Challenges Faced by Medicaid Managed Care Coordinators Working With Members With Substance Use Disorder
Accessing medical and social resources for patients, heavy administrative burden, and lack of data integration are barriers to Medicaid managed care organization care coordinators’ job performance.
Predicting High-Cost Privately Insured Patients Based on Self-Reported Health and Utilization Data
The results of this study show that patient-reported data on health and healthcare can be useful in predicting high-cost patients when claims data for prior years are not available.