Medicare Compliance & Reimbursement
HHS Aims to Revamp CHIP And Medicaid
In an effort to provide greater clarity and responsibility while offering superior managed care in Medicaid and the Children’s Health Insurance Program (CHIP), the Department of Health and Human Services (HHS) announced a Final Rule, which aims to revamp the programs and improve the health care system, according to an April 25 HHS news release.
In short, the new overhaul targets four objectives that would improve quality of care, increase the states’ involvement and delivery of the programs, reform past discrepancies in the areas of provider adequacy and fiscal responsibility, and provide a detailed rating system for engaging in this new managed care initiative.
An abbreviated version of the four goals are as follows:
With a start date of July 1, 2017, the new rule will be executed over a span of three years and aims to aid both physicians and patients in navigating Medicaid and CHIP more efficiently.
“Today’s significant changes strengthen the program by improving the consumer’s care experience and supporting state efforts to deliver more coordinated, higher-quality care,” said HHS Secretary Sylvia M. Burwell in the statement.
Resource: To read more about the rule concerning Medicaid and CHIP, visit www.hhs.gov/about/news/2016/04/25/hhs-issues-major-rule-modernizingmedicaid-managed-care.html.
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