American Dental Association’s Post

Do you need dental or eyecare services? Title 19 allows these services as part of your spend down! 🦷👀 💼 Stay informed and take advantage of options available to you through proper Medicaid planning strategies. #Title19 #DentalCare #EyeCare 🌟

Experts ask Congress to boost dental in Medicaid, Medicare https://ow.ly/S3Mb50RT8nE #DentalCare #MedicaidDental #MedicareDental #OralHealth #PublicHealth #HealthcarePolicy #DentalCoverage #MedicaidCoverage

How can Toothlens help with Medicaid? We get this question quite often, so let's answer it once and for all! With Toothlens, Medicaid members can easily access high-quality dental care without breaking the bank. We make this a reality by enhancing dental care accessibility and promoting preventive care. ToothLens aids in early detection, reducing the need for costly procedures and minimizing out-of-pocket expenses for members. By seamlessly integrating with existing dental networks, ToothLens ensures a smooth experience for both providers and policyholders. Its proactive risk management approach detects dental issues early, potentially reducing the severity of cases and overall claims. With ToothLens' AI technology offering comprehensive insights, patient engagement improves, promoting cost-effective, patient-centric care within Medicaid. #Toothlens #medicaid #dentalinsurance

Are you at AHIP's 2024 Medicare, Medicaid, Duals & Commercial Markets Forum? Don't miss Vida Health's Lunch & Learn session in the Key Ballroom 11-12 from 12:30 pm – 1:15 pm. Jordan Taggart and Gretchen Zimmermann, RD, CDCES, CSOWM will be discussing how GLP-1s and other anti-obesity medications are changing the treatment landscape for patients and providers. Still, they're not universally accessible, including to #Medicare and #Medicaid beneficiaries. They'll explore how a managed solution combining behavior change and pharmacotherapy can achieve high-quality outcomes, improve #cardiometabolic care, offset near-term Rx costs, and produce long-term #medicalcostsavings. Don't miss it!

🚨 Urgent Health Update 🚨 Exciting news for patients: A new federal rule will slash approval wait times for medical care and prescriptions. The Centers for Medicare & Medicaid Services rule seeks to speed up "prior authorizations" Under this new rule, insurers must respond within 72 hours for urgent requests, like surgeries or new prescriptions, and one week for non-urgent ones. #Assetmentors #Medicare #HealthUpdate

This chart tells the story. Tired of not being able to get in to see your doc? Tired of not having a choice of where to get care in your community? Urge Congress to fix physician Medicare payment & urge WA state legislature to address Medicaid payments which pays ~60% of Medicare. Washington State Medical Association (WSMA) has two calls to action on www.wsma.org

Value-based MA models have shown better outcomes and efficiency for patients. It assists in situations such as avoidable emergency department visits and readmissions. In fact, a study by Optum indicates that, ✔️ Patients in such models were 18% less likely to be admitted to the hospital. ✔️ They have a 9% lower 30-day readmission rate than those in Medicare fee-for-service models. ✔️ They are 11% less likely to visit the emergency room. ✔️ They are 44% less likely to be readmitted for complications linked to chronic pulmonary disorder. But unfortunately, the Centers for Medicare and Medicaid Services are bringing RADV's final rule. It may result in a 2.27% cut to plans if finalized. It will have a negative impact on members' premiums and benefits, as well as slow MA growth. The RADV rule is the latest attempt by CMS to determine whether Medicare Advantage plans are overpaid. What's your take on this? Rachel Mertensmeyer Bryan Hayes Warren Bates Gen G. Junaid Kalia MD #valuebasedhealthcare #medicare #medicaid #healthcare #CMS

Through the decade long AHEAD initiative beginning in 2024, #CMS aims to strengthen #Primarycare and #behavioralhealth, improve #carecoordination for people with #Medicare and #Medicaid, and increase screening and referrals to community resources. #chroniccaremanagement #telehealth #digitalhealth

CMS has released a final rule making important reforms to Prior Authorization in order to cut patient care delays and electronically streamline the process of PA for physicians, according to @KevinBO'Reilly. According to HHS, these changes will save physician practices an estimated $15B over ten years, and at the same time likely reduce unnecessary hospitalizations, life threatening events, and disability or permanent bodily damage as has been reported by over 1K physicians resulting from prior authorization delays in a survey by #ourAMA #FightingforDocs and making important progress in the #RecoveryplanforAmericasphysicians.

As healthcare evolves, the value of consistent and comprehensive primary care cannot be overstated. Evidence shows that when patients have regular access to primary care services, both the cost of care decreases and the quality of care improves. Vermont is leading by example in healthcare efficiency and quality through its embrace of the Patient-Centered Medical Home (PCMH) model. This approach provides consistent and comprehensive primary care, significantly reducing healthcare costs and improving patient outcomes. By prioritizing preventive care and chronic disease management, Vermont’s PCMH model ensures accessible and effective healthcare for all. Investing in robust primary care systems is an investment in healthier populations and more sustainable healthcare. Let’s advocate for accessible, continuous primary care for everyone as a fundamental step towards a more efficient and effective healthcare system. #Healthcare #PrimaryCare #PatientCare #HealthEconomics