Medicaid Managed Care
FEATURED ARTICLE
State Approaches to Reimbursing Family Caregivers of Children and Youth with Special Health Care Needs through Medicaid
/in The RAISE Act Family Caregiver Resource and Dissemination Center Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, COVID-19, EPSDT, Health Equity, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Population Health, Quality and Measurement, Social Determinants of Health, State Resources, The RAISE Family Caregiver Resource and Dissemination Center /by Olivia Randi, Eskedar Girmash and Kate HonsbergerHow States Address Social Determinants of Oral Health in Dental and Medical Medicaid Managed Care Contracts
/in Medicaid Managed Care Blogs, Featured News Home Child Oral Health, CHIP, CHIP, Chronic Disease Prevention and Management, Essential Health Benefits, Health Coverage and Access, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Oral Health, Population Health, Social Determinants of Health, Special Populations and Services /by Ariella Levisohn, Allie Atkeson and Carrie HanlonInequities in oral health and health outcomes are driven by upstream factors, including diet, education, transportation, and access to care. A growing number of states are working to improve the oral and physical health of Medicaid enrollees and reduce costs by addressing these social determinants of health in their managed care contracts.
Three States’ Strategies to Improve Behavioral Health Services Delivery through Medicaid Accountable Care Programs
/in Policy Colorado, Minnesota, Rhode Island Featured News Home, Reports Accountable Health, Care Coordination, CHIP, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Equity, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Quality and Measurement, Quality and Measurement /by Neva KayeThree States’ Efforts to Use Accountable Care to Improve Oral Health Services in Medicaid
/in Policy Colorado, Maine, Oregon Blogs, Featured News Home Accountable Health, Child Oral Health, CHIP, CHIP, Cost, Payment, and Delivery Reform, Health Coverage and Access, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Oral Health, Population Health, Quality and Measurement /by Neva KayeToolkit: Upstream Health Priorities for Governors
/in Policy Toolkits Behavioral/Mental Health and SUD, Chronic and Complex Populations, Community Health Workers, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Housing and Health, Long-Term Care, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Palliative Care, Population Health, Quality and Measurement, Social Determinants of Health, Value-Based Purchasing, Workforce Capacity /by NASHP WritersGovernors can control costs, advance their priorities, and enhance lives by improving the social and economic conditions that make up 80 percent of the factors affecting their residents’ health. Governors are uniquely positioned to maximize state resources to address the conditions affecting health by leading cross-agency and public-private collaborations, leveraging siloed state resources, and advancing evidence-based health policy approaches.
CARES Act in the States: Targeting New Health Funding in a Time of Crisis
/in COVID-19 State Action Center Blogs, Featured News Home COVID-19, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Housing and Health, Medicaid Managed Care, Population Health, Relief and Recovery, Social Determinants of Health, Workforce Capacity /by Trish Riley and Ellen SchneiterThe landmark $2 trillion Coronavirus Aid, Relief and Economic Security Act (CARES), enacted last week, includes critically important new funding to help states in their fight to combat COVID-19. Governors and legislatures, most adjourned to comply with social distancing bans on public gatherings, will need to make quick but informed decisions about how best to […]
NASHP Joins Lewin Group to Provide Integrated Care for Kids Model Support
/in Policy Blogs, Featured News Home Behavioral/Mental Health and SUD, Care Coordination, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health /by Karen VanLandeghemThe Centers for Medicare & Medicaid Services (CMS) has awarded the Lewin Group and its partners, which includes the National Academy for State Health Policy (NASHP), a seven-year contract to support implementation and monitoring for CMS’ Integrated Care for Kids (InCK) Model. Launched in January 2020, this model is part of CMS’s strategy to fight the opioid […]
CMS Requests Input to Better Coordinate Care for Children with Complex Conditions from Out-of-State Providers
/in Policy Blogs, Featured News Home Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, EPSDT, Health Equity, Health System Costs, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Population Health, Social Determinants of Health /by Kate HonsbergerThe Centers for Medicare & Medicaid Services (CMS) recently released a request for information (RFI) for input from states, providers, health systems, and families to better coordinate care from out-of-state providers for children with complex health conditions enrolled in Medicaid. The deadline to submit comments is March 23, 2020. States have long addressed issues of […]
Webinar: Road Trip to Behavioral Health Parity – Your Roadside Assistance
/in Policy Webinars Behavioral/Mental Health and SUD, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health /by NASHP StaffStates Increase Access to Oral Health Services and Support Overall Health
/in Policy Arizona, Minnesota Blogs, Featured News Home Chronic Disease Prevention and Management, Community Health Workers, Health Coverage and Access, Health Equity, Medicaid Managed Care, Medicaid Managed Care, Oral Health, Population Health, Workforce Capacity /by Carrie Hanlon and Neva KayeState officials continue to develop new approaches to increase access to oral health services, and many of their innovations were highlighted at National Academy for State Health Policy’s 2019 conference. There are ongoing initiatives, such as deploying community health workers in Minnesota, a New Hampshire Medicaid and Women, Infants, and Children Nutrition Program pay-for-prevention, bundled […]
For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
CalAIM: Leveraging Medicaid Managed Care for Housing and Homelessness Supports
/in Policy, Population Health California Featured News Home, Reports Housing and Health, Medicaid Managed Care, Medicaid Managed Care, Population Health /by Allie Atkeson