is a system that is for vulnerable seniors, but which has not been adequately financed.
Report: Providers should prepare for managed care partnerships for dual-eligibles services
By
Tim Mullaney
Oct 21, 2013
Managed care organizations are set to play a bigger role in how long-term care is provided for people currently eligible for both Medicare and Medicaid, and providers should focus on having the right capabilities...
Huge opportunity for dual eligible cost savings, report says
By
McKnight's Staff
Jan 11, 2013
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.
Increase in dual eligibles under ACA presents opportunity for Medicaid-focused health plans, expert says
By
McKnight's Staff
Oct 05, 2012
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.
States should have strong oversight over Medicaid managed care programs, report asserts
Aug 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.