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Community Care of North Carolina, an enhanced Primary Care Case Management (PCCM) program, uses a "population management" approach to manage high-cost Medicaid clients.
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Husbands or wives who care for spouses with dementia are six times more likely to develop the memory-impairing condition than those whose spouses don't have it, according to the results of a 12-year study led by Johns Hopkins, Utah State University, and Duke University.
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There is no question that Medicaid programs can use all the legitimate cost-cutting ideas they can get, but Idaho has gone the extra mile.
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While the Patient Protection and Affordable Care Act offers opportunities to enhance long-term care services in Medicaid, one obvious obstacle is fiscal.
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The growing cost of long-term care services in Medicaid, which currently accounts for 32% of total Medicaid spending, could double or even triple by 2030, according to a June 2010 report from the Washington, DC-based Deloitte Center for Health Solutions, Medicaid Long-term Care: The Ticking Time Bomb.
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The single biggest challenge with health care reform is "the increased resources needed to implement this legislation," says Leslie Clement, administrator of the Department of Health and Welfare's Division of Medicaid. "Idaho is currently experiencing budget deficits. Projections do not indicate that this will change much in the near future."
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Several initiatives designed to slow current cost trends in long-term care spending are highlighted in Medicaid Long-term Care: The Ticking Time Bomb, a report from the Washington, DC-based Deloitte Center for Health Solutions.
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Increased funding for Community Health Centers included in the health care reform legislation is expected to nearly double the number of patients seen by the centers over the next five years to nearly 40 million.
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The Patient Protection and Affordable Care Act (H.R. 3590) puts considerable focus on reducing hospital readmissions. Here are some excerpts and key provisions from the bill on this subject:
