Posts tagged "HHS"
This week the Supreme Court will hear oral arguments in the case of King v. Burwell, where the continued existence of the Affordable Care Act (ACA) is once again in jeopardy. Regardless of the merits of the case, I think we can all agree that media coverage of the ACA has exclusively been focused on its emphasis... Read more »
As predictable as an episode of “I Love Lucy“, this past week saw many reactions to the just published report issued by the Office of Inspector General at HHS on “Adverse Events in Skilled Nursing Facilities.” By now, the media mill has chewed through the report and spat out the juicy bits (here), while a... Read more »
At the conclusion of my last blog post I posed the question that since State Medicaid programs are currently deficient in assuring compliance with quality standards in the delivery of HCBS in ALF settings, is it reasonable to assume that MCOs will be better suited to not only that task, but also with regards to... Read more »
As the Illinois Department of Healthcare and Family Services (HFS) continues at full gallop to enroll older adult Medicaid beneficiaries into managed care organizations (MCOs) during Q1 of 2013, many remain skeptical at how home and community based services (HCBS) programs will be measured and monitored and whether incentives will be aligned to meet desired goals. HCBS... Read more »
Who are dual eligibles? Dual eligibles are those beneficiaries who are enrolled in both the Medicare and Medicaid programs. They are a population of nine million and includes some of the sickest and most vulnerable individuals covered by the two programs. Not surprisingly, they have on average, greater health and long term services and support needs... Read more »