A nonprofit policy center dedicated to improving the health of low-income Americans.

Since 1995, the Center for Health Care Strategies (CHCS) has partnered with nearly every state in the country to promote innovations in publicly financed health care, especially for individuals with complex, high-cost needs. Its work brings together state and federal agencies, health plans, providers, and consumer groups to advance models of organizing, financing, and delivering health care services. In so doing, it has developed both a birds-eye view and a ground-level feel for the nation’s health care delivery system for low-income Americans and a unique perspective on how to generate systems-level change within Medicaid and across public and private payers.
States Represented in Current CHCS Projects

As a nonpartisan organization, CHCS facilitates problem-solving exchanges and peer learning among a diverse range of health care stakeholders to improve access, integrate fragmented services, reduce avoidable expenditures, and link payment with quality. CHCS’ technical assistance and training activities, supported primarily by philanthropic and federal funding, are organized under three core priorities:

  • Health Care Coverage and Access: Helping states make the most out of coverage opportunities to provide high-quality and cost-effective services for low-income Americans.
  • Delivery System and Payment Reform: Supporting states in designing and implementing comprehensive, statewide multi-payer delivery system and payment reforms that reward value as opposed to volume and support improvements in population health.
  • Integrated Services for People with Complex Needs: Advancing innovations in care for many of the nation’s highest-need, highest-cost populations, including children in foster care; adults eligible for Medicare and Medicaid, including those with long-term care needs; and people with complex physical health, behavioral health, and social service needs.

CHCS also focuses on leadership and capacity building to ensure that state leaders have the skills, expertise, and tools necessary to achieve Medicaid’s potential as a national model for high-quality, cost-effective care.

At CHCS, we are fortunate to collaborate with creative and mission-driven partners across the country to advance shared goals for better health. From policy concept through program implementation, our work is designed to help ensure that health reform’s promise of coverage translates to high quality and cost-effective care.