Perspective

January 26, 2018
The Kentucky Medicaid Waiver penalizes enrollees for emergency room “misuse”
Kentucky Healthcare and Medical Red Button Pattern

Kentucky’s 1115 Medicaid Waiver, approved by CMS on January 12, 2018, uses small financial incentives and punishments to try to change the behavior of enrollees. Rebecca Laes-Kushner explains this new Medicaid setup. 

January 25, 2018
Clinical expertise is critical for administering disability retirement benefits
Doctor holding x-ray

Disability evaluation can be a challenge for state and municipal retirement system administrators. Jody Simpson of Disability Evaluation Services explains how Commonwealth Medicine, UMass Medical School is uniquely equipped to help support systems through all components of the medical review process. 

January 11, 2018
Putting checks and balances in place for Medicaid managed long-term services and supports
Granite columns

Jessica Carpenter discusses why states should guarantee contracts for Managed Long-Term Care plans include requirements for policies, guidelines, and processes that will provide the appropriate services to members, manage utilization, and ensure the state’s funding is used appropriately.

December 14, 2017
Trendfinder LTSS can help public agencies better understand demand
Graphic

As the elder population continues to grow, it becomes more important to consider the future of health care. By 2050, the population over the age of 65 will double and the population over the age of 85 will triple; and many will need long-term services and supports (LTSS).

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