Children with Special Health Care Needs

Over 13 million children in the U.S. have special health care needs, and Medicaid plays an important role in ensuring these children get the care that they need to improve their health and their quality of life. Children and youth with special health care needs (CYSHCN) are those who “have or are at increased risk … Read more

Telemedicine Advances in the Treatment of Substance Abuse

A few years ago, The Department of Health and Human Services declared the opioid crisis to be a public health emergency (PHE). Amid addressing the challenges of that PHE, the COVID-19 pandemic came to the doorstep and presented another challenge, which has exacerbated issues for those struggling with substance abuse and the professionals who are … Read more

The Importance of an Assigned Primary Care Provider

Many health plans put an emphasis on assigning members to a primary care provider. It may, however, be a good practice to invest the time to match members with the right primary care provider, so the members are motivated to see the same provider consistently.  The study entitled The Medical Home, Access to Care, and Insurance: A Review … Read more

Innovation to Improve Outcomes for Adults with Chronic Conditions

Chronic disease is the leading driver of the United States’ $3.5 trillion in annual health care costs. More than 80 percent of Medicaid’s expenditures are spent on adults with chronic conditions. Chronic diseases are not only expensive, but they are also pervasive. About 60% of adults in the US have a chronic condition. Managing care … Read more

Covered Telehealth Services During the Pandemic and Beyond

At the start of the pandemic, The Centers for Medicare and Medicaid Services (CMS) quickly passed emergency measures to allow flexibility for the medical community to adapt to the public health emergency (PHE) and to ensure they were able to deliver care effectively and safely. That resulted in a rapid expansion of telehealth, which has … Read more