- Center on Health Equity & Access
- Clinical
- Health Care Cost
- Health Care Delivery
- Insurance
- Policy
- Technology
- Value-Based Care
Introduction: Background on Hospital Readmissions
During the introduction to this one-on-one interview series, Arthur Garson, Jr, MD, MPH, director of the Center for Health Policy at the University of Virginia, discusses rates of hospital readmissions following transitions between healthcare settings and highlights a Centers for Medicare & Medicaid Services (CMS) program designed to reduce the number of readmissions.
Dr Garson, Jr, reviews the number of unnecessary hospital readmissions within 30 days of discharge and notes that nearly 20% of Medicare patients are readmitted.
However, he explains that the number of readmissions has recently decreased due to penalties implemented by a CMS program.
Dr Garson, Jr, emphasizes the importance of implementing programs that target readmissions such as the program designed by the CMS, and suggests that this program represents a step in the right direction toward reducing or preventing unnecessary hospital readmissions.
Despite Record ACA Enrollment, Report Reveals Underinsured Americans Are in Crisis
November 21st 2024Despite significant progress in expanding health insurance coverage since the Affordable Care Act (ACA) was enacted, millions of Americans still face critical gaps in access to and affordability of health care.
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Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions
October 24th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the October 2024 issue of The American Journal of Managed Care® that explored prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.
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Frameworks for Advancing Health Equity: Community Wellness Centers
September 27th 2024Delia Orosco, MS, director of Community Wellness Centers at Inland Empire Health Plan, shares insight into innovative initiatives provided by the wellness centers and their new mobile mammogram clinics.
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Lessons Learned From Medicaid Unwinding as States Tackle Eligibility Checks
November 7th 2024Medicaid and CHIP enrollment surged from 71 million in February 2020 to 94 million by April 2023. However, with the pandemic emergency ending in May 2023, states resumed eligibility reviews, initiating a process termed “unwinding.”
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