Pharmacy

Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Emerging Practices From the Field. 4.1. Introduction

Health Centers, including Health Care for the Homeless (HCH) Programs, generally receive federal grants from HHS's Health Resources and Services Administration (HRSA) to provide comprehensive primary care and preventive services to low-income people in underserved communities. These Health Centers generally also receive Medicaid and Medicare reimb

3.4. CountyCare: Cook County's Approach to

Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Emerging Practices From the Field. 3.4. CountyCare: Cook County's Approach to Expanding Coverage

Cook County, Illinois, is another community that used a Medicaid waiver as a "bridge to reform." At the end of October 2012, Illinois received federal approval for an 1115 waiver to use Medicaid financing to expand coverage through CountyCare, a program operated by the State of Illinois and the Cook County Health and Hospital System (CCHHS). CCHHS

7.3. Payment Reform: Emerging Structures for

A Primer on Using Medicaid for People Experiencing Chronic Homelessness and Tenants in Permanent Supportive Housing. 7.3. Payment Reform: Emerging Structures for Improving Health Outcomes and Reducing Costs

Increasingly, states are working to develop more efficient and effective systems of care. The Affordable Care Act included many provisions to give these efforts a substantial push forward. This section examines several approaches that state Medicaid officials could consider as ways to meet the needs of people who are now experiencing chronic homel

7.1. Medicaid Fee-For-Service Payment Mechanisms

A Primer on Using Medicaid for People Experiencing Chronic Homelessness and Tenants in Permanent Supportive Housing. 7.1. Medicaid Fee-For-Service Payment Mechanisms

Until recently, most people with disabilities who were enrolled in Medicaid, including people experiencing homelessness and those who became tenants of PSH, have received health care and behavioral health services reimbursed through fee-for-service arrangements.

A Primer on Using Medicaid for People Experiencing Chronic Homelessness and Tenants in Permanent Supportive Housing. 4.2. Federally Qualified Health Centers

Health Centers, which include HCH programs, generally receive federal grants from the HHS Health Resources and Services Administration (HRSA) to provide comprehensive primary care and preventive services to low-income people in underserved communities. These Health Centers generally also receive Medicaid and Medicare reimbursements as FQHCs. 41

Actuarial Value and Employer-Sponsored Insurance. Summary

According to this preliminary analysis, the vast majority — at least approximately 98 percent — of enrollees in ESI are enrolled in plans that meet and exceed an AV of 60 percent whether a hybrid or internal approach is utilized to assess AV. Because there are so few individuals in plans with AVs below 60 percent when assessed against a re

Actuarial Value and Employer-Sponsored Insurance. Hybrid Approach

Using the set of services covered by the FEHBP-PPO plan, our preliminary results suggest that an estimated 1.6 to 2.0 percent of individuals — approximately 2.6 to 3.2 million people — are enrolled in ESI with a benchmark AV below 60 percent in today’s marketplace ( Figure 3 ). Figure 3. Cumulative percentage and estimated number of in

Actuarial Value and Employer-Sponsored Insurance. Methods for Calculating Actuarial Values of Employer-Sponsored Insurance

In this draft white paper, we report on the distribution of AVs of ESI plans. This preliminary analysis was conducted by Actuarial Research Corporation (ARC), in collaboration with John Bertko, the senior health actuary at the Center for Consumer Information and Insurance Oversight/Centers for Medicare and Medicaid Services.

Examination of Clinical Trial Costs and Barriers for Drug Development. 1 Introduction and Background

In calendar year 2012, Food and Drug Administration (FDA) Center for Drug Evaluation and Research (CDER) approved 39 novel new drugs (i.e., new molecular entities (NMEs) and new biological entities (NBEs), including both novel drugs and biologics). 1 While 39 approvals marks the highest number of NMEs/NBEs approved since 2004, drug companies are

Analytical Framework for Examining the Value of Antibacterial Products. 3.6.5.4 Ciai

Total Number of Cases that do not Result in Death

Performance Improvement 2013-2014. How Effective Might Be Screening for Chlamydia and Gonorrhea in Women and Men Purchasing Emergency Contraception at Pharmacies?

This study assessed the viability of screening for chlamydia & gonorrhea in women and men purchasing emergency contraception at pharmacies. Because of their high risk profile, emergency contraception users represent a missed opportunity for sexually transmitted disease (STD) counseling and screening, particularly for Chlamydia/Gonorrhea. Previ

Performance Improvement 2013-2014. What are the Differences Between States With and those Without AIDS Drug Assistance Program Waiting Lists?

Researchers identified and examined factors that contributed to the rising enrollments in the AIDS Drug Assistance Program (ADAP) from 2008 through 2011 and assessed states' abilities to meet the demands for ADAP services.

Performance Improvement 2009. Do Nursing Homes Make Medicare Prescription Drugs Available to Their Medicare-Medicaid Dual Eligible Residents?

This study provided an assessment of the availability of Medicare Part D prescription drugs to dual-eligible nursing home residents. It focused on issues that arose in the early stages of implementing the new benefit. The study was based on structured interviews with a sample of nursing home administrators, medical directors, and directors of ope

Performance Improvement 2009. Do Nursing Homes and Long-Term Care Pharmacies Assist Their Medicare-Medicaid Dual-Eligible Residents to Select Prescription Drug Payment Plans?

The study analyzed structured interviews with a sample of nursing home administrators and directors of operations for long term care pharmacies.

e. Safety Net Hospitals and Integrated Delivery

Environmental Scan to Identify the Major Research Questions and Metrics for Monitoring the Effects of the Affordable Care Act on Safety Net Hospitals. e. Safety Net Hospitals and Integrated Delivery Systems

Although it is too early to assess the effect of ACOs and other integrated delivery systems on safety net hospitals, such initiatives—if widely adopted—could have a profound impact on safety net hospitals by restructuring the delivery system to emphasize and incentivize primary care, care management, and care coordination with specialists. By

Performance Improvement 2007. What Are Private Sector "Best Practice" Approaches to Control Costs of Prescription Drug Benefit Programs?

Summary:

Performance Improvement 2002. Centers for Medicare and Medicaid Services

Mission We assure health security for beneficiaries. Evaluation Program

Performance Improvement 2002. Healthcare Financing

Evaluation of the Program of All-Inclusive Care for the Elderly Demonstration: Comparison of the Pace Capitation Rates to Projected Costs in the First Year of Enrollment

Performance Improvement 2002

Performance Improvement 2002: Evaluation Activities of the U.S. Department of Health and Human Services is the eighth annual report to Congress summarizing previous fiscal year evaluation efforts. The purpose of this report is to provide Congress with outcome-oriented evaluation findings for the Department's programs, policies, and strategies. It

Performance Improvement 2001. Office of the Assistant Secretary for Planning and Evaluation (ASPE)

MISSION: To provide analytical support and advice to the Secretary on policy development and assist the Secretary with the development and coordination of department wide program planning and evaluation activities. Evaluation Program

Content by Keyword: Pharmacy