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Medicaid directors, who have struggled to meet surging demand for services with plummeting revenues since the onset of the recession, are now faced with an additional 15 million Americans becoming eligible for the program. The newly passed Patient Protection and Affordable Care Act means major changes for programs, which, in the eyes of some, appear to be "mission impossible."
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As of July 2008, Maryland Medicaid expanded coverage of parents from about 30% of federal poverty level (FPL) to 116%, which was approved by the state's legislature during a special session in November 2007. This particular starting date proved to be significant.
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More than 3 million more people were enrolled in state Medicaid programs in June 2009 compared to the previous June, according to a February 2010 analysis by the Kaiser Family Foundation's Commission on Medicaid and the Uninsured (KCMU) in Washington, DC. This is the biggest one-year increase in enrollment since the program's early implementation in the 1960s. Also, for the first time since the early 1990s, enrollment has gone up year to year in all 50 states.
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In the past, North Carolina's dual-eligibles were unable to participate in the state's care coordination network, unless they opted in. An individual had to request to be assigned to a medical home, in which case they would receive enhanced services, such as disease management.
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This story is the first part of a two-part series on improving care of high-risk youth enrolled in Medicaid. This month, we cover the challenges of this population and new approaches being used. Next month, we examine the impact of improved quality on subsequent contacts with the juvenile justice system.
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The Speak Up program, sponsored by The Joint Commission (TJC), based in Oakbrook Terrace, IL, is designed to improve patient safety by teaching patients how to become involved in their health care, thus reducing medical errors.
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To manage chronic headaches, the sufferer must play a key role.
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Whether patients are being discharged from the hospital to home, another level of care, or transferred to the care of another health care provider, communication is crucial to ensure a safe discharge or transition, says Hussein Tahan, DNSc, MSN, RN, CNA, executive director, international health services at New York-Presbyterian Hospital in New York City.
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By working closely with a carefully chosen network of skilled nursing facilities, The Methodist Hospital in Houston has smoothed the transitions in care for patients being discharged to the facilities.
