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People who were deemed uninsurable due to pre-existing health conditions were still eligible to enroll. [7] In 1996, the state separated behavioral health services from the basic managed-care program, contracting with a separate set of behavioral health organizations for mental health and substance abuse services to TennCare participants. [7] [8]
The Patient Health Questionnaire 2 item (PHQ-2) is an ultra-brief screening instrument containing the first two questions from the PHQ-9. [ 8 ] : 3 Two screening questions to assess the presence of a depressed mood and a loss of interest or pleasure in routine activities , and a positive response to either question indicates further testing is ...
Gold level: On average, the health plan pays 80% of covered health-care costs; the consumer pays 20%. Platinum level: On average, the health plan pays 90% of covered health-care costs; the consumer pays 10%. Minimum coverage plan (worst-case scenario): If the consumer is under 30 and cannot afford the other plans, this is another option. It ...
Like other health insurance programs, recipients have a yearly enrollment period. Eligible Americans can now join, drop, or switch their supplemental Medicare plans through December 7.
Fee-for-service is a traditional kind of health care policy: insurance companies pay medical staff fees for each service provided to an insured patient. Such plans offer a wide choice of doctors and hospitals. Fee-for-service coverage falls into Basic and Major Medical Protection categories.
The proposals, laid out in a letter sent to TennCare's Director Stephen Smith, would likely put more power back in the hands of federal officials. Federal officials raise questions, propose ...
The first health coverage in the United States was established by Congress in 1798, when the Marine Hospital Fund was financed through a tax on maritime sailors' pay. [24] Accident insurance was first offered in the United States by the Franklin Health Assurance Company of Massachusetts.
The mechanism for oversight is also the same: To keep tabs on both hospices and nursing homes, Medicare’s regulator relies largely on state health agencies. Inspectors, called surveyors, comb through patient records and conduct interviews to make sure that the extensive set of rules is followed.