Medicare Versus Medicaid – what are the similarities and differences? Both programs are government-sponsored through federal, state, or a combination thereof.
Medicaid is a joint federal and state program that helps with medical costs for some people with limited income and resources. Medicaid programs vary from state to state, but most health care costs are covered if you qualify for both Medicare and Medicaid.
With a couple of months under the belt of the exchanges, a surprise is made evident as to the largest group of enrollees – Medicaid. Medicaid signups are a dual-edged sword for healthcare. With the passing of the Affordable Care Act of 2010, one of the main goals was to provide affordable healthcare to more Americans. To this avail, many provisions were enacted, such as expanding Medicaid and creating health insurance exchanges.
Profitability can be achieved through addressing the denials portion of the revenue cycle.
Are you struggling with profitability? Have you reviewed your revenue cycle? Do you know why your claims are being denied? Have you analysed your processes both human and technology? We have 10 steps to help you boost your profits through the revenue cycle and specifically through denials management.
BHM would like to wish all of you a Happy and Safe Thanksgiving.Thanksgiving is a time to enjoy family, friends, football, and an abundance of food.
Thanksgiving is a time to reflect upon your life and those around you and really appreciate what you have. Thanksgiving is a time to reach out to those who are less fortunate than you.
Lead Obamacare IT Contractor CGI Federal had known performance issues It is by no means a secret that the Obamacare website roll out has been
With the debacle surrounding the healthcare exchanges, specifically www.healthcare.gov, at least the subsidies are working, right? Offer subsidies…and they will sign up…or will they? Subsides – income alone does not guarantee assistance. Evidently, the subsidies designed to offer assistance to those in certain income levels aren’t so straight-forward either. Issues have recently arisen indicating that subsidies may not be paid as initially intended.
Different polls have slightly different numbers but the trend is the same – Obamacare approval rating continues to fall.
Poll results released by Gallup on November 14 indicate that approval for Obamacare continues to fall. In a survey conducted November 7-10, the pollster asked, “Do you generally approve or disapprove of the 2010 Affordable Care Act, signed into law by President Obama that restructured the U.S. Healthcare System?
So, we want to know why consumers, payers and employers are turning toward private exchanges. Could private exchanges be the alternative to Obamacare? Why are private health insurance exchanges gaining in popularity? What are the trepidations from an employer and payer perspective? How did they emerge? What are the features and benefits?
President announces enrollment numbers, changes to reverse insurance cancellations “we fumbled the rollout of this healthcare law”
Following much speculation, president Obama presented the “official” Obamacare enrollment numbers on Thursday, November 15.
He said, “In the first month, nearly a million people successfully completed an application for themselves or their families. Those applications represent more than 1.5 million people. Of those 1.5 million people, 106,000 of them have successfully signed up to get covered. Another 396,000 have the ability to gain access to Medicaid under the Affordable Care Act.”
The transitioning from volume to value and from quality to quality is at the moment a bit of a juggling act. Medicare continues to reimburse based on a fee-for-service basis which rewards based upon volume and quantity while simultaneously moving toward a payment system based upon value and quality. Two completely opposite ends of the spectrum trying to exist concurrently. Two different philosophies and mindsets with different goals are colliding
