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Medicaid reimbursement for alternative therapies.

CONTEXT: A growing number of complementary and alternative therapies are eligible for reimbursement by third party payers in the United States. No studies have examined current trends in the use of public funds for the payment of complementary and alternative medicine (CAM). OBJECTIVE: To determine the reimbursement polices of state Medicaid programs for CAM. DESIGN: Cross-sectional study. PARTICIPANTS: 46 state Medicaid reimbursement specialists. INTERVENTION: Telephone survey. RESULTS: Of the 46 states participating in the study, 36 Medicaid programs (78.3%) provide coverage for at least 1 alternative therapy. The most commonly reimbursed therapies are chiropractic by 33 programs (71.7%), biofeedback by 10 programs (21.7%), acupuncture by 7 programs (15.2%), and hypnotherapy and naturopathy by 5 programs each (10.8%). CONCLUSIONS: Many Medicaid programs are paying for the use of CAM. Further research is needed to determine if Medicaid recipients are aware of these reimbursement policies and the extent to which recipients are using CAM for their healthcare.

Complementary Therapies↗
PubMed2003

Drawing the line.

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Arkansas↗
PubMed2003

Time to pay for quality. CMS will partner with premier in trial project to give financial bonuses to hospitals that deliver the best care.

The Centers for Medicare and Medicaid Services is poised to announce a new pilot program in which it will partner with healthcare alliance Premier to reward top performing hospitals with recognition and, more importantly, added dollars. Though a relatively risk-free step for the nation's largest payer, it marks a seminal moment for the burgeoning paying-for-quality movement in healthcare.

Antitrust Laws↗
PubMed2003

Quality. Pay for good play.

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Centers for Medicare and Medicaid Services, U.S.↗