Tag: Medicaid
Why Compliance Is Critical for Medicaid MCOs
Direct Care Innovations provides software solutions that empower Medicaid Agencies to succeed. In an industry where compliance and training are critical, Managed Care Organizations play a vital role in delivering healthcare services to millions of low-income and vulnerable individuals through state Medicaid programs. With such a significant responsibility, strict adherence to federal and state regulations […]
Key Insights to Understanding Medicaid Managed Care
At Direct Care Innovations, we’re committed to keeping you informed on the latest developments in Medicaid news. Medicaid plays a crucial role in providing healthcare coverage to millions of low-income Americans, and managed care has become the primary way states deliver services to enrollees. As of 2023, over 70% of Medicaid beneficiaries receive their care […]
Medicaid in 2025: Funding Cuts and Policy Shifts Ahead
As we navigate 2025, Medicaid stands at a pivotal juncture, with potential policy shifts poised to reshape its landscape. Serving as the primary source of comprehensive health and long-term care for approximately one in five Americans, Medicaid’s future is under intense scrutiny. Currently, Congress is considering significant changes that could impact coverage, financing, and access […]
How California’s Proposition 35 Impacts In-Home Caregivers
Direct Care Innovations is well-educated regarding the latest policies and ready to help your home healthcare business understand the new rules and regulations. California’s Proposition 35 is a groundbreaking measure aimed at strengthening the healthcare system for vulnerable populations. By ensuring higher payments for doctors treating low-income residents, this legislation also can improve the overall quality […]
3 Current Updates Regarding Medicaid & Managed Care
Over the last few years, several updates have been made to Medicaid and managed care. With the Medicaid unwinding process taking place, the Centers for Medicare and Medicaid Services (CMS) and Managed Care Organizations (MCOs) are working together to help Medicaid-eligible members retain their current coverage. Direct Care Innovations is watching these changes closely to […]
New Rules of EVV & How They Foster Efficiency & Value-Based Partnerships
New technologies are rapidly changing the business landscape, especially within the healthcare industry. Electronic visit verification, also known as EVV, is one of the more convenient innovations as of late. Starting January of 2021, new technology requirements will make it so that home-based providers must use electronic visit verification systems for the people they care […]