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State Proposes Medicare-Medicaid Integration, ACO partnerships
The healthcare system in New York is looking to optimize care and reduce costs by partnering with the Centers for Medicare & Medicaid Services (CMS) to integrate Medicaid and Medicare services and funding for dual-eligibles, according to recommendations from the New York State Department of Health.
Dual-integration will lead to improved patient outcomes through effective care management, the proposal notes.
Because the nearly 700,000 individuals in New York who qualify for the Medicare and Medicaid programs have a high healthcare utilization rate, a unified entity that manages their care will ensure dual-eligibles receive the right care at the right time in the right setting, according to the state health department.
Read more at: http://tinyurl.com/75o56hg
Source: FierceHealthcare
Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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