Search results
Results from the Tech24 Deals Content Network
Resource-based relative value scale. Resource-based relative value scale ( RBRVS) is a schema used to determine how much money medical providers should be paid. It is partially used by Medicare in the United States and by nearly all health maintenance organizations (HMOs). RBRVS assigns procedures performed by a physician or other medical ...
Early and Periodic Screening, Diagnostic and Treatment ( EPSDT) is the child health component of Medicaid. Federal statutes and regulations state that children under age 21 who are enrolled in Medicaid are entitled to EPSDT benefits and that States must cover a broad array of preventive and treatment services. Unlike private insurance, EPSDT is ...
The Federally Facilitated Marketplace (FFM) is an organized marketplace for health insurance plans operated by the U.S. Department of Health and Human Services (HHS). The FFM opened for enrollments starting October 1, 2013. [ 1] The Federally Facilitated Marketplace is established in a state by the HHS Secretary for states that chose not to set ...
Fee-for-service ( FFS) is a payment model where services are unbundled and paid for separately. [ 1] In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care. However evidence of the effectiveness of FFS in improving health care quality is ...
The Colorado Department of Health Care Policy and Financing ( HCPF) is the principal department of the Colorado state government [2] responsible for administering the Health First Colorado ( Medicaid) and Child Health Plan Plus programs as well as a variety of other programs for Colorado's low-income families, the elderly, and persons with ...
CMS begins using the Medicare fee schedule to give larger payments to physicians who provide high-quality care compared with cost. [127] The "Employer Mandate" (originally scheduled to take effect on January 1, 2014) goes into effect for employers with 100 or more employees. [116] [117]
July 9, 2024 at 8:24 AM. (Reuters) - Investments in artificial intelligence (AI) startups surged to $24 billion from April to June, more than doubling from the previous quarter, according to data ...
Medicaid is the largest source of funding for medical and health-related services for people with low income in the United States, providing free health insurance to 85 million low-income and disabled people as of 2022; [ 3] in 2019, the program paid for half of all U.S. births. [ 4]