Best Foot Forward’s Post

Are your managed health care care networks prepared for the proposed changes in Medicaid access standards? New legislation could mean: Stricter wait time mandates ⏳ Undercover network audits 🔎 Costly compliance penalties 💸 Is your health plan ready? Get the full breakdown and actionable insights in our latest blog post. https://lnkd.in/e7CuraqR #Medicaid #NetworkAdequacy #Compliance #Healthcare

Did you know that the reinstatement of Medicaid requirements and medical redetermination could lead to a 10% revenue loss? The reason is complex but critical to understand when overseeing Medicaid costs at a federally qualified health center (FQHC). Get ahead of this challenge with the insights you need – learn what you need to know about resumed medical redetermination in 2024: https://bit.ly/42ZsE9F #FQHC #MedicalBilling #Healthcare #MedicalCoding #MedicalCredentialing #MedicalBilling #BillingServices #RCM #RevenueCycleManagement #MedicaidReimbursement #Medicaid

#Medicaid coverage provides a vital lifeline and healthcare coverage for millions of Americans. The eligibility redetermination process since the end of the COVID-19 pandemic has uncovered stark structural challenges in this vital coverage and in particular it's enrollment process. This study in the latest issue of Health Affairs exposes a slightly different but no less important challenge - a substantial fraction of beneficiaries who did not even know they had coverage and thought they were uninsured. For the sake of our public health system and the patients and families who rely on it we need to do better! The Centers for Medicare & Medicaid Services will have a big task ahead.

Better integration between Medicare and Medicaid supports better outcomes for dually eligible individuals. Hear more on how ACAP D-SNPs are improving health: https://bit.ly/3Reixci    #Medicare #Medicaid #DualEligible 

Did you know that the reinstatement of Medicaid requirements and medical redetermination could lead to a 10% revenue loss? The reason is complex but critical to understand when overseeing Medicaid costs at a federally qualified health center (FQHC). Get ahead of this challenge with the insights you need – learn what you need to know about resumed medical redetermination in 2024: https://bit.ly/435pSzO #FQHC #MedicalBilling #Healthcare #MedicalCoding #MedicalCredentialing #MedicalBilling #BillingServices #RCM #RevenueCycleManagement #MedicaidReimbursement #Medicaid

Managed care in Medicaid, done right, can deliver value for states and beneficiaries, and promote health equity. My new paper shares some of the latest evidence and discusses what states can do to assure high performance. Thanks to Blue Cross Blue Shield Association for supporting the effort. #Medicaid #managedcare #healthcare #healthaccess

More #HealthcareReform on the margins: how states leverage #MedicaidManagedCare contracts & periodic procurement in ways to promote reducing health disparities. #Medicaid #SDOH #HealthcareTransformation #BehavioralHealth #PrimaryCare #PublicPrivatePartnerships #PublicPrivatePartnership #HealthEquity #CMS #HHS

Research in JAMA Health Forum underscores the benefits of better integration between Medicare and Medicaid for people who are dually eligible.     People whose Medicare and Medicaid plans were more highly integrated reported higher levels of satisfaction with their health plans, were more likely to report being treated respectfully by customer service, were more likely to know how to obtain information related to their health and healthcare, and reported less out-of-pocket spending.    These findings add to the growing body of knowledge on improving health for dually eligible individuals and are yet another reason I am proud to be working with the Association for Community Affiliated Plans (ACAP) and Medicare-Medicaid Integration Alliance to advance policy solutions.    More on the research findings in McKnight's Home Care: https://bit.ly/3zmVyG7     #Medicare #Medicaid #DualEligible  

Please share the exciting news regarding the expansion of the Federal Test to Treat Program to include FREE combo COVID-19 and influenza at-home tests and telehealth service for uninsured/underinsured adults and Medicaid, Medicare, VA, or Indian Health Service beneficiaries.  Here are the key points and promotional flyers:   1. Free Combo At-Home Tests: Uninsured/underinsured adults and those covered by Medicaid, Medicare, VA, or Indian Health Service can now receive complimentary combo COVID-19 and influenza at-home tests delivered directly to their homes. 2. Free Evaluation and Treatment: Adults, irrespective of their insurance status, who test positive for either COVID-19 or influenza can be evaluated for treatment at absolutely no cost. 3. Age Requirement: Participants must be 18 years or older to take advantage of this program.  4. Convenient Prescription Delivery: In the event of a positive test result, prescriptions can be promptly sent overnight to the individual's home without any additional cost. Alternatively, prescriptions can be called into a local pharmacy for convenient pickup.    5. Easy Registration: Encourage your patients and/or community members to visit www.test2treat.org to register and access further information about this program. This user-friendly platform provides comprehensive details about the testing process, treatment options, and additional resources. We believe that these enhancements to the Federal Test to Treat program, Medicaid Expansion, and advocating for increased immunizations for Influenza, COVID-19, and RSV will significantly contribute to the well-being of the communities we serve. Your support in spreading the word about these programs is crucial in ensuring that those in need can benefit from these services.  Thank you for your ongoing dedication to the health and welfare of our community. 

This is my first write-up based on one of my panels at VALUE 2024. Two quick takeaways... First, spoken word is a very effective medium of communicating a volume and depth of information that is difficult to replicate and/or match in a written format. Really folks, you have to be here to get the maximum value (pun not intended, but hopefully welcomed) from the insights that #behavioralhealth leaders share with us. Second, there is much more optimism for reimbursement innovation and steps toward value-based care in #Medicaid than in commercial health plans. Still, myths and misconceptions persist. #addictiontreatment #mentalhealth #managedcare #healthinsurance https://lnkd.in/e3jYPmA6