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Reimbursement Issues

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Analysis Shows Existing Medicaid Benefit Codes Cover Childhood Obesity-Related Health Care Treatment

June 1, 2007 | Program Result Report

George Washington University School of Public Health and Health Services analyzed whether health insurance-especially Medicaid-could cover preventive health services for children at risk for obesity.

An Emerging Middle Ground?

July 6, 2009 | Report

The report identifies and explores eight areas in which diverse business, medical and consumer interests are beginning to find middle ground and earn the support of bipartisan lawmakers.

Building a Bridge from Fragmentation to Accountability

September 10, 2009 | Journal Article

The PROMETHEUS Payment approach seeks to promote and reward high-quality, efficient, patient-centered health care by using a novel method to pay hospitals and physicians and other providers. The PROMETHEUS Payment model consists of three components: evidence-informed base payments with patient-specific severity adjustments and an allowance for potentially avoidable complications.

Child First Conference

June 2, 2011 | Audio

Presentation from the 2011 Child First Conference.

Child FIRST Develops an Evidence-Based Early Childhood Intervention

February 5, 2013 | Program Result Report

Child First is a home-based early childhood intervention that works with the most vulnerable very young children and their families to reduce serious emotional disturbance, developmental and learning problems, and abuse and neglect.

Child FIRST Learning Session 4

September 15, 2010 | Toolkit

This presentation (Learning Session #4) was from the Child FIRST (Child and Family Interagency Resource, Support, and Training) program which took place on September 15-16, 2012. Child FIRST works with the most vulnerable young children (prenatal th ...

Clinical Scholar Finds Medicare Reimbursements Don't Align with Preventive Care Recommendations

January 20, 2011 | Human Capital Blog Post

A newly released study from RWJF Clinical Scholar (2009-2011) Lenard Lesser, M.D., finds that Medicare covers only a fraction of the preventive care services recommended by a government task force, and that health care reform should be able to mend ...

Coverage When it Counts

May 1, 2009 | Report

This report suggests a new method for developing benchmarks to illustrate some types and costs of medical care consumers might need under a variety of scenarios, and for evaluating health insurance protection using these benchmarks.

Deregulation Improves the Health of N.J. Hospitals' Bottom Lines

July 1, 2000 | Program Result Report

From 1994 to 1997, researchers at the Harvard University School of Public Health, Boston, studied the effects of deregulation on New Jersey hospitals.

Disharmony of Inpatient and Outpatient Services Hampers Treatment of Schizophrenics

August 1, 2001 | Program Result Report

From 1991 to 1998, researchers from the Institute for Health, Health Care Policy, and Aging Research at Rutgers, The State University of New Jersey, studied the care of schizophrenia patients who are covered by Medicaid in New York State.

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