Medicaid Eligibility Quality Control
Author : United States. Social and Rehabilitation Service
Publisher :
Page : 460 pages
File Size : 36,71 MB
Release : 1975
Category : Medicaid
ISBN :
Medicaid Demonstrations
Author : United States. Government Accountability Office
Publisher : Createspace Independent Publishing Platform
Page : 38 pages
File Size : 34,25 MB
Release : 2017-12-27
Category : Medicaid
ISBN : 9781982014728
Book Description
MEDICAID DEMONSTRATIONS: Federal Action Needed to Improve Oversight of Spending
Health Care Fraud and Abuse
Author : Aspen Health Law Center
Publisher :
Page : 156 pages
File Size : 12,76 MB
Release : 1998
Category : Business & Economics
ISBN :
Book Description
Stepped-up efforts to ferret out health care fraud have put every provider on the alert. The HHS, DOJ, state Medicaid Fraud Control Units, even the FBI is on the case -- and providers are in the hot seat! in this timely volume, you'll learn about the types of provider activities that fall under federal fraud and abuse prohibitions as defined in the Medicaid statute and Stark legislation. And you'll discover what goes into an effective corporate compliance program. With a growing number of restrictions, it's critical to know how you can and cannot conduct business and structure your relationships -- and what the consequences will be if you don't comply.
Health Care Financing Review
Author :
Publisher :
Page : 546 pages
File Size : 34,16 MB
Release : 1984
Category : Medical care
ISBN :
Book Description
Improving the Quality of Care in Nursing Homes
Author : Institute of Medicine
Publisher : National Academies Press
Page : 432 pages
File Size : 50,95 MB
Release : 1986-02-01
Category : Medical
ISBN : 0309036461
Book Description
As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.
Communities in Action
Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
Page : 583 pages
File Size : 50,62 MB
Release : 2017-04-27
Category : Medical
ISBN : 0309452961
Book Description
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Integrating Social Care into the Delivery of Health Care
Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
Page : 195 pages
File Size : 41,15 MB
Release : 2020-01-30
Category : Medical
ISBN : 0309493439
Book Description
Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.
The Future of Public Health
Author : Committee for the Study of the Future of Public Health
Publisher : National Academies Press
Page : 240 pages
File Size : 18,48 MB
Release : 1988-01-15
Category : Medical
ISBN : 0309581907
Book Description
"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.
Medicaid Demonstrations, Federal Action Needed to Improve Oversight of Spending
Author : U.s. Government Accountability Office
Publisher : Createspace Independent Publishing Platform
Page : 38 pages
File Size : 40,58 MB
Release : 2017-07-12
Category : Medicaid
ISBN : 9781548830359
Book Description
" As of November 2016, 37 states had demonstrations under section 1115 of the Social Security Act, under which the Secretary of HHS may allow costs that Medicaid would not otherwise cover for state projects that are likely to promote Medicaid objectives. By policy, demonstrations must be budget neutral; that is, the federal government should spend no more for a state's Medicaid program than it would have spent without the demonstration. CMS is responsible for monitoring spending and assessing compliance with demonstration terms and conditions for how funds can be spent and applying spending limits to maintain budget neutrality. GAO was asked to examine federal spending for demonstrations and CMS's oversight of spending. This report examines (1) federal spending over time, (2) CMS's monitoring process, and (3) CMS's application of spending limits. GAO reviewed federal expenditure data for fiscal years 2005-2015, relevant documentation for 4 states, selected based on variation among their demonstrations, and federal internal control standards, and also interviewed CMS and state Medicaid officials. "
Intergovernmental Relations in Transition
Author : Carl W. Stenberg
Publisher : Routledge
Page : 420 pages
File Size : 43,87 MB
Release : 2018-04-09
Category : Political Science
ISBN : 1351182145
Book Description
The field of intergovernmental relations has changed substantially over the past five decades. It maintains a critical and evolving role in the US federal system as well as in public policy and administration. Building upon the legacy of Deil S.Wright’s scholarship, this collection of essays by distinguished scholars, emerging thought leaders, and experienced practitioners chronicles and analyzes some of the tensions and pressures that have contributed to the current state of intergovernmental relations and management. Although rarely commanding media attention by name, intergovernmental relations is being elevated in the public discourse through policy issues dominating the headlines. Many of these intergovernmental issues are addressed in this book, including health insurance exchanges under the now-threatened Affordable Care Act, and the roles of the federal, state, and local governments in food safety, energy, and climate change.Contributors interpret and assess the impacts of these and other issues on the future directions of intergovernmental relations and management. This book will serve as an ideal text for courses on intergovernmental relations and federalism, and will be of interest to government practitioners and civic and nonprofit organization leaders involved in public policy and management.
