Strategies to treat patients under old, new Medicaid without breaking the bank

Why This Topic Matters

Medicaid coverage differences can affect what services are covered and whether a practice gets paid, so verifying coverage before treatment can help avoid denied claims, patient balances, and collection problems. The article also addresses operational choices practices may consider when balancing access, reimbursement, and capacity.

Article Sections

1. Front desk matters

   Overview of why eligibility and coverage verification at the point of service is important. Discusses the general distinction between older and expanded Medicaid coverage and the role of managed care arrangements.

2. How to take Medicaid, stay solvent

   Broad practice-management options for responding to Medicaid patient demand while maintaining financial stability. Covers general approaches to panel management, patient scheduling, and participation decisions.

3. When to stop taking Medicaid patients

   General considerations for ending Medicaid participation and managing patient transitions. Includes notice expectations and the need to continue care during any required transition period.