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1. Lessons For The New CMS Innovation Center From The Medicare Health Support Program The Patient Protection and Affordable Care Act establishes a new Center for Medicare and Medicaid Innovation in the Centers for Medicare and Medicaid Services (CMS). The center is intended to enhance the CMS’s role in promoting much-needed improvements in payment and service delivery. Lessons from the Medicare Health Support Program, a chronic care pilot program […]...
2. Accountable Care Organizations: The Case For Flexible Partnerships Between Health Plans And Providers Under the Affordable Care Act, the new Center for Medicare and Medicaid Innovation will guide a number of experimental programs in health care payment and delivery. Among the most ambitious of the reform models is the accountable care organization (ACO), which will offer providers economic rewards if they can reduce Medicare’s cost growth in their […]...
3. Share of Cost, Got Long-Term Care Insurance? Dealing with Rate Increases? Share of Cost, Got Long-Term Care Insurance? Dealing with Rate Increases?...
4. Share of Cost Health Care Reform – What’s Ahead in 2011? Share of Cost Health Care Reform - What's Ahead in 2011?...
5. Two Elder Women Go on Youtube Demanding Congress Cap LTC Insurance Fees Two Elder Women Go on Youtube Demanding Congress Cap LTC Insurance Fees...
6. Share of Cost, Can I Buy a ‘Home Care Only’ Long-Term Care Insurance Policy?  There don’t appear to be any companies left selling home care only long term care insurance policies in California. In fact, many of the companies selling long-term care insurance have withdrawn from the market, although some are still some left and selling in California. I suggest you contact an agent in your community who has […]...
7. The Lessons of Medicare’s Prospective Payment System Show That the Bundled Payment Program Faces Challenges Policy makers have been trying to replace Medicare’s fee-for-service payment system for years with approaches that pay one price for an aggregation of services. The intent is to reward providers for offering needed care in the most appropriate and cost-effective manner. Medicare’s first payment change designed to accomplish such a change was the hospital prospective […]...
8. Several Medicare Cost Changes for New Beneficiaries in the President’s Budget Proposal Several Medicare Cost Changes for New Beneficiaries in the President’s Budget Proposal...
9. Speaks to CalPERS Long-Term Care Rate Increases Speaks to CalPERS Long-Term Care Rate Increases...
10. Share of Cost in California What is Share of Cost? “Share of Cost” is the amount you agree to pay for health care before Medi-Cal starts to pay. This is called “meeting your share of cost.” Your Share of Cost is a set amount based on how much money you make. You only need to meet your Share of Cost […]...
11. Share of Cost, Long-Term Care Premium Protection and Other Key Health Care Bills Pass California Legislature A number of important health care bills passed the California State Legislature last week. One bill, AB 999 authored by Assembly Aging and Long-Term Care Committee Chair Mariko Yamada (D-Davis) protects consumers from excessive premium rate increases by modifying the long-term care insurance (LTC) premium rate development process. It also helps consumers make more informed choices […]...
12. Share of Cost, Variation In Health Outcomes: The Role Of Spending On Social Services, Public Health, And Health Care, 2000-09 Share of Cost, Variation In Health Outcomes: The Role Of Spending On Social Services, Public Health, And Health Care, 2000-09...
13. Long Term Care Share of Cost Providers receiving an eligibility verification message (see following example) that indicates a subscriber has an LTC SOC should not  clear the SOC online.  Subscribers with aid codes 13, 23, 53 and 63 must have their LTC SOC cleared on the claim.  The LTC facility  includes the LTC SOC amount for Medi-Cal-covered services on the  Payment […]...
14. Share of Cost, The Harmful Short-Term Effects Of Alcoholism On Memory Functioning Share of Cost, The Harmful Short-Term Effects Of Alcoholism On Memory Functioning...
15. Children With Autism Suffer More Severe Symptoms When Born Either Preterm Or Post-term Children With Autism Suffer More Severe Symptoms When Born Either Preterm Or Post-term...