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Do you have a patient with autism? In Texas alone, there are at least 250,000 individuals with autism. In this episode of Medicaid Simplified, we will be discussing Autism Spectrum Disorder and Applied Behavior Analysis, which is now a new covered service for Medicaid members.Medicaid Simplified is hosted by Blue Cross and Blue Shield of Texas. Thi…
 
Are you a Medicaid health care professional looking for additional support? Our Medicaid Network team is here to answer your questions. In this episode of Medicaid Simplified, we’re going behind the scenes to help providers like yourself understand the structure of your support team at Blue Cross and Blue Shield of Texas (BCBSTX).Medicaid Simplifie…
 
Health care providers – like all professionals – are always looking for ways to save time and get more of their day back. In this episode of Medicaid Simplified, we’ll introduce to a new Medicaid enrollment system, the Provider Enrollment and Management System (PEMS). It can reduce their administrative burden – and give them MORE time for their pat…
 
Are you looking at ways to improve your patient's experience? Do you strive to ensure patients leave your office feeling confident about their health? In this episode of Medicaid Simplified, you’ll learn how to improve a patient’s experience while also achieving high scores from the Consumer Assessment of Healthcare Providers Systems (CAHPS) survey…
 
What’s the difference between a claim reconsideration and a claim appeal? There are a lot of similarities, but it’s important to know the difference. In this episode of Medicaid Simplified, we’ll help you better understand these two processes. You’ll also learn about some resources that can assist with claims and ensure resolution for providers.Med…
 
Do you have a growing base of female patients? Perhaps you're a primary care physician or an OBGYN who wants to see Texas women thrive. And you can, thanks to the Healthy Texas Women program. Tune in to this episode of Medicaid Simplified to hear how the program improves health care access for women.Medicaid Simplified is hosted by Blue Cross and B…
 
How do you know if you're truly meeting the needs of your patients? Texas Medicaid pediatricians can refer to the Texas Health Steps program. It was designed to help you stay on task with the steps required for unhealthy childhood. Tune into this episode of Medicaid Simplified to get the scoop.Medicaid Simplified is hosted by Blue Cross and Blue Sh…
 
Host Richard Yadon is joined by Jon Keeley, Vice President of Pharmacy Services at Principled Dynamics with responsibility for ProSourceRx a turnkey solution for physician dispensing. Today’s discussion will revolve around the goals of decreasing the cost of Healthcare through Impacting Physician Prescribing patterns. With the HealthCare Reform, th…
 
Host Richard Yadon and MHPA Director of Government Affairs and Interim Executive DirectorJoe Moser discuss today's Medicaid Managed Care. We'll take a look at the key developments of the past 12 months and then an insightful look into the future. Some of the topics we'll cover include: Medicaid policy changesDual EligiblesHealth Insurance Exchanges…
 
Join Richard and his guest Dr. Dale Alverson, Medical Director, Center for Telehealth and Cybermedicine Research University of New Mexico, as they discuss the uses, challenges, and implications of Telehealth and Medicaid health care. Topics of the discussion include: What is really Telehealth? How would it apply to Medicaid? Where is it being used …
 
Joining us for today's show is Leonard J. Kirschner M.D. M.P.H., Member, The National Advisory Board on Improving Healthcare Services for Seniors and People with Disabilities Now that the election is over and most states have declared their position on expansion, what happens now? Where are we winning in Medicaid and where are we losing? What are t…
 
Behavioral health is one of the hottest topics in Medicaid today. Join host Richard Yadon as he explores the developments, innovations, and challenges of this issue. Our guests include: Danis Russell, CEO, Genesee County Community Mental Health Sheila Putnam, Director Medicaid Care Management, Priority Health…
 
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