5050.0 Medicaid, Medicare, Managed Care: The Complexities of Healthcare Delivery

Wednesday, November 7, 2007: 8:30 AM
This session will include a study designed to improve access to care for underserved children and the impact of reimbursing local school-based health centers for delivering primary care services to plan members. The session will also include a study with the objective of describing infectious diseases in terms of Medicaid/State Children’s Health Insurance Program and an expected source of payment. This presenter will discuss identified states whose Medicaid programs provide HPV vaccine coverage for adults, determining how each state categorized the services, and describe how coverage decisions are made. Also discussed in this session will be the complexities in assessing pharmaceuticals through Medicare: Part B vs. Part D.
Session Objectives: Participants should be able to: Identify best practices for school-based health centers to work with managed care organizations. Describe infectious diseases among Medicaid enrollees. Discuss methods that states could employ to close the coverage gap for Medicaid patients. Describe the differential between Medicaid Part B and D prescription benefits and recognize the implicit dilemmas present in trying to provide continuity of patient care within these programs.
Glen Mays, PhD, MPH

8:30 AM
Accessing Pharmaceuticals through Medicare: Part B versus Part D
Lincy S. Lal, PhD, Rebecca Arbuckle, MS and Frank Hung, MS
8:50 AM
Financing the HPV vaccine under medicaid: Access for low-income women
Alexandra Stewart, JD, Marisa Cox, MA and Sara Rosenbaum, JD
9:10 AM
Partnering Medicaid managed care and school-based health centers: Results from a pilot project in Los Angeles
Phinney Ahn, MPH, Elaine Batchlor, MD, MPH, Dorothy Seleski, MPH, MBA, Corey Moffatt, Qiaowu Li, MS, Rae Starr, MPhil, MOB, Eleanor Young, RHIA, MPH and Gregory Stevens, PhD

See individual abstracts for presenting author's disclosure statement and author's information.

Organized by: Health Administration
Endorsed by: Socialist Caucus

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