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Better Together: State Strategies for Medicaid-Ryan White HIV/AIDS Program Coordination

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Successful coordination between Medicaid and Ryan White HIV/AIDS programs is one key to improving care and services for persons living with HIV/AIDS. As more people living with HIV/AIDS gain health insurance coverage, effective coordination between programs remains critical. During this webinar, state officials will discuss promising practices for coordination in the areas of inter-agency communication, program eligibility, access to care, benefits, and prescription drugs. This webinar is supported through a cooperative agreement with the Health Resources and Services Administration.

Speakers:

  • Kathy Witgert, Program Director, NASHP
  • Dr. Karen Mark, Chief, Office of AIDS, Center for Infectious Diseases,Department of Public Health, California
  • Dr. David Collier, Associate Medical Director, Bureau of TennCare, Tennessee
  • H. Dawn Fukuda, Director, Office of HIV/AIDS, Bureau of Infectious Disease, Department of Public Health, Massachusetts
  • Barbara Lantz, Manager, Quality and Care Management, Washington State Health Care Authority
Click for the Webinar Slides 489.7 KB
Click for the Associated Publication 149.92 KB

 

New State Refor(u)m Webinar: Beyond the Expansion Decision: Tackling the Other Medicaid Changes in the ACA

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State decisions about whether or not to do the Medicaid expansion have begun to unfold, but Medicaid has many other critical changes on its plate.  States have complex eligibility and enrollment, financing, benefit design and consumer assistance requirements to untangle, and 2014 is approaching quickly.
This State Refor(u)m webinar will provide a brief overview of these reforms and why they are important. We will then ask our state panelists to address questions like:
  • What progress have they made so-far in simplifying and automating enrollment and renewals?  What are some of the toughest remaining issues?
  • How are they coordinating state or federally facilitated health insurance exchanges to prevent coverage gaps?
  • Do they plan to roll out a Medicaid benchmark plan and what will it look like?
  • How do they plan to provide consumer assistance?
Moderator:
Matt Salo, Executive Director, National Association of Medicaid Directors
Overview:
Alice Weiss, Program Director, National Academy for State Health Policy
Kaitlin Sheedy, Policy Analyst, National Academy for State Health Policy
Speakers:
Beth Osthimer, Director, Medicaid and Health Reform, Division of Coverage and Enrollment, Office of Health Insurance Programs, NY State Health Department
Linda Skinner, Director of Health Care Innovation Infrastructure Management Arizona Governor’s Office
John Supra, Deputy Director for Information Management and Chief Information Officer, South Carolina Department of Health and Human Services

Issues and Policy Options in Sustaining a Safety Net Infrastructure to Meet the Health Care Needs of Vulnerable Populations

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As a result of large-scale changes in insurance coverage under the Affordable Care Act (ACA), financing streams for safety net providers will shift. The law provides significant resources for further development of some safety net providers while reducing funding streams for others. The vulnerable populations served by the safety net—poor and underserved communities—may not fundamentally change, but their sources of coverage, and thus, financing for safety net providers who care for these populations, will shift dramatically. To adapt to these changing funding streams, safety net providers will need to engage in new and ongoing payment reform efforts, negotiate their roles with state Medicaid programs and qualified health plans sold through newly established insurance exchanges, and maintain an infrastructure to serve the remaining uninsured. This report, the third in a series that reflects the work of the National Workgroup on integrating a Safety Net into Health Care Reform Implementation, addresses the workforce and financing infrastructure needed to support a sustainable safety net to serve vulnerable populations.

sustaining.sn_.infrastructure.pdf 275.7 KB
sustaining.SN_.infrastructure.pdf 275.7 KB

 

Minnesota and Ohio: Advancing Health Equity through Delivery System Reform

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By Carrie Hanlon

August 2012
Racial and ethnic minorities disproportionately experience chronic disease, often receive suboptimal quality care and therefore can benefit most from delivery reform initiatives aiming to improve quality and care coordination, particularly for the chronically ill.  Through a variety of provisions, the Affordable Care Act (ACA) facilitates state and federal action to advance health equity for racial and ethnic minorities. Minnesota and Ohio participated in a recent NASHP learning collaborative, and their efforts demonstrate four ways states can incorporate health equity into delivery reform initiatives to ensure high-quality, equitable care for all.
Read more

State Policymakers’ Guide for Advancing Health Equity through Health Reform Implementation

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The Affordable Care Act (ACA) offers states multiple policy levers to improve health status and care for racial and ethnic minority populations through delivery system reforms, public health and community interventions, and insurance coverage, as well as provisions specific to disparities reduction. This report synthesizes the experiences of teams from seven states (Arkansas, Connecticut, Hawaii, Minnesota, New Mexico, Ohio, and Virginia) that participated in a learning collaborative to advance health equity using select ACA and state policy levers. The report also presents opportunities for state and federal collaborations to strengthen these efforts, as well as important lessons for advancing health equity.
An accompanying issue brief provides a high-level summary of the full report.

advancing.equity.health.reform.pdf 559.2 KB

 

The State of the States in Delivering Health Care for Children in Foster Care: Findings of a State Survey

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A 1999 survey of states by the National Academy for State Health Policy sought to examine the specific policies and procedures states have adopted to minimize these barriers and to ensure that the health care needs of children in foster care are met. The survey questionnaire was mailed to both Medicaid and Chief Welfare officials in all states in the fall of 1998. Forty-five officials from 35 states reported making efforts. This report provides a snapshot of those efforts as of the end of 1998/start of 1999.

1999.Sep_.delivering.health.care_.children.in_.foster.care_.pdf 3.6 MB

 

States Prepare for Medicaid's Growth Spurt

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By 2019, Medicaid is estimated to cover an additional 16 million of the most vulnerable Americans, significantly increasing the shape and size of the program.
On this State Refor(u)m webinar, officials from three states will provide a closer look at what states are doing to prepare.
Moderator:
Sonya Schwartz, Program Director, National Academy for State Health Policy
Overview:
Sarabeth Zemel, Program Manager, National Academy for State Health Policy

Panelists will be:

Nathan Johnson, Medicaid Policy Manager, Washington Health Care Authority
Elena Nicolella, Medicaid Director, Rhode Island Department of Human Services
Julie Weinberg, Director, New Mexico Human Services Department
 

Toward Meeting the Needs of Vulnerable Populations: Issues for Policymakers’ Consideration in Integrating a Safety Net into Health Care Reform Implementation

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A 2011 Commonwealth Fund poll found that 98 percent of responding national health care opinion leaders believe that traditional safety net providers will still fulfill critical roles after implementation of the ACA. With the support of The Commonwealth Fund, NASHP formed the National Workgroup on Integrating a Safety Net into Health Care Reform Implementation to inform national and state policy development in addressing the roles of safety net providers in implementation of the ACA. This brief describes 10 overarching issues that the National Workgroup identified as ones that policymakers concerned with the safety net will need to consider in order to achieve health care reform goals, particularly for vulnerable populations.

safety.net_.hcr_.pdf 161.8 KB

 

Using Report Cards to Measure Racial and Ethnic Health Disparities: State Experience

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State agencies identify, document, and act on data related to racial and ethnic health and health care disparities in various ways.  One type of document states produce is a “report card,” or a publication that uses data from race/ethnicity-specific measures to assign letter grades that rate the state’s performance. This issue brief, prepared by NASHP for the Agency for Healthcare Research and Quality (AHRQ), focuses on New Mexico’s experience using report cards to measure racial and ethnic health disparities.
Click to download the report (PDF).
 

Using Geographic Information to Target Health Disparities: State Experience

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This brief describes how two states, Rhode Island and Virginia, have used particular data collection techniques along with Geographic Information Systems (GIS) to analyze and map race and ethnicity data. Virginia uses GIS with multi-level spatial analysis, while Rhode Island uses GIS in conjunction with Community Based Participatory Research (CBPR). This brief, prepared by NASHP for the Agency for Healthcare Research and Quality (AHRQ), also discusses how both states utilize these techniques to target interventions aimed at reducing disparities. View the full report here.

Attachment Size
geographic.brief_.health.disparities.pdf 188.64 KB

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