Community Benefit
For health plans, authors expect the study can provide a better understanding of the core customer segments of MA.
About half of adults have avoided at least one common health screening, including tests for certain diseases and other exams.
Non-comprehensive coverage, HHS says, can be harmful to low-income individuals and people with significant healthcare needs.
The changes come on the heels of scrutiny from medical experts for alleged imprecise methodology and bias.
The move makes South Dakota the 39th state, along with Washington, D.C., to adopt the ACA's Medicaid expansion.
HIMSS23
<p>The HIMSS Community Care Outcomes Maturity Model (C-COMM) encompasses health from prenatal to end-of-life care, explains Toni Laracuente, SVP and head of Analytics at HIMSS.</p>
People on Medicare also tend to rate their insurance more positively compared to those with ACA coverage.
The data shows that the 22% of patients with a diagnosed behavioral condition drive 41% of total healthcare spend.
During AHIP 2023, Prx Health tackles the issue of billing codes being needed for reimbursement and to prevent inappropriate use of the ER.
There were also high rates of 'procedural disenrollments,' in which people didn't complete the enrollment process.