Monday, May 23, 2022

Medicaid Monday: Managed Care Reduces ER Visits

The use of emergency rooms for primary care services is decreasing, thanks to Medicaid managed care. A recent report by the Texas Health and Human Services Commission (HHSC) shows a 15.5% decrease in the number of potentially preventable emergency room visits in Texas Medicaid and CHIP programs. This is great news for both Medicaid members and taxpayers. Utilizing preventative and standard care before conditions become emergencies leads to better health outcomes and to less costly care.

Tuesday, May 17, 2022

Price Transparency Helps Patients

Can driving just a few miles save a patient thousands of dollars? If they’re in the market for health care, the answer is yes. In Dallas, according to a recent article in D Magazine, the cost of a gallbladder removal surgery can range from $5,000 to $35,000. And rarely are prices posted online—even though they’re supposed to be.

Monday, May 9, 2022

Medicaid Monday: Medicaid Managed Care Nurses Make a Difference

Did you know National Nurses Week is now Nurses Month? Extended in 2020 to recognize the extraordinary efforts of nurses during the early days of the pandemic, the American Nurses Association adopted the evergreen theme “Nurses Make a Difference.” At TAHP, we want to acknowledge the positive impact Medicaid managed care nurses have on the lives of their patients.

Monday, May 2, 2022

Medicaid Monday: New Moms Still High-Risk for Medicaid Churn

Download PDFBy Jessica Lynch As the public health emergency winds down, millions risk losing Medicaid coverage, not because they no longer qualify but because they get caught in the redetermination process once continuous coverage ends. However, one population faces continual risk for interrupted coverage  — pregnant Texas women. When a member loses their Medicaid benefits…

Thursday, April 14, 2022

Fixing the Family Glitch Means Millions Could Qualify for Affordable Coverage

Download PDFby Jamie Dudensing and Alicia Pierce A recently announced change to the administration of the Affordable Care Act will expand access to affordable health insurance for an estimated 5 million Americans. In Texas, it could provide options for more than 600,000 of the state’s uninsured.  Currently, individuals qualify for subsidies even if they have…

Wednesday, April 6, 2022

Texas Medicaid Managed Care is Working to Keep People Covered Even after the PHE

Download PDFBy: Jessica Lynch and Alicia Pierce In an essay in the New York Times, health care expert Elisabeth Rosenthal warned that millions are at risk of losing health insurance at the end of the public health emergency (PHE). She’s not wrong. States are currently incentivized to offer continuous coverage for individuals eligible for Medicaid…

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