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Primary Care Case Management (PCCM) is a system of managed care in the US used by state Medicaid agencies, in which a primary care provider is responsible for approving and monitoring the care of enrolled Medicaid beneficiaries, typically for a small monthly case management fee in addition to fee-for-service reimbursement for treatment. [1]
Providence Sacred Heart Medical Center & Children's Hospital (more commonly known as Sacred Heart Medical Center or simply Sacred Heart) is a 648-bed general hospital in Spokane, Washington. It employs more than 4,000 health care professionals and support staff; its medical staff consists of over 800 specialists and primary care doctors.
Shriners Hospitals for Children, commonly known as Shriners Children's, is a network of non-profit children's hospitals and other pediatric medical facilities across North America. Children with orthopaedic conditions, burns, spinal cord injuries, and cleft lip and palate are eligible for care and receive all services in a family-centered ...
It sets payments rates for doctors, hospitals and insurers, while also overseeing Medicare, Medicaid, the Children’s Health Insurance Program and the Affordable Care Act — programs that ...
In 1985, Medicaid patients made up 28% of all CHC patients but only 15% of CHC revenues. [5] By 2007, the share of Medicaid patients matched their share of revenues. In the same time period, grants for the uninsured decreased from 51% to 21%. [5] In 2008, Medicaid payments had grown to account for 37% of all CHC revenues. [4]
In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...
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