2009 Medicaid Transformation Program Review
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Author | : Kansas Health Policy Authority |
Publisher | : |
Total Pages | : 9 |
Release | : 2010* |
Genre | : Health care reform |
ISBN | : |
KHPA contracts with HP Enterprise Services (formerly EDS) for the operations of its Surveillance and Utilization Review Subsystem (SURS) to meet the federal mandates contained in 42CFR455 and 42CFR456 and to fulfill its program management objectives.
Author | : Kansas Health Policy Authority |
Publisher | : |
Total Pages | : 14 |
Release | : 2010* |
Genre | : Health care reform |
ISBN | : |
Kansas Medicaid maintains an out-of-state program for situations which require a Kansas Medicaid beneficiary to receive services in another state. The out-of-state program, described in this review, includes only those services provided to individuals enrolled in the fee for service program. The Managed Care contractors manage the out-of-state services provided to the HealthWave population.
Author | : Kansas Health Policy Authority |
Publisher | : |
Total Pages | : 26 |
Release | : 2010* |
Genre | : Clinics |
ISBN | : |
The primary objectives of this review are to describe the role of Federally Qualified Health Centers (FQHCs) in the Medicaid program, to describe the role of Medicaid in supporting this essential piece of the health care safety net, and to review FQHC payment policy and oversight. Other important questions, such as the role of FQHCs in advancing the medical home, or innovations in combining mental and physical health services are addressed in other venues.
Author | : Kansas Health Policy Authority |
Publisher | : |
Total Pages | : 10 |
Release | : 2010 |
Genre | : Child mental health services |
ISBN | : |
Kansas Medicaid maintains an out-of-state program for situations which require a Kansas Medicaid beneficiary to receive services in another state. The out-of-state program, described in this review, includes only those services provided to individuals enrolled in the fee for service program. The Managed Care contractors manage the out-of-state services provided to the HealthWave population.
Author | : Kansas Health Policy Authority |
Publisher | : |
Total Pages | : 10 |
Release | : 2010 |
Genre | : Health care reform |
ISBN | : |
Third Party Liability (TPL) is a federally required program that helps to ensure Medicaid and the State are the payors of last resort. Liable third parties may include: private insurance carriers, work-related health insurance, medical support from absent parents, Medicare, providers, automobile insurance, court judgments or settlements from a liability insurer, worker's compensations, first party probate estate recoveries, and occasionally a beneficiary who has received payments from their health plan, that should have been paid directly to the Medicaid Agency. This program review will only deal with private insurance carriers, work related health insurance and Medicare.
Author | : Kansas Health Policy Authority |
Publisher | : |
Total Pages | : 2 |
Release | : 2009 |
Genre | : Health care reform |
ISBN | : |
KHPA has been engaged for the past two years in a comprehensive effort to review and improve each major component of Medicaid and SCHIP. The overall purpose of the Medicaid Transformation Process is to provide a regular and transparent program reviews to monitor, assess, diagnose, and address policy issues in each major program area within Medicaid. The preparation of these reviews is designed to serve as the basis for KHPA budget initiatives in the Medicaid program on an ongoing basis. The following recommendations are based on findings from 14 program reviews completed in 2008; they address issues related to decreasing expenditures, addressing reimbursement, expanding coverage, and enhancing program oversight. An additional 12 reviews will be completed for 2009.
Author | : United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment |
Publisher | : |
Total Pages | : 938 |
Release | : 1996 |
Genre | : Medical |
ISBN | : |
Author | : Roger Stark |
Publisher | : |
Total Pages | : 24 |
Release | : 2009 |
Genre | : Health care reform |
ISBN | : |
Author | : United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Domestic Policy |
Publisher | : |
Total Pages | : 120 |
Release | : 2009 |
Genre | : Family & Relationships |
ISBN | : |
Author | : Paul Starr |
Publisher | : |
Total Pages | : 532 |
Release | : 1982 |
Genre | : History |
ISBN | : 9780465079353 |
Winner of the 1983 Pulitzer Prize and the Bancroft Prize in American History, this is a landmark history of how the entire American health care system of doctors, hospitals, health plans, and government programs has evolved over the last two centuries. "The definitive social history of the medical profession in America....A monumental achievement."—H. Jack Geiger, M.D., New York Times Book Review