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The MediSked Blog

MediSked News Roundup 8/8/14: Managed Care Update

Posted by Mike Holihan on Fri, Aug 08, 2014 @ 09:12 AM

Here are a few articles from around the country of interest:

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Tags: New York, Managed Care

Tennessee plan foreshadows trends in DD services

Posted by Mike Holihan on Thu, Jul 24, 2014 @ 10:38 AM

It's always interesting to see trends in DD Services from a macro or national level as states make their way through funding cuts and new models for DD services.  Recently, a plan in Tennessee was unveiled that I believe foreshadows the way DD services are pointing into the future.  To read the article, click here. 

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Tags: Person-Centered Services, Managed Care

What's new in Managed Care for I/DD services

Posted by Mike Holihan on Fri, Apr 18, 2014 @ 08:38 AM

In December 2010, CMS announced the State Demonstrations to Integrate Care for Dual Eligible Individuals, a competitive solicitation for proposals to design person-centered models that coordinate primary, acute, behavioral and long-term supports and services for Medicare-Medicaid enrollees. There were 15 states that were selected to participate in this demonstration. The 15 states that were selected were: California, Colorado, Connecticut, Massachusetts, Michigan, Minnesota, New York, North Carolina, Oklahoma, Oregon, South Carolina, Tennessee, Vermont, Washington, and Wisconsin. The main requirement for participation was to increase care coordination. From a managed care standpoint, this means getting providers , including medical professionals, to spend more time on care coordination and less time on authorizations and denial appeals. The health plans themselves need to increase member services. With that, let's take a look at some states that are currently implementing or running Managed Care for I/DD services.

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Tags: Managed Care

Next Stop: Sharing Electronic Records for DD Agencies

Posted by Mike Holihan on Thu, Mar 20, 2014 @ 11:10 AM

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Tags: Managed Care, Data, MediSked Company News