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6. Medicaid Fraud Control Units: investigation and prosecution of fraud and beneficiary abuse in Medicaid personal care services

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, December 2017
Subject(s):
Fraud -- prevention & control
Homemaker Services
Medicaid
Elder Abuse
Government Regulation
State Government
Humans
United States
United States. Department of Health and Human Services.

9. Opioids in Ohio Medicaid: review of extreme use and prescribing

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, July 2018
Subject(s):
Analgesics, Opioid -- therapeutic use
Inappropriate Prescribing
Medicaid
Opioid-Related Disorders -- epidemiology
Opioid-Related Disorders -- prevention & control
Prescription Drug Misuse
Analgesics, Opioid -- administration & dosage
Humans
Ohio
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

14. States follow a common framework in responding to breaches of Medicaid data

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, October 2018
Subject(s):
Computer Security
Fraud -- prevention & control
Medicaid
Federal Government
Health Records, Personal
State Government
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

19. Sources and preparation of data used in HISIM2: CBO’s health insurance simulation model

Author(s):
Banthin, Jessica, author
Kim, Geena, author
Hendel, Keren, author
Minicozzi, Alexandra, author
Hopkins, Ben, author
Malloy, Eamon, author
Percy, Allison, author
Publication:
[Washington, DC] : Congressional Budget Office, April 2019
Subject(s):
Insurance, Health
Models, Theoretical
Consumer Behavior
Cost Sharing
Demography
Eligibility Determination
Employment
Health Benefit Plans, Employee
Income
Medicaid
Humans
United States

20. Projecting demand for the services of primary care doctors:

Author(s):
Duchovny, Noelia, author
Trachtman, Sam, author
Werble, Ellen, author
Publication:
Washington, D.C. : Congressional Budget Office, May 2017
Subject(s):
Health Services Needs and Demand -- statistics & numerical data
Physicians, Family -- supply & distribution
Primary Health Care -- statistics & numerical data
Primary Health Care -- trends
Federal Government
Forecasting
Health Manpower -- statistics & numerical data
Health Manpower -- trends
Health Policy
Health Services Needs and Demand -- trends
Insurance Coverage
Insurance, Health, Reimbursement
Medicaid
Medicare
Physicians, Family -- education
Population Dynamics
Population Growth
Telemedicine
Humans
United States

22. Beyond fair hearings: how five states help Medicaid managed care beneficiaries resolve disputes with health plans

Author(s):
Stevens, Beth, author
Archibald, Nancy, author
Foster, Leslie, 1968-, author
Publication:
Washington, D.C. : Office of Disability, Aging and Long-Term Care Policy, Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, [2001]
Subject(s):
Managed Care Programs -- organization & administration
Medicaid
Dissent and Disputes
Insurance Claim Review
United States

23. Coordination of care for persons with disabilities enrolled in Medicaid managed care: a conceptual framework to guide the development of measures

Author(s):
Sofaer, Shoshanna, author
Kreling, Barbara, author
Carmel, Martha, author
Publication:
Washington, D.C. : Office of Disability, Aging, and Long-Term Care Policy, Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, [2000]
Subject(s):
Disabled Persons
Rehabilitation -- economics
Delivery of Health Care -- organization & administration
Medicaid
Managed Care Programs -- organization & administration
Program Evaluation
United States

24. Environmental scan to identify the major research questions and metrics for monitoring the effects of the Affordable Care Act on safety net hospitals

Author(s):
Cunningham, Peter J., author
Felland, Laurie, author
Publication:
[Washington, D.C.] : Center for Studying Health System Change, June 2013
Subject(s):
Safety-net Providers -- economics
Economics, Hospital
Health Care Reform
Medically Uninsured
Medicaid
United States
United States.

25. Innovative Medicaid managed care coordination programs for co-morbid behavioral health and chronic physical health conditions: final report

Publication:
Washington, D.C. : HHS Office of the Assistant Secretary for Planning and Evaluation, Office of Disability, Aging, and Long-Term Care Policy, May 2015
Subject(s):
Medicaid
Managed Care Programs -- organization & administration
Patient Care Management
Organizational Innovation
Chronic Disease -- economics
United States

26. Trends in enrollment, offers, eligibility and take-up for employer-sponsored insurance: private sector, by state Medicaid expansion status, 2008-2015

Author(s):
Cooper, Phil, author
Davis, Karen, author
Miller, G. Edward, author
Publication:
Rockville, MD : Agency for Healthcare Research and Quality, February 2017
Subject(s):
Eligibility Determination
Health Benefit Plans, Employee -- statistics & numerical data
Health Benefit Plans, Employee -- trends
Health Benefit Plans, Employee -- utilization
Medicaid
Forecasting
Health Care Surveys
Private Sector
State Government
Humans
United States
United States.
Medical Expenditure Panel Survey (U.S.)

27. Federal subsidies for health insurance coverage for people under age 65: 2017 to 2027

Publication:
Washington, D.C. : Congressional Budget Office, September 2017
Subject(s):
Cost Sharing -- statistics & numerical data
Cost Sharing -- trends
Insurance Coverage -- statistics & numerical data
Insurance Coverage -- trends
Insurance, Health -- statistics & numerical data
Insurance, Health -- trends
Adult
Child
Child Health Services
Federal Government
Forecasting
Health Benefit Plans, Employee
Infant
Medicaid
Medically Uninsured -- statistics & numerical data
Medicare
Middle Aged
State Government
Humans
United States
United States.
State Children's Health Insurance Program (U.S.)

28. Health care: telehealth and remote patient monitoring use in Medicare and selected federal programs : report to Congressional committees

Publication:
Washington, D.C. : U.S. Government Accountability Office, April 2017
Subject(s):
Health Services Accessibility
Medicare
Telemedicine
Telemetry
Insurance Coverage
Insurance, Health, Reimbursement
Medicaid
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

30. Community-based long-term care: Wisconsin stays ahead : site visit report

Publication:
Washington, D.C. : George Washington University, 2007
Subject(s):
Community Health Services -- organization & administration
Delivery of Health Care -- organization & administration
Home Care Services -- organization & administration
Long-Term Care -- organization & administration
Aged
Caregivers
Chronic Disease
Disabled Persons
Family
Medicaid
Medical Informatics
Medicare
Mental Health Services
Rural Health Services
Humans
United States
Wisconsin

32. Medicaid expansion: behavioral health treatment use in selected states in 2014 : report to Congressional requesters

Publication:
Washington, D.C. : U.S. Government Accountability Office, June 2017
Subject(s):
Medicaid
Mental Disorders -- drug therapy
Mental Disorders -- therapy
Mental Health Services -- utilization
Analgesics, Opioid -- therapeutic use
Forecasting
Mental Health Services -- trends
Opioid-Related Disorders
Humans
Iowa
New York
Washington
West Virginia
United States
United States.

33. Medicaid managed care: CMS should improve oversight of access and quality in states' long-term services and supports programs : report to Congressional requesters

Publication:
Washington, D.C. : U.S. Government Accountability Office, August 2017
Subject(s):
Community Health Services
Home Care Services
Long-Term Care
Managed Care Programs
Medicaid
Federal Government
Government Regulation
Health Services Accessibility
Quality Assurance, Health Care
State Government
Humans
United States
Centers for Medicare & Medicaid Services (U.S.)

34. Medicare and Medicaid: CMS needs to fully align its antifraud efforts with the fraud risk framework : report to Congressional addressees

Publication:
Washington, DC : United States Government Accountability Office, December 2017
Subject(s):
Fraud -- prevention & control
Health Insurance Exchanges
Medicaid
Medicare
Risk Assessment
Risk Management
Fraud -- economics
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)
State Children's Health Insurance Program (U.S.)

35. Medicaid: further action needed to expedite use of national data for program oversight : report to Congressional requesters

Publication:
Washington, DC : United States Government Accountability Office, December 2017
Subject(s):
Data Collection
Government Regulation
Information Systems
Medicaid
Federal Government
Fraud -- prevention & control
Mandatory Reporting
State Government
Humans
United States
Centers for Medicare & Medicaid Services (U.S.)

36. Medicaid: CMS should take additional steps to improve assessments of individuals' needs for home- and community-based services : report to Congressional requesters

Publication:
Washington, DC : United States Government Accountability Office, December 2017
Subject(s):
Community Health Services
Eligibility Determination -- methods
Health Services Needs and Demand
Home Care Services
Medicaid
Needs Assessment
Conflict of Interest
Managed Care Programs
State Government
Humans
United States
Centers for Medicare & Medicaid Services (U.S.)

37. Landscape of area-level deprivation measures and other approaches to account for social risk and social determinants of health in health care payments

Author(s):
Breslau, Joshua, author
Martin, Laurie T. (Laurie Thayer), 1974- author
Timbie, Justin William, author
Qureshi, Nabeel Shariq, author
Zajdman, Deborah, author
Publication:
Washington, D.C. : Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Office of Health Policy, September 2022
Subject(s):
Reimbursement Mechanisms
Medicaid
Risk Factors
Social Determinants of Health -- economics
United States

39. Public health: federal programs provide screening and treatment for breast and cervical cancer : report to the chairman, Committee on Finance, U.S. Senate

Publication:
Washington, DC : United States Government Accountability Office, October 2020
Subject(s):
Breast Neoplasms -- diagnosis
Early Detection of Cancer
Medicaid
Uterine Cervical Neoplasms -- diagnosis
United States
Centers for Disease Control and Prevention (U.S.)

49. Medicaid: opportunities for improving program oversight : testimony before the Subcommittee on Government Operations and the Subcommittee on Intergovernmental Affairs, Committee on Oversight and Government Reform, House of Representatives

Publication:
Washington, DC : United States Government Accountability Office, April 12, 2018
Subject(s):
Fraud -- prevention & control
Medicaid
United States
Centers for Medicare & Medicaid Services (U.S.)

57. Many Medicaid-enrolled children who were treated for ADHD did not receive recommended followup care

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, August 2019
Subject(s):
Aftercare
Attention Deficit Disorder with Hyperactivity -- drug therapy
Attention Deficit Disorder with Hyperactivity -- therapy
Follow-Up Studies
Medicaid
Behavior Therapy
Child
Medication Therapy Management
Quality Indicators, Health Care
Humans
United States

61. Provider shortages and limited availability of behavioral health services in New Mexico’s Medicaid managed care

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, September 2019
Subject(s):
Behavioral Medicine -- statistics & numerical data
Health Workforce -- statistics & numerical data
Managed Care Programs
Medicaid
Health Services Accessibility
Personnel Turnover
Rural Health Services
State Government
Humans
New Mexico
United States

63. CMS has opportunities to strengthen states’ oversight of Medicaid Managed Care Plans’ reporting of medical loss ratios

Publication:
Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, September 2022
Subject(s):
Government Regulation
Managed Care Programs -- organization & administration
Medicaid
State Health Planning and Development Agencies
United States
Centers for Medicare & Medicaid Services (U.S.)

67. High rates of prior authorization denials by some plans and limited state oversight raise concerns about access to care in Medicaid managed care

Publication:
Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, July 2023
Subject(s):
Government Regulation
Health Services Accessibility
Managed Care Programs
Medicaid
Prior Authorization -- organization & administration
Prior Authorization -- statistics & numerical data
State Health Planning and Development Agencies
United States

69. For Medicaid-enrolled children diagnosed with lead toxicity in five states, documentation reviewed for diagnoses and treatment services raises concerns

Publication:
Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, December 2022
Subject(s):
Child
Data Accuracy
Government Regulation
Lead Poisoning -- diagnosis
Lead Poisoning -- prevention & control
Lead Poisoning -- therapy
Medicaid
United States

70. Medicaid program integrity: Opportunities exist for CMS to strengthen use of state auditor findings and collaboration : report to congressional requesters

Publication:
Washington, DC : United States Government Accountability Office, September 2023
Subject(s):
Financial Audit -- legislation & jurisprudence
Financial Audit -- trends
Government Programs
Government Regulation
Legislation, Medical
Medicaid
State Health Planning and Development Agencies
United States
Centers for Medicare & Medicaid Services (U.S.)

71. Many Medicaid enrollees with opioid use disorder were treated with medication: however, disparities present concerns

Publication:
Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, September 2023
Subject(s):
Ethnic and Racial Minorities -- statistics & numerical data
Government Regulation
Health Inequities
Healthcare Disparities
Medicaid
Morphinans -- supply & distribution
Opiate Substitution Treatment
Opioid-Related Disorders -- drug therapy
United States

74. Linking state Medicaid data and birth certificates for maternal health research

Author(s):
Heins, Sara E., author
Predmore, Zachary, author
Zhou, Annetta, author
Hoch, Emily, author
Grigorescu, Violanda, author
Smith, Scott R., author
Publication:
[Washington, D.C.] : Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation ; Santa Monica, California]: RAND Health Care : October 2023
Subject(s):
Birth Certificates
Infant Health
Information Storage and Retrieval
Maternal Health
Medicaid
Research Design
United States

75. Advancing research on intersections of child welfare and Medicaid using linked data from the CCOULD project

Author(s):
Greenfield, Brett, author
Madden, Emily, author
Ghertner, Robin, author
Publication:
Washington, DC : Office of the Assistant Secretary for Planning and Evaluation, Office of Human Services Policy, November 2023
Subject(s):
Child Welfare
Information Storage and Retrieval
Medicaid
Research
United States

76. The future of remote patient monitoring

Author(s):
Harris, Julia, (Of Bipartisan Policy Center), author
Curtis, Mikayla, author
Sandalow, Maya, author
Hoagland, G. William, author
Serafini, Marilyn, author
Publication:
Washington, DC : Bipartisan Policy Center, January 2024
Subject(s):
Computer Security
Electronic Health Records
Government Regulation
Health Equity
Health Policy
Insurance, Health, Reimbursement
Medicaid
Medical Device Legislation
Medicare
Remote Sensing Technology
Telemedicine
United States