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July 23, 2013
Catholic Health Systems Getting Bigger
dfitzgerald Issue Brief
Catholic Health Systems Getting Bigger April 1999 Catholic Institutions alone control 600 hospitals, 140,000 hospital beds, and $40 billion in revenue. Columbia/HCA, one of the nation?s largest for-profit and secular systems controls 300 hospitals, 60,000 beds and $14.5 billion in revenue. In 1997, four of…
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July 23, 2013
Recommendations for Making Consumers’ Voices Heard in Medicaid Managed Care
External Source Manual/Report
Recommendations for Making the Consumers? Voice Heardin Medicaid Managed Care: A Guide to Effective Consumer Involvement Acknowledgments The extent to which consumers are being involved in the design, implementation, monitoring, and evaluation of Medicaid managed care programs has not received a great deal of…
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July 23, 2013
Model Medicaid Managed Care Contract Provisions — Complaint and Grievance Proc
dfitzgerald Manual/Report
This model complaint procedure supercedes earlier versions from August 1998, October 1997 and March 1997. This process is intended for use in state-based managed care programs, particularly Medicaid and child health insurance programs. But, it can be adapted to other managed care situations as well. Many of the provisions…
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July 23, 2013
Model Managed Care Complaint Process (revised May ’99)
Jane Perkins Issue Brief
This model complaint procedure supercedes earlier versions. This process is intended for use in state-based managed care programs, particularly Medicaid and child health insurance programs. But, it can be adapted to other managed care situations as well. Many of the provisions are taken from existing state managed care rules…
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July 23, 2013
HCFA Letter Regarding Due Process Notices In Medicaid/CHIP Programs
dfitzgerald Issue Brief
On June 28, 1999, the Health Care Financing Administration sent a letter to the Missouri Department of Social Services which discusses requirements for due process notices following eligibility determinations. Because the facts described in the letter occur in other states, a complete copy of it is attached. The letter…
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July 23, 2013
Medicaid Managed Care and Due Process Rights: What Do HMOs Have to Tell You Whe
dfitzgerald Issue Brief
Medicaid Managed Care and Due Process Rights: What Do HMOs Have to Tell You When They Deny Reproductive Health Services?July 1999By Lourdes Rivera *A. Medicaid is Important to Women of Childbearing AgeMedicaid is a major source of health coverage for women. In 1996, for example, Medicaid covered 7.8 million women…
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Catholic Health Systems Getting Bigger

Recommendations for Making Consumers’ Voices Heard in Medicaid Managed Care

Model Medicaid Managed Care Contract Provisions — Complaint and Grievance Proc

Model Managed Care Complaint Process (revised May ’99)

HCFA Letter Regarding Due Process Notices In Medicaid/CHIP Programs

Medicaid Managed Care and Due Process Rights: What Do HMOs Have to Tell You Whe