Medicaid managed care - PowerPoint PPT Presentation


Medicaid Managed Care Trends in Minnesota's Health Market

Explore the unique landscape of Minnesota's Medicaid managed care system, highlighting key trends for providers and health plans, financial analysis, hospital interactions, and a comparison with other states. Discover the differences in Minnesota's healthcare structure, including limited presence of

1 views • 19 slides


Florida Medicaid Overview

Florida Medicaid is a crucial program providing health care coverage to low-income individuals in the state. The program is administered by the Florida Commission on Mental Health and Substance Abuse, overseeing core functions to ensure high-quality care, transparency, and cost-effectiveness. Medica

0 views • 37 slides



Cloud Managed Services Market

the growing need for cloud services in the BFSI sector, and the increasing importance of managed cloud services in the healthcare sector. Moreover, the increasing focus on customized and managed cloud services and integration of cloud technologies with in-house apps provide significant opportunities

0 views • 3 slides


Medicaid and CHIP Coverage of New Treatments for Sickle Cell Disease

This communication highlights the Medicaid and Children's Health Insurance Program (CHIP) coverage of new treatments for Sickle Cell Disease (SCD), focusing on the approval of milestone gene therapies, Casgevy and Lyfgenia. It discusses the commitment of CMS to improving healthcare access, quality,

2 views • 13 slides


Understanding Racial and Ethnic Disparities in Health Care Utilization and Access

This presentation explores disparities in health care access among Medicare beneficiaries, focusing on the impact of loss of Medicaid and supplemental insurance eligibility. It discusses the challenges faced by Black and Hispanic individuals above the Medicaid cutoff, their lower likelihood of havin

1 views • 12 slides


December 2023 Medicaid Forecast update

Indiana Family and Social Services Administration released the December 2023 update for Medicaid forecasts, projecting expenditures and funding through SFY 2025. The report includes detailed information on program areas, growth rates, federal funds, and assistance funding needs, highlighting key cha

0 views • 11 slides


Medicaid Dentist Westminster: Find a Dentist Near Me Who Takes Medicaid

Without insurance, many people are unable to pay for a dental examination. Medicaid patients may encounter difficulties as they search for a Medicaid Dentist Near Me\u2014a dentist who takes Medicaid. For those who cannot afford medical care, the government offers health insurance through Medicaid.

2 views • 5 slides


Finding-Your-Smile-Best-Medicaid-Dentist-Near-Me-in-Westminster

Dental & Implant Centers of Colorado - Westminster is your go-to Medicaid Dentist Near Me for exceptional dental care. Our clinic offers a full range of dental services, from preventive care to complex treatments, all covered under Medicaid. We pride ourselves on a patient-centric approach, providin

3 views • 6 slides


Managed Security Services Market to Reach $75.1 Billion by 2030

Managed Security Services Market by Type (Managed Detection and Response, Managed Identity and Access Management), Security Type (Cloud Security, Endpoint Security), Sector (BFSI, and Healthcare), and Geography\u2014Global Forecast to 2030.\u2019\n

0 views • 6 slides


Electronic Visit Verification Overview

The Electronic Visit Verification (EVV) system is a requirement under the Federal 21st Century Cures Act for verifying Medicaid-covered Personal Care Services, Supportive Home Care, and Home Health Care. EVV utilizes technology to ensure authorized services are provided, with workers recording detai

0 views • 19 slides


Medicaid Expansion and Business Community Impact

Medicaid expansion plays a crucial role in the business community, supporting job creation, economic activity, and the overall stability of healthcare systems. It offers vital health coverage to low-income individuals, bridging the gap for those ineligible for traditional Medicaid but unable to affo

3 views • 33 slides


Medi-Cal Managed Care Advisory Group Meeting - June 8, 2023

The Medi-Cal Managed Care Advisory Group Meeting scheduled for June 8, 2023, will focus on various topics including renewals/redeterminations, 2024 transition policy guide, transportation benefits, community health workers, and more. The meeting will feature key speakers providing insights and updat

0 views • 82 slides


Ensuring Rights and Community Living for Medicaid-funded Home-Based Services

The Home and Community Based Services Settings Rule under Medicaid ensures individuals receiving services have full access to community living benefits, including autonomy, privacy, dignity, and choice in decision-making. The rule emphasizes person-centered planning, integration with the community,

0 views • 23 slides


Medicaid Management Information System Replacement Project Communications Guide

Continuously updated Communications Reference Guide for the Medicaid Management Information System Replacement Project, providing key messages, timelines, and tools for clear and consistent communication within the Mississippi Division of Medicaid. Designed to keep team members informed and aligned

0 views • 25 slides


Understanding Targeted Case Management (TCM) in Connecticut

Targeted Case Management (TCM) in Connecticut is a set of services aimed at assisting individuals with serious chronic mental illness, including substance use disorders. TCM providers play a crucial role in helping clients access medical, clinical, social, and educational services to enhance their q

1 views • 72 slides


Overview of Medicaid Administrative Claiming (MAC) for NWD/ADRC Presentation

This presentation template is designed to engage state-level partners, such as Medicaid agencies and aging units, in understanding the benefits of Medicaid Administrative Claiming for the NWD System. It covers the infrastructure development, Medicaid agency's role, and addresses questions and concer

0 views • 19 slides


Medicaid Mental Health Rehabilitation Program Enhancements Overview

Medicaid's Mental Health Rehabilitation (MHR) program underwent significant enhancements, spearheaded by a collaborative effort involving MHR providers, Managed Care Organizations (MCOs), and legislative bodies in Louisiana. The reforms aimed to refine services like Community Psychiatric Supportive

0 views • 23 slides


Understanding Managed Elasticsearch for Dispatch Services

Discover the benefits of using Managed Elasticsearch for dispatch services, including efficient search capabilities, log searching, and course searching. Learn about Elasticsearch's distributed search and analytics engine, built upon Apache Lucene, with a RESTful interface. Explore the challenges fa

0 views • 12 slides


Georgia Managed Care Update Forum Overview

The Georgia Managed Care Update Forum is a crucial event discussing market trends, value-based care, and top players in the managed care industry. Key players like Anthem BCBSGA and UHC are highlighted, including insights on their goals and market footprints. Topics such as product portfolios, marke

0 views • 26 slides


Importance of Medicaid in Jails: Enhancing Healthcare Access

State Health Partners focuses on improving healthcare access for individuals with limited resources or complex needs, especially within the context of Medicaid and jails. Medicaid plays a crucial role in supporting jails to provide healthcare services, impacting cost savings, improved health outcome

0 views • 14 slides


Medicaid Coverage Expansion Initiatives in the District of Columbia

The Department of Health Care Finance in the District of Columbia plays a crucial role in administering various public health insurance programs, including Medicaid. With a vision to provide necessary support to all residents for active engagement in their health, the department focuses on improving

0 views • 17 slides


Accessing Healthcare for Children: Important Information on Medicaid Programs

Learn about accessing healthcare for children through important Medicaid programs such as Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Ohio's Medicaid in Schools Program, and Disability Rights Ohio's Medicaid Pro Bono Program. Disability Rights Ohio is a non-profit organization ad

1 views • 40 slides


Managed Security Services Market: How SMEs are Adopting MSS for Enhanced Cyberse

Managed Security Services Market by Service Type (Managed Detection and Response, Managed Identity and Access Management), Security Type (Cloud Security, Endpoint Security), Sector (BFSI, and Healthcare), and Geography - Global Forecast to 2030\n

0 views • 3 slides


Medicaid Coverage for Postpartum Women and Doulas - Learning Session Overview

Explore how state Medicaid programs are extending postpartum coverage for women beyond the standard 60-day period and paying for doula services. Learn about current policies, options for coverage extensions, and legal mechanisms at the state level. Discover efforts to improve maternal health outcome

0 views • 16 slides


Developing a Managed Care Strategy for Orthopaedic Practices in the Southeast

Strategic Healthcare Partners, LLC specializes in assisting healthcare providers, including orthopaedic executives, in establishing and managing effective managed care strategies. This presentation covers key topics such as Medicare Advantage, monitoring payer performance, vetting new carriers, cont

0 views • 36 slides


Expanding Medicaid: West Virginia's Healthcare Landscape

The Affordable Care Act (ACA) and its impact on Medicaid expansion in West Virginia is examined, focusing on benefits for low-income individuals. The Supreme Court's ruling on the ACA and Medicaid extension options for the state are discussed, emphasizing the need for careful consideration in light

0 views • 43 slides


Delaware Division of Medicaid: Unwinding from COVID-19 Public Health Emergency

Delaware Division of Medicaid and Medical Assistance (DMMA) is preparing to transition back to typical operations post the COVID-19 Public Health Emergency. The plan includes communication strategies, efficient workload management, and reducing the risk of coverage loss. Goals focus on member/stakeh

0 views • 8 slides


Impact of State Medicaid Expansions on Mortality and Access to Care Among Adults

The study explores the effects of state Medicaid expansions on all-cause mortality, insurance coverage, access to care, and self-reported health among adults. By comparing states that expanded Medicaid to those that did not, the research aims to shed light on the impact of such policy decisions.

0 views • 25 slides


Medicaid Coverage Gap Impact in Non-Expansion States

The coverage gap in states without Medicaid expansion affects approximately 28.5 million uninsured nonelderly individuals, with the majority being low-income adults and people of color. The Medicaid expansion under the ACA aimed to fill long-standing gaps in coverage but became a state option due to

0 views • 14 slides


Understanding HIP 2.0: A Detailed Overview

HIP 2.0 is a program in Indiana that replaces traditional Medicaid for non-disabled adults, offering three pathways to coverage: HIP Link, HIP Plus, and HIP Basic. Eligibility includes Indiana residents aged 19 to 64 with incomes under 138% of the federal poverty level. The program provides various

1 views • 16 slides


Understanding HIP 2.0: Replacing Traditional Medicaid for Indiana Residents

HIP 2.0 is a program in Indiana that replaces traditional Medicaid for non-disabled adults aged 19-64 with incomes under 138% of the federal poverty level. It offers three pathways to coverage - HIP Link, HIP Plus, and HIP Basic. Eligible individuals get access to enhanced benefits including dental

0 views • 16 slides


Medicaid Program Expenditure Analysis August 2022

Analysis of Medicaid program expenditures in August 2022 reveals interesting insights. Total enrollees in August 2022 were 1,358,275 with total expenditures amounting to $304,664,691.2. The report delves into expenditure distribution across various services, top drug classes per fiscal year, and Med

0 views • 12 slides


Revsyntech Managed Service Provider, IT Solutions, Best Managed Service Provide

Managed Service Provider, IT Solutions, Best Managed Service Provider Company in Noida, Managed Service Provider in USA, Cloud Solutions, Cybersecurity, IT Support\n

0 views • 1 slides


Medicaid Program Overview: Maternal and Infant Advocacy

This event features a presentation by Gretchen Hammer from the Public Leadership Group on Medicaid program structure and design elements, focusing on maternal and infant advocacy. Learn about eligibility criteria, available benefits, care providers, delivery systems, payment mechanisms, and quality

0 views • 18 slides


Improving Copayment Tracking for Vermont Medicaid Members

The Department of Vermont Health Access (DVHA) is enhancing its copayment tracking system for Vermont Medicaid members. Starting April 1, 2023, a new system will ensure members are not charged more than 5% of their household income on copayments. Copayment policies remain unchanged, but the process

0 views • 4 slides


Nevada Medicaid Behaviorally Complex Care Program Overview

The Behaviorally Complex Care Program (BCCP) in Nevada provides specialized care for Medicaid recipients with medically-based behavior disorders. Established in 2014, the program offers tiered rate services for individuals posing a danger to themselves or others. Eligible recipients must be over 18

0 views • 16 slides


Strategic Insights for Managed Care in Healthcare

Explore strategic considerations for managed care in the healthcare sector, including market analysis, contract renegotiation, and practice positioning. Learn about key factors influencing managed care strategy and effective approaches for navigating payer relationships and operational challenges.

0 views • 30 slides


Medicaid Program for Long-Term Care Services in Missouri

The Medicaid program administered by the Department of Health and Senior Services in Missouri provides long-term care services for elderly and disabled individuals. The program evaluates participants' needs based on a 21-point count to determine eligibility for nursing home or home and community-bas

0 views • 38 slides


Understanding Medicaid and Your Local Diversion & Transition Team

Learn about Medicaid, important acronyms, when to consider applying, what Medicaid can do, and who should make a referral. Find information on services, eligibility, and how Medicaid can support long-term care needs such as nursing facilities and assisted living. Explore resources for individuals un

0 views • 44 slides


Florida Medicaid Behavioral Health Services Overview

Florida Medicaid offers a comprehensive behavioral health benefit package that includes community and inpatient services, therapeutic foster care, and specialized treatment services for members under 21. The Statewide Medicaid Managed Care program ensures access to critical behavioral health service

0 views • 8 slides