Medicaid Waivers in the Era of Federal Health Reform
Oct 5, 2011 10:15am – 12:00pm
Speakers:
Samantha Artiga
Emma Chacon
Jenny Hamilton, Tricia Leddy
With the advent of the Affordable Care Act (ACA), states have new opportunities to foster delivery system innovation and ensure access to affordable coverage options for all. This session explored state options for flexibility using existing tools, like Medicaid 1115 waivers. An expert provided context for state waiver approaches both before and after the ACA. A speaker from Washington discussed the state’s recently approved Transitional Bridge 1115 Waiver, as well as additional flexibility the state is seeking to implement the ACA and recent state-level health reforms. A presenter from Utah highlighted features of the Utah Medicaid Payment and Service Delivery Reform 1115 Waiver Request, including the proposed Utah Medicaid ACO model and the creation of a premium subsidy option for enrolling Medicaid-eligibles into coverage through the state’s Exchange.

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. 























































































































































