Articles Tagged With: Medicaid
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Base Permanent Contraception Counseling on Patients’ Preferences
Increasingly, reproductive health providers are meeting with patients who are interested in a permanent contraceptive method. Roadblocks to these procedures include a patient’s personal concerns about the procedure or future regret, as well as insurance/cost concerns, and clinicians who turn them down because they are too young or have no or too few children.
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Permanent Contraception Options More Appealing After Abortion Ruling
The results of recent studies and reports revealed a spike in people seeking permanent contraception procedures in the United States. This trend may be the result of the Supreme Court’s 2022 decision to overturn Roe v. Wade, which said there was no constitutional right to abortion care.
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Nurse Care Coordinators Are Valuable in Federally Qualified Health Centers
A Federally Qualified Health Center that invested in a registered nurse care coordination program in a primary care setting found the position provided a valuable service and was cost-effective.
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Medicaid Beneficiaries Often Lack Primary Care Access to Contraception, Especially LARC
A study of more than 250,000 primary care physicians revealed that fewer than half prescribed hormonal birth control methods and only 10% provided intrauterine devices or implants to patients with Medicaid coverage.
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Care Collaboration Helps Patients with At-Risk Heart Failure Illness
Researchers found social support and care affordability are important to obtain better outcomes among patients with heart failure and reduced ejection fraction.
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Patients Who Experience Homelessness Face Multiple Barriers to Contraceptive Care
Homelessness adds multiple barriers to contraception counseling and care. These patients often cannot access OB/GYNs or family planning clinics because of transportation and insurance obstacles. It is important for all clinicians to ask patients experiencing homelessness about their contraceptive needs and to counsel them on all methods.
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Discharge Navigators Facilitate More Efficient Transitions
SNF beds were limited in one hospital’s region, even before the COVID-19 pandemic decimated nursing home staffing across the United States. ECU Health’s solution has been to assign a discharge navigator to work on obtaining authorizations for transferring patients to SNFs. Instead of waiting for the SNF to obtain authorization for a particular patient, the discharge navigator handles this task.
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Tennessee Develops EMS Response Program for Low-Acuity Medicaid Patients
The program, modeled after ET3, once implemented statewide, is estimated to reduce unnecessary visits to the ED, ease crowding of emergency medical services, and generate more than $8 million annually in Tennessee Medicaid program savings.
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High-Risk Patients Benefit From Direct Social Needs Assistance
A case management team can help high-risk patients access social assistance. But to be most effective, they need to help clients access psychosocial support and direct assistance for social needs. A health system’s program reduced inpatient hospitalizations by 11% in a randomized study.
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How to Fight Denials
Case managers do not have to settle for denials. In fact, they can use their skills to overturn denials. There are certain tactics that can help in this process, and some case management professionals even specialize in this.