Final Medicare & Medicaid EHR Meaningful Use Rules Permit Deferrals, Exclusions
On July 16, 2010, the federal Centers for Medicare and Medicaid Services (CMS) released final rules for the Medicare and Medicaid electronic health record (EHR) meaningful use initiative program. The rules for the Stage 1 criteria of meaningful use permit eligible professionals and eligible hospitals the option to defer some objectives/measures and to permit exclusions for the applicability of some objectives/measures…On July 16, 2010, the federal Centers for Medicare and Medicaid Services (CMS) released final rules for the Medicare and Medicaid electronic health record (EHR) meaningful use initiative program. The rules for the Stage 1 criteria of meaningful use permit eligible professionals and eligible hospitals the option to defer some objectives/measures and to permit exclusions for the applicability of some objectives/measures…
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Managed Medicare & Medicaid Factbook: 2011
Managed Medicare and Medicaid Factbook: 2011 provides convenient access to up-to-date enrollment data so you can easily evaluate market share, make plan-by-plan or state-by-state comparisons, identify opportunities and develop strategies. It includes current statistics on:*MA, Medicare managed care, Medicare Part D and managed Medicaid enrollment*Medicare eligibles by state, market penetration by state and by region*Enrollees by type of product including Part D, Special Needs Plans, HMO, local PPO, regional PPO, PFFS and others*Directories of MA, Medicaid plans and Part D plans with contact information*MA and Medicaid plans financial trends
The completely updated Managed Medicare and Medicaid Factbook: 2011 also includes new coverage of these hot topics:*Costs, premiums, rate cuts and profitability;*Star ratings, quality bonuses and ACO alliances;*State initiatives in Medicaid; and*Marketing regulations and bid strategies, along with other challenges such as meaningful differences, rate cuts, RADV audits, RACs and data reporting requirements.
You can have all of this information at your fingertips no need to contact 50 different Medicaid agencies, scour through the convoluted CMS website, or cut and paste to get data into a format that lets you compare apples to apples. Our experts have compiled the most relevant and timely facts for you and presented them in a way that provides one, easy-to-access resource of the managed Medicare and Medicaid data you need to develop sound strategies for 2012 and beyond.
Table of ContentsCh 1: MA Market Developments*MA Market Expansions*Mergers and Acquisitions*Private-Fee-for-Service Plans*Special Needs Plans*Alliances With ACOsCh 2: Strategies and Challenges for Marketing MA and Part D Plans*2011 Enrollment Season*Regulation and Enforcement of Marketing Rules*Product Development and Benefit Design*Marketing AlliancesCh 3: Bid Submissions, Evaluations and Denials*Meaningful Differences Among Products*Bid Strategies, Challenges and Results*Bid Denials and ViolationsCh 4: Medicare and Medicaid Plans Financial Performance*MA Financial Trends*MA Financial Results*Medicaid Plans Financial Results*Stock Performance*Leadership Changes at Medicare and Medicaid PlansCh 5: Costs and Premiums for MA and Part D*Payment Rate Cuts*Rising Premiums*Cost SavingsCh 6: MA Plan Audits*Data Validation*RADVCh 7: New MA Data Reporting Requirements*Regulatory Burdens*RACs*Encounter Data ReportingCh 8: MA Star Ratings and Other Quality Initiatives*Criteria and Measures for Quality Ratings*Quality Bonuses*Flagging Poor Performers*NCQA RankingsCh 9: Medicare Managed Care Enrollment Trends and Market Share DataCh 10: Medicare Part D Prescription Drug Data*Enrollment Data*Federal Retiree Drug Subsidy*Low-Income Subsidy*Directory of PDPs Sorted by Parent OrganizationCh 11: Regional Managed Medicare Marketplace DataCh 12: MA Plan Directory*MA, Cost, PACE and Demonstration PlansCh 13: Dir. of Federal and Regional Medicare RegulatorsCh 14: Managed Medicaid Business Strategies and Developments*Medicaid Plans Expansion*Contract Decisions*Mergers and Acquisitions*Payment Rate Changes*Legal ConflictsCh 15: Managed Medicaid Developments in States*State Initiatives*States With Implemented Medicaid 1115 Waiver ProgramsCh 16: Managed Medicaid Enrollment and Market Share Data*Managed Medicaid Enrollment Data*Managed Medicaid Market Share DataCh 17: Dir. of Medicaid PlansCh 18: Directories of State Medicaid Regulators
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Medicaid and Long Term Care in Michigan: Getting Good Care Without Going Broke
Medicaid and Long-Term Care in Michigan is an information and resource guide to the long-term care options available in Michigan, that addresses how to pay for that care without going broke. This invaluable book reveals state of the art techniques to qualify for Medicaid – the government program that pays for long-term nursing home care – while preserving one’s nest egg. Detailed text including case studies shows you how to keep what you’ve worked for your whole life in the event you or a loved one needs long-term care. Each chapter contains numerous websites and resources to help the reader obtain the best care available without losing everything.
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Medicaid And The Limits of State Health Reform
With the defeat of national health reform, many liberals have looked to the states as the source of health policy innovation. At the same time, many in the new Republican majority and several governors also support increased state control. In contrast, Michael S. Sparer convincingly argues that states by themselves can neither satisfy the liberal hope for universal coverage nor the conservative hope for cost containment. He also points to two critical drawbacks to a state-dominated health care system: the variation in coverage among states and the intergovernmental tension that would inevitably accompany such a change. Supporting his arguments, Sparer analyzes the contradictions in operations and policies between the New York and California Medicaid programs. For instance, why does New York spend an average of ,286 on its Medicaid beneficiaries and California an average of ,801? The answer, the author suggests, is rooted in bureaucratic politics. California officials enjoy significant bureaucratic autonomy, while the system in New York is fragmented, decentralized, and interest-group dominated. The book supports this conclusion by exploring nursing home and home care policy, hospital care policy, and managed care policy in the two states. Sparer’s dissection of the consequences of state-based reform make a persuasive case for national health insurance. Author note: Michael S. Sparer is Assistant Professor of Health Policy in the School of Public Health at Columbia University.
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Medicaid and Devolution: A View from the States
How much responsibility for providing health care to the poor should be devolved from the federal government to the states? Any answer to this critical policy question requires a careful assessment of the Medicaid program. Drawing on the insights of leading scholars and top state health care officials, this volume analyzes the policy and management implications of various options for Medicaid devolution.
Proponents of devolution typically express confidence that states can meet the challenges it will pose for them. But, as this book shows, the degree to which states have the capacity and commitment to use enhanced discretion to sustain or improve health care for the poor remains an open question. Their failure to attend to issues of politics, implementation, and management could lead to disappointment. Chapters focus on such topics as Medicaid financing, benefits and beneficiaries, long-term care, managed care, safety net providers, and the appropriate division of labor between the federal government and the states.
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Planning for Long-Term Care: Texas Medicaid (Texas Elder Law Portfolio)
This elder law portfolio covers paying for long-term care in Texas. Medicaid is the main focus, but the author covers other planning alternatives including using life insurance viaticals, long-term care insurance policies and the VA aid & attendance program. Don’t make the mistake of assuming that Medicare will pay for your long-term care needs. This portfolio discusses the financial crunch associated with nursing home care, and lays out viable approaches to meet those financial needs. It also covers Texas MERP (Medicaid Estate Recovery Program) and ways that you can legally protect your home.This elder law portfolio covers paying for long-term care in Texas. Medicaid is the main focus, but the author covers other planning alternatives including using life insurance viaticals, long-term care insurance policies and the VA aid & attendance program. Don’t make the mistake of assuming that Medicare will pay for your long-term care needs. This portfolio discusses the financial crunch associated with nursing home care, and lays out viable approaches to meet those financial needs. It also covers Texas MERP (Medicaid Estate Recovery Program) and ways that you can legally protect your home.
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3×6 Vinyl Banner – Vision Care, Medicaid and Medicare
- 100% Customizable on All our Sign Products
- Outdoor and Indoor Use, Up to 3 years
- 13oz Vinyl Banner, Gloss Finish
- All 4 Sides are Heat Welded, with Grommets Installed Every 2-3 feet along the Hems, across the Top and Bottom of the Banner
- Full Color, Digital CMYK UV Process at 1000dpi
This is a customizable Vision Care, Medicaid and Medicare vinyl banner. The size can be changed as can the sign material. Signs start at .99 for a 2’x2′ banner, with 3’x6′ being our most popular size and 10’x50′ being the largest vinyl banner we offer. Templates are easily adapted to our A-Frame Signs, Sidewalk Signs, Yard Signs, Magnets, and any of our other Banners and Signs. | Esigns.com
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Tabbies Medicaid Insurance Label (03090)
- Satisfaction Ensured
- Design is stylish and innovative.
- Functionality that is Unbeatable.
250 / Roll
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