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Some physician groups seeking full expansion of Medicaid program

December 26, 2012
Uncategorized By LW Consulting Inc.

Medical organizations have been devoted to improving patient care and meeting all federal regulations to expand services in recent years. For instance, the healthcare industry has been focused on ICD-10 implementation, meaningful use requirements and avoiding HIPAA violations in order to be left with financial incentives instead of a penalty.

The Patient Protection and Affordable Care Act has also brought many changes for the medical sector, such as the expansion of health insurance among American citizens as well as a suggested rise in Medicaid services throughout states.

Based on recently released guidelines from the federal government, physician groups that wish to expand Medicaid programs will only be able to receive assistance and funding if they allow eligibility for everyone up to 133 percent of the federal poverty level, according to American Medical News.

The secretary of the Maryland Department of Health and Mental Hygiene Joshua Sharfstein said at a committee hearing that "expanding Medicaid is the best decision for Maryland's providers, the state economy and the uninsured, who will gain a pathway to primary and preventive health care services rather than simply accessing emergency room services."

However, Bruce Greenstein, secretary of the Louisiana Dept. of Health and Hospitals, does not think that expansion of Medicaid should be provided without a stronger change to enhancing health outcomes, decreased spending and overall quality of care.

Regardless of what a hospital executive or healthcare expert may feel is right, reform of the medical industry is coming in full force. By working with a hospital consultant, medical organizations will remain HIPAA compliant and gain meaningful use incentives as well as improve the overall quality of patient care services.