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4. 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 […]...
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9. Share of Cost is calculated independently for CMSP and Medi-Cal SOC policy also applies to County Medical Services Program (CMSP) providers and subscribers. Share of Cost is calculated independently for CMSP and Medi-Cal, however, the same subscriber income is included in both calculations. Therefore, the same medical expenses may be used to clear SOC for both programs.  Providers may apply the same services used to […]...
10. Important Reasons For Delaying Implementation Of The New ICD-10 Coding System Important Reasons For Delaying Implementation Of The New ICD-10 Coding System ...
11. Share of Cost, Preferred Provider Organizations (PPO) Share of Cost, Preferred Provider Organizations (PPO)...
12. DOJ to Intervene in Texas Case to Enforce Supreme Court’s Olmstead Decision On the 13th Anniversary of the Olmstead Decision, the U.S. Department of Justice (DOJ) is seeking to intervene in Steward, et al. v. Perry, et al., a case filed on behalf of thousands of Texans with developmental disabilities, to enforce their right under the Americans with Disabilities Act (ADA) to receive services provided by the state in […]...
13. Olmstead – Community Integration for Everyone Information about the Supreme Court’s decision in Olmstead v. L.C., a ruling that requires states to eliminate unnecessary segregation of persons with disabilities and make sure that they receive services in the most integrated setting possible. Includes information about the “Year of Community Living” and enforcement of title II of the Americans with Disabilities Act. […]...
14. Leading Corporate Disability Inclusion Practices – June 30 The Employer Assistance and Resource Network (EARN) will host a free webinar from 2 – 3:30 p.m. Eastern on June 30, 2011. During the webinar business leaders will talk about recruiting and hiring Veterans with disabilities and including people with disabilities as part of their diversity strategy. Check our share of cost site for additional […]...
15. Providers may collect SOC payments Providers may collect SOC payments from a subscriber on the date that services are rendered or providers may allow a subscriber to “obligate” payment for rendered services.  Obligating payment means the provider allows the subscriber to pay for the services at a later date or through an installment plan.  Obligated payments must be used by […]...