Government Healthcare

Why the Inpatient Prospective Payment System (IPPS) Proposed Rule matters for Medicaid

Medicaid programs typically consider Medicare’s Final Rule when updating their inpatient payment methodologies. Why? The proposed rule offers an early preview of potential changes.

From the Margins to the Mainstream: The Criticality of Standards for Digital-first Healthcare

As the industry becomes disrupted by technology, our standards cannot remain stagnant – but help pharmacies, pharmacists, payers and other healthcare players manage care in a digital-first world

Supporting pharmacy programs is about more than processing claims. It’s about getting involved.

Conduent’s Government Healthcare team has been committed to reducing program costs and, more importantly, improving member outcomes for state Medicaid pharmacy programs.

CMS Launches New Bundled Payment Initiative

Medicaid Payment Perspectives helps Medicaid programs and other payers improve the methods used to purchase care and services for their beneficiaries.

CMS re-release of clinical laboratory fee schedule payment rates a reminder to keep eye on updates

Keeping an Eye on CMS Payment Rate Updates

Each year, the Centers for Medicare & Medicaid Services (CMS) releases four fee schedules needed for...

IPPS Final Rule Brings Annual Changes to Inpatient Payments

Medicare’s Inpatient Prospective Payment System (IPPS) Final Rule for FFY 2018 brings a myriad of changes. The post IPPS Final Rule Brings Annual Changes to Inpatient Payments appeared first on...

Medicaid Programs Prepare for ICD-10 Code Update

Medicaid payers and providers are counting down to an explosion of ICD-10 coding changes on...

Medicaid Programs Prepare for ICD-10 Code Update

Medicaid payers and providers are counting down to an explosion of ICD-10 coding changes on October 1, 2017. The post Medicaid Programs Prepare for ICD-10 Code Update appeared first on Conduent.

Opioid Overdose: Looking for the Signs

Medicaid members are prescribed opioids twice as often as other patients – and are six times more likely to overdose. That’s a startling statistic at the heart of the nation’s opioid crisis, which...

HealthFocus: Government Healthcare Solutions News

Highlighting new ways government healthcare programs can improve health outcomes. The post HealthFocus appeared first on Conduent.

Medical Resource Utilization of Oral Atypical Antipsychotics

The effects of prior authorization approvals vs. denials. The post Medical Resource Utilization of Oral Atypical Antipsychotics appeared first on Conduent.

Report: Treating Multiple Sclerosis in a Medicaid Population

Determining the best specific disease-modifying drugs. The post Treating Multiple Sclerosis in a Medicaid Population appeared first on Conduent.

Report: Acute Respiratory Distress and Opioid Morphine Equivalents

Finding trends in Medicaid members across 3 dose ranges. The post Acute Respiratory Distress and Opioid Morphine Equivalents appeared first on Conduent.

SSNRI Is Coming. Are You Ready?

How Medicare card social security number removals affect Medicaid.

Medicaid States Can Test New Waters Through Waivers

The Medicaid landscape is as complex as ever. New guidance encourages states to take advantage of waivers to experiment with new...

OPPS Rule Continues Push Toward Bundled Payment

CMS continues to refine its outpatient methodology in numerous ways. The post OPPS Rule Continues Push Toward Bundled Payment appeared first on Conduent.

Medicaid Programs Get Extension on Home and Community-Based Care Goals

States have until 2022 to meet standards of care for delivering services to Medicaid enrollees The post Medicaid Programs Get Extension on Home and Community-Based Care Goals appeared first on...

CMS Reaffirms Commitment to Value Purchasing

Already, CMS is seeing the results of orienting payment with value. The post CMS Reaffirms Commitment to Value Purchasing appeared first on Conduent.