The American journal of managed care
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A final rule has been issued that increases Medicare fee-for-service payment rates for individuals experiencing homelessness. This rule provides new, incentivized opportunities to better screen for and document homelessness among patients in acute inpatient settings. With greater identification of homeless patients, there may be increased needs to develop comprehensive discharge plans that involve coordination with housing providers and social service agencies to prevent the high repeated use of acute care found among many homeless patients.
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To analyze US commercial insurance payments associated with COVID-19 as a function of severity and duration of disease. ⋯ COVID-19 payments for S/C cases were more than 10-fold greater than those of moderate cases and further increased by nearly $95,000 in S/C cases with PCC vs a DOD of fewer than 4 weeks.
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Evaluation of a collaborative model between managed care and affordable housing on acute care costs.
This study evaluated a collaborative service model between the largest Medicaid managed care organization (MCO) in Texas, Superior HealthPlan, and the affordable housing provider Prospera Housing Community Services. ⋯ These findings provide needed evidence of the clinical and economic value of forming multisector collaborative models between MCOs and other community providers.