Remove Accountability Remove Doctors Remove Hospice Care Remove Medicaid
article thumbnail

Palliative Care in Medicaid — Costing Out the Benefit: Actuarial Analysis of Medicaid Experience

NASHP

Palliative Care in Medicaid. Costing Out the Benefit: Actuarial Analysis of Medicaid Experience October 6, 2022/ by Elrycc Berkman, ASA, MAAA; Tim Doyle, FSA, MAAA; and Ryan Brancati. for every $1 spent on palliative care. for every $1 spent on palliative care. Background What Is Palliative Care?

article thumbnail

Exploring What An Amedisys Divestment Strategy Could Look Like

Home Health Care

Also in March, Warren released a statement slamming Steward Health Care’s plan to sell its physician group to Optum. Those two entities alone accounted for nearly half of all 2023 MA enrollment. It also would make Optum a hospice leader – and I question just how valuable that is for UnitedHealth Group.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Sustainability and Value: State Palliative Care Reimbursement Strategies

NASHP

There are a number of strategies state health officials can use as they build sustainable access to palliative care services in their Medicaid programs. Target Populations That Could Benefit from Palliative Care Services Use data to identify Medicaid enrollees with serious illness.

article thumbnail

WelbeHealth’s Michael Le On The Future Of Innovative At-Home Care Models

Home Health Care

His impressive resume — which also includes time at Optum Home & Community Care and CareMore Health Plan — places him at the forefront of the movement bringing more care to the home and the community. It all started with, in Le’s words, the image of “the revered small-town doc with his black doctor’s bag doing house calls.”

Home Care 104
article thumbnail

Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

KHN

They argued the procedures were done needlessly, in keeping with a corporate strategy to maximize profits by overtreating kids from lower-income families enrolled in Medicaid. One doctor admitted prescribing the creams to scores of patients he had never seen, examined, or even spoken to, according to the suit. Five years later, a U.S.

Doctors 145
article thumbnail

Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

KHN

They argued the procedures were done needlessly, in keeping with a corporate strategy to maximize profits by overtreating kids from lower-income families enrolled in Medicaid. One doctor admitted prescribing the creams to scores of patients he had never seen, examined, or even spoken to, according to the suit. Five years later, a U.S.

Doctors 52