Welcome to the CHCS Blog, where you’ll find an ongoing conversation about innovative solutions to improve the delivery of health and social services for low-income Americans.

Bridging the Divide: Supplementing Payment Reform to Promote Needed Investments in Population Health

Two important trends in health care reform are converging and driving toward a new way of allocating resources for more effective — and efficient — population health. The first is the gr... more

April 10 2017
What’s Keeping State Oral Health Leaders Up at Night?

A number of innovative efforts are underway to bridge the gap between Medicaid and public health agencies in order to address broad population health needs. Programs such as the Centers for ... more

March 28 2017
Medicaid-Public Health Partnerships: Untapped Potential to Improve Health Care and Reduce Costs

Among the good news trends for U.S. health care over the last year is the flourishing cross-sector and cross-agency collaboration to address the social determinants of health. While much att... more

March 22 2017
Integrating Community Health Workers into Care Teams: Lessons from the Field

Caring for people with complex medical and social needs requires a holistic person-centered approach that recognizes non-medical factors such as housing, transportation, food insecurity, and... more

March 17 2017
Staying the Course on Medicare-Medicaid Integration

More than 750,000 of America’s most vulnerable citizens — individuals dually eligible for Medicare and Medicaid — and their families have embraced new, more integrated systems of care ... more

March 1 2017
Transforming the Complex Care Workforce: Emerging Strategies

Programs serving patients with complex medical, behavioral health, and social needs understand that they need to go beyond the medical model and address the social determinants of health. As... more

February 22 2017
Addressing Social Determinants of Oral Health for Low-Income Populations

There is growing evidence that the way people live, learn, work, and play has a significant impact on health, including oral health. These social determinants of health (SDOH) — including ... more

February 21 2017
Reviewing Medicaid ACO Progress in Leading-Edge States

Accountable care organizations (ACOs) have become increasingly prevalent in state Medicaid programs as a mechanism to improve health care quality and control costs. To date, 10 states have l... more

February 16 2017
Accountable Communities for Health: Multi-Sector Community Partnerships in Action

As states test new care delivery models that focus on integrated, patient-centered, and value-driven care, a number of Medicaid agencies have established multi-sector partnerships to address... more

February 2 2017
Team-Based Care: A Foundation for New York Medicaid Health Home Efforts in 2017

January 2017 marks the fifth anniversary of the launch of the New York Medicaid Health Homes program, one of the first to be implemented across the country. Established by the Affordable Car... more

January 19 2017
DHCS Academy: First-in-the-Nation Experiment is a Big Success Story

Inside Sacramento's historic library building, 30 managers from California's Department of Health Care Services are working in small groups to resolve a thorny issue: how to structure value-... more

January 18 2017
Sustaining Progress in 2017: Providing Health Care for Undocumented Residents

While low-income, undocumented immigrants do not qualify for federal health insurance programs, they may be able to access affordable health services via two key avenues: (1) state-funded co... more

January 13 2017
Partnering to Improve Population Health: Exploring Effective Community-Based Organization and Health Care Models

The U.S. health care system is increasingly embracing the importance of identifying and acting on social determinants of health (SDOH), given their known impact on morbidity and mortality. C... more

January 9 2017
Massachusetts’ Medicaid ACO Makes a Unique Commitment to Addressing Social Determinants of Health

Over the last month, national Medicaid policy experts focused on the election may well have missed MassHealth’s notable new foray into delivery system and payment reform. The Commonwealth ... more

December 19 2016
Driving Toward Behavioral Health Quality and Value: Certified Community Behavioral Health Centers

Across the nation, states are delivering higher quality care, reimbursing providers based on value rather than volume, and testing delivery system and payment reforms aimed at lowering healt... more

December 6 2016
Understanding How Trauma Affects Health and Health Care

A clinic serving mostly Medicaid and uninsured families is struggling to help patients keep their appointments. Its patients, who come from the surrounding community, are often either unempl... more

November 22 2016
A Look at CHCS Medicaid Academies: Featuring Vermont

The Medicaid program remains the largest health insurer in most states and the one most responsible for our citizens with complex clinical and social needs. Unlike the leadership of most lar... more

November 17 2016
Engaging the Community Through Personal Relationships: Collaborating to Address Health Disparities in East Baltimore

Baltimore, like many other major cities, is home to an appalling health disparity: life expectancy differs by more than 20 years between its most affluent and lowest-income neighborhoods. To... more

November 15 2016
Promising Community-Based Medicaid Delivery System Reforms: Innovations from New York DSRIP

Last month, CHCS’ blog explored the broad take-up of Delivery System Reform Incentive Payment (DSRIP) opportunities in Medicaid programs across the nation; this latest blog post looks at s... more

November 10 2016
Innovating in Complex Care

Coming into our Complex Care Innovation Lab meeting last month, we knew full well that the Medicaid health care delivery system is transforming itself — sometimes at breakneck speed — in... more

October 31 2016