Subjects: Medicaid and United States / Languages: English / Genre: Technical Report / Recently Added: Within 6 Months and Within 3 Months / Dates by Range: 2000 and later - Digital Collections - National Library of Medicine Search Results

Start Over Subjects Medicaid ✖ Subjects United States ✖ Languages English ✖ Genre Technical Report ✖ Recently Added Within 6 Months ✖ Recently Added Within 3 Months ✖ Dates by Range 2000 and later ✖

1. 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.)

2. UPICs hold promise to enhance program integrity across Medicare and Medicaid, but challenges remain

Publication:: Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, September 2022
Subject(s):: Fraud -- prevention & control
Government Programs
Government Regulation
Medicaid
Medicare
United States
Centers for Medicare & Medicaid Services (U.S.)

3. One quarter of Medicaid enrollees with HIV may not have received critical services in 2021

Publication:: Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, August 2023
Subject(s):: Government Regulation
Health Services Accessibility
Healthcare Disparities
HIV
Medicaid
United States

4. Manufacturers may need additional guidance to ensure consistent calculations of average sales prices

Publication:: Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, December 2022
Subject(s):: Drug Costs
Drug Industry
Government Regulation
Medicaid
Medicare Part B
Prescription Fees
United States

5. 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

6. Toolkit: analyzing telehealth claims to assess program integrity risks

Publication:: Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, April 2023
Subject(s):: Data Analysis
Fraud -- prevention & control
Government Regulation
Insurance Claim Review
Medicaid
Medicare
Telemedicine
United States

7. 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

8. The Bipartisan Safer Communities Act: where things stand on the Medicaid and CHIP provisions

Author(s):: Dwyer, Anne, (Of Georgetown University. Center for Children and Families), author
Publication:: [Washington, DC] : Georgetown University Health Policy Institute, Center for Children and Families, August 2023
Subject(s):: Behavioral Medicine
Health Policy
Health Services Accessibility
Medicaid
Mental Health Services
Social Determinants of Health
United States
United States.
Children's Health Insurance Program (U.S.)

9. Medicaid’s pandemic-era continuous coverage protections helped reduce number of uninsured children

Author(s):: Alker, Joan, author
Osorio, Aubrianna, author
Publication:: [Washington, DC] : Georgetown University Health Policy Institute, Center for Children and Families, November 2023
Subject(s):: Child
Medicaid
Medically Uninsured -- statistics & numerical data
Socioeconomic Disparities in Health
United States

10. Opportunities to learn more about serving justice-involved individuals through 1115 demonstration evaluations

Author(s):: Zylla, Emily, author
Publication:: [Minneapolis, Minnesota] : State Health Access Data Assistance Center, May 2023
Subject(s):: Criminals
Insurance Coverage
Medicaid
Prisoners
State Government
United States