Medicaid managed care programs grow; so do issues
After Tonya Bauserman slipped in a grocery store and hurt her right knee last July, an emergency room doctor prescribed painkillers and told her to see an orthopedic surgeon.
But Bauserman, 27, who's insured by a Medicaid managed health care plan called HealthCare USA, says she had trouble finding an orthopedist in her plan who would see her. Finally, she drove 2½ hours to Columbia from her home in a northwestern suburb here to see a physician, who fitted her for a brace and recommended physical therapy. HealthCare USA later said it wouldn't pay for the brace.
- CVS Ramps Up Retail Clinics with Provider Affiliations
- Drug Pricing 'Tantamount to Greed,' Lawmaker Says
- Study Puts Spotlight on Preventing Fall-Related Injuries
- Wanted: Nurse PhDs
- Contradictory Obamacare Rulings Issued by Appellate Courts
- The Infection-Busting Treatment Payers Don’t Want to Talk About
- Surgical Checklists Unused in 10% of Hospitals, CMS Data Shows
- 4 Tectonic Shifts Shaking Up Healthcare
- As HIPAA Breaches Accelerate, Tools Lag
- Ascension, Carondelet to Partner with Tenet, Dignity Health