Upstream USA’s Post

April is Medicaid Awareness Month, a time to spotlight the crucial role Medicaid plays for millions of Americans. For compliance and auditing healthcare professionals, it's important to stay up-to-date on the latest regulatory updates for this important program. #Medicaid #Healthcare

I'm excited to follow this series my Milliman colleagues have kicked off with their first paper "Navigating the Intersection: Dual-Eligible Beneficiaries." This series aims to shed light on the complexities and challenges that states and payers encounter related to dual-eligible beneficiaries - individuals who qualify for both Medicare and Medicaid. Stay tuned for more in this series! #MillimanInsight #Healthcare #Medicare #Medicaid #DualEligibleBeneficiaries https://lnkd.in/gzMZ4JB8

Stay up to date with the latest industry trends in our December 2024 Medicaid Newsletter! This quarter, we’re covering key topics like PBM oversight in Medicaid Managed Care, MCO prior authorization decisions, and new insights from our webinar on MLR reporting requirements. And don’t forget to watch our special holiday video! Read the full edition here: https://okt.to/rD0PwY #Medicaid #ManagedCare #HealthPolicy #MLR #HolidayMessage

Last day of the Medicaid Health Plans of America (MHPA) conference! Be sure to stop by 𝗕𝗼𝗼𝘁𝗵 𝟰𝟬𝟳 to learn how we enable Medicaid plans to integrate quality, risk, utilization, and financial data to provide a complete picture of value-based contract performance and help build better programs. #MHPA2024 #Medicaid #HealthPlans #ValueBasedCare #HealthcareTechnology

Medicaid billing is complex. However, there is a way to tackle self-pay balances without resorting to traditional (and ineffective) patient collections and turn them into revenue. We've recently updated this blog post with the latest things to know about retroactive Medicaid and how it can help you grow revenue. Take a look at our updated insights: https://bit.ly/3TLvf2z #FQHC #MedicalBilling #Healthcare #BehavioralHealth #RuralHealthcare #MedicalBilling #MedicalCoding #RCM #CommunityHealth #Medicaid #Medicare #HealthcareBilling #MedicalCredentialing #RetroactiveMedicaid

The TROA Act is crucial for expanding coverage of weight loss medications under Medicare and Medicaid. Check out our latest podcast episode to learn how you can lobby your congressperson and support this vital legislation. https://lnkd.in/exaa3jf8 #HealthAdvocacy #TROAAct #Medicare #Medicaid #WeightLoss

Did You Know? Medicaid has recently published a comprehensive FAQ document providing valuable insights into Peer Recovery Support Services and their crucial role in assessing recovery support. This publication highlights the significant value peer recovery support offers to individuals as part of their continuum of care journey. Discover more about the fundamental features and benefits of peer recovery support by reading the document here. https://lnkd.in/g3RmkgjS #Medicaid #PeerRecoverySupport #ContinuumOfCare #RecoverySupport #Healthcare #TPAS

We know how complex the Medicaid process can be and that's why we're here to secure your loved one's long-term care benefits. Call 303-717-6082 to get started with a Free Phone Consultation. . . #Medicaid #coloradomedicaid #longtermcaremedicaid #longtermcare #eldercare #medicaidplanning #assistedliving #skillednursingfacility #homehealthcare #FinancialPlanning

This week's In Focus section addresses the significant change in national and state-specific Medicaid enrollment as a result of the Medicaid unwinding process. The experiences of the unwinding and the impact and current enrollment landscape are directly affecting strategic and programmatic decisions across all states, Medicaid managed care plans, and their partners and stakeholders. Read more here: https://bit.ly/48oUzCK #Medicaid #MedicaidUnwinding #MedicaidManagedCare

#1 problem with Medicaid redetermination lists? Inaccurate data. Patients fall out of coverage and don't find out until they need care. Don't let procedural reasons cause lapses in coverage. Coverage Management solutions help clinics ensure continuity of coverage and protect patients. Learn how we do it ➡️https://bit.ly/3JChQp2 #Medicaid #Healthcare #PatientCare