Subject(s)
Eligibility Determination , Insurance Coverage , Insurance, Health , Medicaid , Humans , Eligibility Determination/organization & administration , Insurance, Health/organization & administration , Medicaid/organization & administration , United States , Insurance Coverage/organization & administrationSubject(s)
Coronavirus Infections/epidemiology , Delivery of Health Care/organization & administration , Medicaid/organization & administration , Pneumonia, Viral/epidemiology , Betacoronavirus , COVID-19 , Delivery of Health Care/statistics & numerical data , Health Services Accessibility/organization & administration , Health Services Accessibility/statistics & numerical data , Humans , Medicaid/statistics & numerical data , Pandemics , Patient Protection and Affordable Care Act , Public Health , SARS-CoV-2 , United StatesABSTRACT
To mark the 25th anniversary of the journal, each issue in 2020 will include an interview with a health care thought leader. The August issue features a conversation with Mandy K. Cohen, MD, MPH, secretary of the North Carolina Department of Health and Human Services.
Subject(s)
COVID-19/epidemiology , Medicaid/organization & administration , Patient-Centered Care/organization & administration , Humans , Mental Health Services/organization & administration , North Carolina/epidemiology , Pandemics , SARS-CoV-2 , United States/epidemiologySubject(s)
COVID-19 , Centers for Medicare and Medicaid Services, U.S./organization & administration , Health Policy , Medicaid/organization & administration , Medicare/organization & administration , Primary Health Care/organization & administration , Telemedicine/organization & administration , COVID-19/diagnosis , COVID-19/epidemiology , COVID-19/therapy , Humans , Primary Health Care/methods , Telemedicine/methods , United States/epidemiologySubject(s)
COVID-19/epidemiology , Child Health Services/organization & administration , Medicaid/organization & administration , Adolescent , Child , Child, Preschool , Health Services Accessibility/organization & administration , Humans , Infant , Infant, Newborn , Pandemics , Quality of Health Care/organization & administration , Residence Characteristics , SARS-CoV-2 , Socioeconomic Factors , United States/epidemiologyABSTRACT
Stephanie Stephens received a not-so-welcome gift entering her new job running Medicaid operations for the nation's second-largest state: A global pandemic. In that sense, the universe wasn't easy on Ms. Stephens, the new director of Medicaid and CHIP for the Texas Health and Human Services Commission (HHSC).
Subject(s)
Health Services Accessibility , Health Services Administration , Leadership , Medicaid/organization & administration , COVID-19 , Coronavirus Infections/epidemiology , Female , Global Health , History, 21st Century , Humans , Pandemics , Pneumonia, Viral/epidemiology , Quality Improvement , Quality of Health Care , Texas , United StatesABSTRACT
The Centers for Medicare & Medicaid Services (CMS) and other federal agencies are busy churning out regulations and guidance documents in response to the COVID-19 crisis. CMS now requires plans to waive cost sharing for COVID-19-related immunizations, testing, and treatment and suspend utilization review requirements related to drug-supply limits unless these limits are related to patient safety.
Subject(s)
Coronavirus Infections/diagnosis , Coronavirus Infections/therapy , Medicaid/organization & administration , Medicare/organization & administration , Pneumonia, Viral/diagnosis , Pneumonia, Viral/therapy , Betacoronavirus , COVID-19 , Coronavirus Infections/economics , Coronavirus Infections/prevention & control , Drug Utilization , Humans , Pandemics/economics , Pandemics/prevention & control , Pneumonia, Viral/economics , Pneumonia, Viral/prevention & control , SARS-CoV-2 , United StatesABSTRACT
Medicaid provides essential coverage for health care and long-term services and supports (LTSS) to low-income older adults and disabled individuals but eligibility is complicated and restrictive. In light of the current public health emergency, states have been given new authority to streamline and increase the flexibility of Medicaid LTSS eligibility, helping them enroll eligible individuals and ensure that current beneficiaries are not inadvertently disenrolled. Though state budgets are under increased pressure during the economic crisis created by the coronavirus, we caution states against cutting Medicaid LTSS eligibility or services to balance their budgets. These services are critical to an especially vulnerable population during a global pandemic.