Barriers to Access for Rural Children with TennCare http://www.plateaupediatrics.com/access/ Do Cumberland County children get needed healthcare services? en Copyright 2010 Sun, 03 Jan 2010 14:16:02 -0600 http://www.sixapart.com/movabletype/ http://www.rssboard.org/rss-specification Mayo Clinic Limits Medicaid and Medicare Access limit its numbers of Medicaid and Medicare patients.]]> http://www.plateaupediatrics.com/access/2010/01/mayo-clinic-limits-medicaid-an.html http://www.plateaupediatrics.com/access/2010/01/mayo-clinic-limits-medicaid-an.html access Medicaid Medicare Sun, 03 Jan 2010 14:16:02 -0600 The need for Medicaid reform to help kids Dr. Steven M. Altschuler, the president and CEO of the Children's Hospital of Philadelphia, speaks out about the importance of Medicaid changes to support children's health care.]]> http://www.plateaupediatrics.com/access/2009/09/the-need-for-medicaid-reform-t.html http://www.plateaupediatrics.com/access/2009/09/the-need-for-medicaid-reform-t.html medicaid Mon, 14 Sep 2009 09:33:28 -0600 Children Suffer As States Cut Health Budgets This article appeared in today's Wall Street Journal online.]]> http://www.plateaupediatrics.com/access/2009/06/children-suffer-as-states-cut.html http://www.plateaupediatrics.com/access/2009/06/children-suffer-as-states-cut.html budget medicaid Wed, 17 Jun 2009 09:58:41 -0600 Speak Now For Kids If you care about how children will be treated in health reform, speak now.

]]> http://www.plateaupediatrics.com/access/2009/05/speak-now-for-kids.html http://www.plateaupediatrics.com/access/2009/05/speak-now-for-kids.html advocacy coverage health care reform Thu, 07 May 2009 10:02:39 -0600 Disclosure: Antitrust Issues This project involves a survey of charges and fees among pediatricians in Tennessee. The FTC's health care antitrust regulations prohibit attempts to restrain trade, specifically by price-fixing. However, the FTC has issued open-letter advisory opinions to both a physician group and a professional medical practice managers' association that such surveys are not necessarily collusive if measures to protect competition are preserved.

To that end, all such physician charge and fee surveys undertaken by this project shall:

  • Deidentify all physicians/physician groups participating
  • Publish charge and fee data only in the aggregate
  • Not publish any charge or fee data responses with fewer than five (5) respondents
  • Allow a minimum of three (3) months to elapse before aggregate data is released to the public

The goal of this project is to improve pediatrician participation in TennCare, with pro-competitive results.

]]> http://www.plateaupediatrics.com/access/2009/03/disclosure-antitrust-issues.html http://www.plateaupediatrics.com/access/2009/03/disclosure-antitrust-issues.html antitrust FTC Mon, 16 Mar 2009 20:20:30 -0600 Why are eligible kids not covered? new report from the Robert Wood Johnson Foundation examines how to maximize children's enrollment in Medicaid and SCHIP programs.]]> http://www.plateaupediatrics.com/access/2009/02/why-are-eligible-kids-not-cove.html http://www.plateaupediatrics.com/access/2009/02/why-are-eligible-kids-not-cove.html Mon, 23 Feb 2009 10:35:12 -0600 Interpreting the "Equal Access" Provision In this thoughtful review, Abigail R. Moncrieff examines disparity in federal Circuit Court decisions about the equal access provision of Medicaid: The Third, Fifth, Seventh, Eighth and Ninth Circuits have all ruled on this issue, but the applicable standards have varied, so that we do not appear to be any closer to a national standard of clear metrics as to what constitutes adequate access and provider payment for Medicaid.

]]> http://www.plateaupediatrics.com/access/2009/02/interpreting-the-equal-access.html http://www.plateaupediatrics.com/access/2009/02/interpreting-the-equal-access.html equal access Medicaid Tue, 17 Feb 2009 14:43:00 -0600 CoverKids and TennCare means testing How much does a family need to make to qualify for TennCare? What about Cover Kids?

The current tables are available at the Cover Tennessee website.

]]> http://www.plateaupediatrics.com/access/2009/02/coverkids-and-tenncare-means-t.html http://www.plateaupediatrics.com/access/2009/02/coverkids-and-tenncare-means-t.html Cover Kids Medicaid TennCare Tue, 17 Feb 2009 14:38:25 -0600 Equal Access Provision Impaired access to services for TennCare patients is more than an annoyance - it's a violation of the federal regulations that established the Medicaid program.

]]> http://www.plateaupediatrics.com/access/2009/02/equal-access-provision.html http://www.plateaupediatrics.com/access/2009/02/equal-access-provision.html access Medicaid Tue, 17 Feb 2009 10:38:11 -0600 For Pediatricians If you are a pediatrician or pediatric subspecialist (even if your practice is not located in Cumberland County), we need your feedback. Please complete one of our two surveys about barriers to access with TennCare:

General pediatricians (including med/peds and general pediatric hospitalists)

Subspecialty pediatricians

]]> http://www.plateaupediatrics.com/access/2009/02/for-pediatric-health-care-prov.html http://www.plateaupediatrics.com/access/2009/02/for-pediatric-health-care-prov.html pediatrician Tue, 17 Feb 2009 10:06:58 -0600 Community Forums Thanks to everyone who participated in our community forums, which were held on the following dates:

For parents of children with TennCare

(All sessions held at First Presbyterian Church)

Monday, July 21, 12:00 - 1:00 pm
Saturday, August 16, 10:30 - 11:30 am
Tuesday, August 19, 5:30 - 6:30 pm

For community leaders

(All sessions held in Conference Room A of Cumberland Medical Center


Monday, July 28, 6:00 - 7:00 pm
Tuesday, August 5, 12:00 - 1:00 pm
Monday, August 25, 12:00 - 1:00 pm

]]> http://www.plateaupediatrics.com/access/2008/06/community-forums.html http://www.plateaupediatrics.com/access/2008/06/community-forums.html calendar Wed, 18 Jun 2008 09:33:38 -0600 For Community Leaders We're looking for input and ideas from Cumberland County leaders. 

(If you are unfamiliar with the access problem at hand, you might want to start by reading our article Good Coverage, Poor Access.)

You can complete our survey for Cumberland County community leaders here.

Contact us with your information and ideas.]]> http://www.plateaupediatrics.com/access/2008/06/for-community-leaders.html http://www.plateaupediatrics.com/access/2008/06/for-community-leaders.html Cumberland County services Tue, 17 Jun 2008 22:21:42 -0600 John B: A Primer John B consent decree.  A few things have changed; much has stayed the same.]]> http://www.plateaupediatrics.com/access/2008/06/john-b-a-primer.html http://www.plateaupediatrics.com/access/2008/06/john-b-a-primer.html access EPSDT John B TennCare Tue, 10 Jun 2008 15:56:33 -0600 Dead Last http://www.plateaupediatrics.com/access/2008/06/dead-last.html http://www.plateaupediatrics.com/access/2008/06/dead-last.html Medicaid paperwork pediatrician TennCare Tue, 10 Jun 2008 15:18:46 -0600 Rural Tennessee Pediatrician Shortages  Tennessee's supply of pediatricians are not proportionately distributed between urban and rural areas.

]]> http://www.plateaupediatrics.com/access/2008/06/rural-tennessee-pediatrician-s.html http://www.plateaupediatrics.com/access/2008/06/rural-tennessee-pediatrician-s.html pediatrician rural Tue, 10 Jun 2008 11:22:36 -0600