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Changes in the works for Medicaid managed care in Louisiana
By Associated Press | July 19, 2014
Louisiana's health department intends to rework how it pays the private managed-care networks that provide health services to two-thirds of the state's Medicaid patients, Gov. Bobby Jindal's administration told lawmakers Friday.
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Information
New Cook County Health CEO must find millions in savings–stat
By Kristen Schorsch, Crain's Chicago Business | July 14, 2014
Dr. John Jay Shannon was promoted to CEO at Cook County (Ill.) Health and Hospitals System June 27, and he already has been told to find $67 million in savings in four months.
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News
Reform Update: Can Medicaid beneficiaries find a doctor? The CMS wants to know
By Virgil Dickson | July 08, 2014 | Basic Web Basic Web Subscription Details
The CMS is planning to conduct its first nationwide research effort to answer the question of whether adult Medicaid beneficiaries can find providers, and if factors such as being in managed Medicaid versus a fee-for-service offering aid or hurt the search. What it's likely to find, according to...
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Magazine
Benefits unclear as states rush into Medicaid managed care
By Virgil Dickson | July 05, 2014 | Print Magazine Print Magazine Subscription Details
Nurie Keqi, of Queens, N.Y., is one of the lucky ones benefiting from Medicaid expansion under the Patient Protection and Affordable Care Act.
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Magazine
Presence Health finds buyer for Our Lady of the Resurrection, and other news
By Modern Healthcare | July 05, 2014 | Print Magazine Print Magazine Subscription Details
Presence Health has signed a letter of intent to sell Our Lady of the Resurrection Medical Center in Chicago to Community First Healthcare of Illinois.
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Illinois pushes ahead with Medicaid managed care
By Associated Press | July 01, 2014
Facing a Jan. 1 deadline, Illinois' top Medicaid official announced a timetable Monday for moving hundreds of thousands of low-income patients into managed-care health plans.
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News
Reform Update: CMS to expand bundled-payment initiative
By Melanie Evans | June 30, 2014 | Basic Web Basic Web Subscription Details
More hospitals, nursing homes and healthcare providers are poised to join Medicare's ambitious test of bundled payments, and the expansion underscores federal policymakers' eagerness to accelerate reforms in healthcare financing—even ahead of evidence that new models will succeed.
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News
Veterans gain Tenet system access in five states
By Bob Herman | June 26, 2014 | Basic Web Basic Web Subscription Details
Veterans in five Sun Belt states now have access to Tenet Healthcare Corp.'s civilian facilities—an announcement that comes as lawmakers grapple with legislation to expand medical care outside the Veterans Affairs Department—and as the geographic mismatch of VA facilities to the veteran...
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News
CHI to expand Medicare Advantage footprint to four more states
By Melanie Evans | June 19, 2014 | Basic Web Basic Web Subscription Details
Catholic Health Initiatives, one of the largest U.S. health systems, is rapidly expanding its Medicare managed-care business with plans to enter markets in four states next year.
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News
Reform Update: Actuarial study could affect Medicaid managed-care rates
By Virgil Dickson | May 27, 2014 | Basic Web Basic Web Subscription Details
The CMS has unveiled two initiatives that could significantly affect pay and operations for Medicaid managed-care plans and healthcare providers serving millions of low-income and disabled Americans.
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