Melanie Plautz’s Post

Are you prepared to effectively engage with the next wave of Medicare enrollees? Experian helps you understand their needs by uncovering what is important to them and potential barriers to health.

Are you prepared to effectively engage with the next wave of Medicare enrollees? Experian helps you understand their needs by uncovering what is important to them and potential barriers to health.

Are you prepared to effectively engage with the next wave of Medicare enrollees? Experian helps you understand their needs by uncovering what is important to them and potential barriers to health.

Medicaid enrollees who were eligible through Affordable Care Act (ACA) expansion tended to be older and in worse health than those who were eligible before the ACA was passed, according to an analysis of data from AHRQ's Medical Expenditure Panel Survey published in the Journal of Health Care for the Poor and Underserved. Researchers compared non-elderly adult enrollees who were previously eligible to newly eligible enrollees during two periods after the 2014 expansion: between 2014-16, and 2017-19. In both periods, higher percentages of newly eligible enrollees were aged 55 to 64 and reported being in fair or poor health compared with previously eligible enrollees. Access the abstract. #PatientCare https://lnkd.in/ezzyuRi9

There are two major options for Medicare coverage. Enrollees must choose one of the two, and then make additional selections. Both of the options offer coverage for the same core services, but at different costs and benefit amounts. #compareoptions #annualreview #wecanhelp #askushow

New study in #HSR from Katie Gifford MS, PhD et al examine the effects of a comprehensive, multiyear (2015–2020) statewide contraceptive access intervention in Delaware on the contraceptive initiation of postpartum Medicaid patients. FULL ARTICLE: https://lnkd.in/gEWaihMQ WHAT IS KNOWN The adoption of payment reform for immediate postpartum provision of LARC in Medicaid is widespread across the states. WHAT THIS STUDY ADDS The increases in IPP LARC resulted in more than doubling the share of women who had postpartum LARC claims within 60 days of a birth. CONCLUSION Direct reimbursement for IPP LARC, in combination with provider training, had a meaningful impact on the share of Medicaid-enrolled postpartum women with LARC claims. #HealthServicesResearch  AcademyHealth  Wiley   

🌟 Updates from Centers for Medicare & Medicaid Services 🌟 The latest FAQ from #CMS on #Medicaid Managed Care outlines crucial updates and clarifications aimed at enhancing the quality and delivery of care for Medicaid beneficiaries. Key highlights include: 🔹 Enhanced Provider Access: New guidelines to ensure timely access to care for all beneficiaries, with a particular focus on substance use disorder (SUD) services. 🔹 Integrated Care Models: Encouragement for states to adopt integrated care models for better coordination, especially crucial for addressing SUD. 🔹 Payment Reforms: Updates on payment methodologies to support value-based care, including provisions to improve SUD treatment funding. 🔹 Behavioral Health: Emphasis on improving behavioral health services and support, recognizing the critical intersection of mental health and SUD. These changes reflect a significant step towards a more efficient and beneficiary-focused Medicaid system. For more detailed insights, check out the full document below. #Healthcare #Medicaid #HealthPolicy #SubstanceUseDisorder #ValueBasedCare #IntegratedCare #BehavioralHealth

Medicare Coverage for Long-Term Care Costs: What to Expect Most Medicare enrollees are either 65 and older or have a qualifying disability. Of those beneficiaries many will need some type of long-term care during their lifetime. The harsh reality is that the out-of-pocket costs for long-term care can become very expensive considering seniors are now living longer lives due to advancements in pricey healthcare; underscoring the importance of understanding what Medicare will help pay for. To read the full article: https://lnkd.in/gtKpD5UR

Unhappy patients and unhappy providers. Healthcare is not one size fits all and #utilizationmanagement tools need to catch up with the times. Special thanks to HHS Office of Inspector General for calling this out. #managedcare #priorauthorization #Medicare #MedicareAdvantage