Blog

Is Your Team Ready for the Public Charge?


By Centauri Health Solutions Staff

Fear and confusion have caused immigrants to disenroll from government programs or forgo benefits for which they are eligible. According to a December 2018 nationwide survey, about one in seven adults in immigrant families did not participate in a government program for fear of risking future green card status.1   What is causing this? “Public…


See More

Section 1115 Medicaid Demonstration Waivers: Redefining Medicaid


By Centauri Health Solutions Staff

There is a lot going on with Medicaid these days, but the biggest change may be with Section 1115 Medicaid Demonstration Waivers for work or community engagement. We frequently read or hear the terms “work requirement” and “community engagement” interchanged. For the most part, they are the same type of requirement. A state makes the…


See More

Section 1332 Waivers: Health Insurance Market Reform


By Centauri Health Solutions Staff

You’ve probably heard of Section 1332 waivers. But do you know what they are or how they may impact organizations, patients or health plan members?


See More

Social Determinants of Health Opportunities: In Practice and In Policy


By Centauri Health Solutions Staff

Social determinants of health (1) as a measurement of a person’s, or a population’s, overall health emerged in the last decades of the 20th century and have now become a recognized metric in US healthcare delivery.   In the still-ongoing process of improving the overall access and quality levels in American healthcare, social determinants, or…


See More

CMS Best Practices Toolbox Snapshot


By Centauri Health Solutions Staff

This is an overview on how to expand your Risk Adjustment renovation toolbox, so you can better construct and implement your data submission program. The following are the tools and strategies needed to implement the 12 CMS Best Practices and help ensure program success. Tool #1 – Magic Bullet – Analyze transactional reports to track,…


See More

Section 1115 Waivers Update – First Quarter 2019


By Centauri Health Solutions Staff

1115 Waiver Activity: 2019 Q1 Overarching Developments There were some key developments in the first quarter of 2019 that have potential long-term impacts to the 1115 waivers: Federal judge blocks community engagement requirements in Kentucky and Arkansas A federal judge’s Mar. 27, ’19 ruling immediately suspended community engagement requirements for Medicaid recipients in Kentucky and…


See More

Tools to Reduce System and Submission Errors – Best Practice Toolbox for Risk Adjustment Implementation, Part 3


By Centauri Health Solutions Staff

Tools to reduce system and submission errors Part three of a four-part series of CMS Best Practices Implementation Centauri Health Solutions’ Director of Product Strategy – Dawn Carter


See More

Section 1115 Waivers-Fourth Quarter Overview


By Centauri Health Solutions Staff

 1115 Waiver Activity : 2018 Q4 We recognize that it’s difficult to stay on top of the 1115 waiver developments across the country, and we want to help by providing a quarterly snapshot of major 1115 waiver activity and decisions. By Centauri Health Solutions Staff


See More

Section 1115 Waivers-What You Need to Know


By Centauri Health Solutions Staff

What are Section 1115 waivers? You no doubt have some idea of what these waivers are, but here’s an overview: By Centauri Health Solutions Staff


See More

Medicaid Waivers- Florida Retroactive Decision


By Centauri Health Solutions Staff

On Friday, February 1, Florida’s recent CMS-approved request to eliminate the existing three month retroactive eligibility obligation for many Medicaid recipients goes into effect. By Centauri Health Solutions Staff


See More