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TennCare violated healthcare rights of Tennessee Medicaid beneficiaries, judge rules

Fierce Healthcare

TennCare, the state of Tennessee’s Medicaid program, intentionally prevented families from receiving healthcare coverage and benefits, a federal district judge determined Aug.

Medicaid 304
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Fierce Healthcare - Untitled Article

Fierce Healthcare

Chief among the questions raised by Monday's ambiguous memo are whether programs like Medicaid and SNAP as well as funding for clinical research, community health centers, suicide prevention and state infectious disease surveillance will see interruptions due to the pause.

Medicaid 356
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Amid concerns about claims denials, Democrats seek greater oversight of Medicare Advantage plans' use of AI

Fierce Healthcare

House Democrats are pressuring Centers for Medicare and Medicaid Services to better evaluate how AI is utilized by Medicare Advantage plans, hoping to prevent eye-catching rates of denial. Medicare Advantage prior authorization denials are in the crosshairs of House Democrats.

Medicare 349
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Millions of Americans Remain Uninsured or Underinsured Despite ACA Gains

HIT Consultant

Key recommendations include: Extend Enhanced Tax Credits: Make permanent the enhanced marketplace premium tax credits, which are set to expire in 2025, to prevent premium increases and coverage losses. Expand Medicaid: Establish a federal fallback option to cover the millions of uninsured individuals in states that have not expanded Medicaid.

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Reimbursement Insights: Medicare and Medicaid Coverage for Cardiology Billing

p3care

Medicare and Medicaid are the two biggest healthcare insurance programs in the United States. Let’s get started with a little introduction to Medicare and Medicaid programs in general. Medicare and Medicaid Health Insurance Programs For a long time, the US has promoted equality in healthcare services.

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Addressing Oral Health Disparities in Rhode Island

NASHP

Social drivers of health , including access to nutritious foods, transportation, and access to health care, continue to exacerbate disparities in oral health and overall health , particularly for Medicaid beneficiaries. What Is Minimally Invasive Care (MIC)?

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New Report Focuses On Persistent Problems Facing Community Home Care Providers

Home Health Care

The report emphasizes that this decades-long workforce crisis has affected community-based services due to long-term underinvestment in Medicaid, which has hindered community-based providers from offering wages that are competitive with those in hourly wage industries.

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