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Tag: Insurance: Medicaid

The Centers for Medicare & Medicaid Services has launched an initiative to examine which provider regulations should be discarded or revamped amid concerns that the regulations are reducing the amount of time that physicians spend with patients

CMS Launches Initiative to Examine Impact of Regulations

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Officials set to travel country gathering information on impact of their regulations on physicians
Medicaid's best-price rule is not as serious a problem as drug manufacturers imply

Medicaid’s Best-Price Rule May Not Be Such a Big Problem

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There are ways to avoid or mitigate impact of the rule, though it may affect novel pricing strategies
The 2016 Physician Quality Reporting System and the 2016 annual Quality and Resource Use reports have been released for individuals and group practices

2016 Physician Quality Reporting System Reports Available

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Physicians should review reports to know whether they are subject to 2018 PQRS payment adjustment
Patients diagnosed with melanoma are more likely to have treatment delays if they are nonwhite or on Medicaid

Insurance Type Linked to Surgery Delay in Melanoma

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Surgical treatment delays increased for Medicaid versus private patients, for nonwhite patients
Adoption of specialty access standards has not improved access to specialists

Specialist Access No Better With Adoption of Access Standards

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No notable improvement in timely access to specialty services following implementation of standards
Medicaid enrollees are largely satisfied with their health care

Medicaid Enrollees Are Satisfied With Their Health Care

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Enrollees rate their overall health care at 7.9, on average, on a scale of 1 to 10
Medicaid cuts could lead to an increase in the number of women diagnosed with late-stage breast cancer

More Breast Cancers Diagnosed at Late Stage With Medicaid Cuts

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40.2 percent diagnosed late-stage after Medicaid cuts versus 35.4 percent before cuts
From 1991 to 2014 there was minimal change in health spending by state

1991-2014 Saw Minimal Change in Health Spending Per State

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Recession and recovery, implementation of health reform impacted health care coverage
Federal standards that mean states will need to deliver care to elderly and disabled Medicaid enrollees in home and community-based settings will take effect in 2022

States Given Until 2022 to Meet Medicaid Standards of Care

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Standards set in a 2014 rule aim to improve quality of care that disabled receive outside of institutions
Medicaid patients have slightly longer waits at medical appointments than those with private insurance

Outpatient Wait Times Are Longer for Medicaid Recipients

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Researchers suggest lag time might be due to providers having larger caseloads