The Conceptual Framework and Evolution of EPSDT The Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program represents the most significant and comprehensive child health component of the Medicaid program in the United States. Established by the Social Security Act in 1967 and significantly expanded by the Omnibus Budget Reconciliation Act of 1989 (OBRA ’89), […]
The Centers for Medicare and Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare and Medicaid programs. CMS is responsible for the overall regulation, oversight, and coordination of the Medicare and Medicaid programs and works to ensure that all beneficiaries have access […]
Third-Party Payer The Core Definition of a Third-Party Payer A third-party payer in the context of healthcare refers to an entity that pays for health services on behalf of an individual, rather than the individual paying directly. Essentially, it acts as an intermediary between the patient (the first party) and the healthcare provider (the second […]