State health agencies around the country put up with outright fraud from managed care companies and continue to contract with the plans to provide services to patients on Medicaid. Health care experts say that's because states are reluctant to drop Medicaid plans out of fear of leaving patients in a bind.
GREENSBURG, Ky. -- Kaden Stone loves playing baseball, riding his bike and watching Duck Dynasty on TV at his red-brick ranch-style house in rural south central Kentucky. Despite his energy, the tiny boy of eight with a crewcut and missing front ...
By reducing administrative burden and redesigning workflows around human needs, it creates space for what matters most: connection between clinicians and patients.
When the federal government recently gave Florida the green light to vastly expand its experiment with privatizing Medicaid, patient advocates quickly raised an alarm. They cited serious problems with the state’s five-county pilot managed care program and urged close monitoring of the companies that run private Medicaid plans to ensure that they don’t scrimp on […]
In 2011, state long-term care ombudsmen -- assisted by hundreds of local ombudsmen programs and thousands of volunteers – responded to 204,000 complaints nationwide. State ombudsmen also are expected to testify before the legislature, talk to the media and take a public stance on long-term care issues, without interference by government officials.