Socially Determined’s Post

A National Institutes of Health (NIH) study has found a disparity in Medicaid coverage for adult vision care. Of Medicaid enrollees, 6.5 million or 12% do not have coverage for routine adult eye exams, with 14.6 million or 27% without coverage for eyeglasses. The study is based on 2022-23 coverage policies as published in Health Affairs and provides a comprehensive, state-by-state analysis of adult Medicaid benefits for basic vision services in both fee-for-service and managed care, according to a news release. Read more: https://lnkd.in/ebAXrV9y

At SimplyHome, we understand the challenges middle-income families face in navigating the long-term services and supports (LTSS) gap. With millions unable to qualify for Medicaid, we're excited to see state-driven initiatives and innovative solutions discussed in this informative article from Health Affairs. Together, let's make independence and support accessible to all. Article preview below #SimplyHome #RemoteSupport #DSP https://lnkd.in/gP8x7aar...

On April 22, the 80/20 Provision within the Medicaid Access Rule was finalized and is expected to bring about significant nationwide changes in the upcoming years. What will the impact be, and what should you expect? Read our new blog for a recap of key changes, potential impacts, and initiatives you can join regarding the 80/20 Provision. 👉https://bit.ly/44SYGFf

62% of states do not take advantage of Medicaid 1115 waivers to test innovative SoDH strategies. Does yours? For my state, let's just say my representative is due to get a letter from me. ;-)   As 55% of our health outcomes are determined by conditions in which we are born, grow, live, work and age, i.e. Social Determinants of Health (SoDH). Medicaid, which, by design, serves primarily low-income populations with greater social needs. Therefore, isn't Medicaid one best agencies to help address SoDH. States just need to take advantage of CMS's framework of coverage including 1115 demonstration waivers. Lets work together to ensure all have access to healthy outcomes!   Check out if your state is utilizing 1115 waivers here: https://lnkd.in/gMh7MKPk. Take a look at the options for coverage of SoDH programs in the Nov 2023 CMS framework here: https://lnkd.in/gCZ3eeFh

Many states have taken action to help people get health care again during the Medicaid unwinding, but there’s far more progress that needs to be made. 23% of people who were disenrolled in Medicaid unwinding are still uninsured, according to a recent KFF survey. Policymakers can help their constituents to live a healthy life by expanding Medicaid, staffing Medicaid assistance centers in their states, and passing continuous enrollment for children. https://lnkd.in/esDNdfWr

Over the past several years, #MedicalRespite care has made significant progress in several states toward becoming a benefit Medicaid will pay for. This month on A Closer Look, our policy blog, we dive into this issue and take a look at two new issue briefs on the subject. The first brief — "Status of State-Level Medicaid Benefits for Medical Respite Care" — provides a current snapshot of state-level activity in the 14 states already paying for medical respite care through Medicaid — or actively getting ready to do so. The second brief — "CalAIM Implementation of Recuperative Care Services: Lessons Learned" — covers what's working well with California's implementation of the CalAIM recuperative care service, what remains a challenge, and advice for other states looking to add a statewide Medicaid benefit for recuperative care. Learn more and access the briefs here: https://lnkd.in/gZEyAV3d

Read our latest Case Study on how RedMane used Time Machine® to Streamline Puerto Rico Department of Health's Medicaid Eligibility Modernization. https://lnkd.in/gukzZ7aN #softwaretesting #virtualclocktesting #cloudmigration #testautomation #containerization

Centers for Medicare & Medicaid Services announces new model to advance integration in #BehavioralHealth. New model seeks to improve quality of care, access, and outcomes for people with #mentalhealth conditions and substance use disorders in Medicaid and Medicare. https://lnkd.in/dnrHkqeP #healthcare #UShealthcare

The number of people enrolled in both Medicare and Medicaid increased from 10 million in 2016 to more than 12 million in 2022. Learn more about ACAP’s work with the Medicare-Medicaid Integration Alliance to improve health care for people who are dually eligible. 👇    #Medicare #Medicaid #DualEligible #IntegratedCare 

We're committed to ensuring every child in Mississippi has access to essential healthcare. @GeorgetownCCF's latest report sheds light on the alarming number of children losing MEDICAID/CHIP coverage. It's imperative for parents and caregivers to apply or reapply to keep their children protected. Read the report here: https://bit.ly/3JEZmEt #MCJ #MississippiCenterForJustice