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Athos Alexandrou, director of Maryland's Medicaid pharmacy program, says the state will benefit fiscally from the health care reform legislation's drug rebate program, by getting a share of rebates for pharmaceuticals dispensed by managed care organizations (MCOs). On the other hand, money will be lost on the fee-for-service side.
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A "master planning" approach is needed to effectively leverage all of the incentives and resources for building statewide Health Information Exchange (HIE) capacity, says Lynn Dierker, RN, project director for the Chicago-based AHIMA Foundation's state-level HIE Consensus Project.
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This story is the second of a two-part series on improving care of high-risk youth enrolled in Medicaid. This month, we examine the impact of improved quality on subsequent contacts with the juvenile justice system.
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Medicaid managed care plans currently serve 21.6 million people, and this number is expected to increase significantly as a result of the health care reform legislation.
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As of 2014, Medicaid will cover everyone below 133% of the federal poverty level, including childless adults and others who are currently ineligible. However, the new health care reform law gives states the option of covering additional low-income adults right away.
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With an estimated 16 million additional Americans coming onto the Medicaid program as of 2014, having enough providers to ensure good access to care is certainly a legitimate concern.
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It is estimated that Alzheimer's disease affects 5.3 million Americans, making it difficult for them to function in some very simple, ordinary ways. Yet families are often caught off guard when the diagnosis is made, for they cannot imagine how the behavior of a loved one is altered as the disease progresses.
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Although no one is sure what the new health care legislation will look like when fully implemented, all agree it will give more people access to preventive and medical care.
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About 9,000 patients at Marshfield (WI) Clinic learn self-care and disease management over the telephone from registered nurses. There are three telephonic care management programs that include the anticoagulation service, heart failure care management, and dyslipidemia care management.
