Improving the quality and cost-effectiveness of publicly financed health care
Health Reform Implementation Resources
Health reform presents unprecedented challenges as well as tremendous opportunities for states to provide access to high-quality, cost-effective health care services for an expanding population. With the prospect of 16-20 million additional enrollees, Medicaid stakeholders across the country can benefit from shared lessons on how to best expand coverage while heeding the needs of existing beneficiaries.
CHCS is assembling rapid learning communities of state agencies, health plans, and federal partners to address front-line implementation issues and identify best practices in the following key areas. This web resource center is designed to showcase innovative ideas in each of these areas to help states maximize opportunities for transforming Medicaid delivery. To find out when new information is posted, sign up for CHCS e-mail updates.
- Medicaid Exchange Interface
- Medicaid Expansion Population
- Payment Reform
- Primary Care Payment Redesign
- Delivery System Reform
- Transforming Care for Duals
Highlights
Medicaid Accountable Care Organization Quality Measurement Strategy Tool
This technical assistance tool was developed to help states select quality measures for Medicaid ACO programs. It can be used to facilitate quality strategy discussions with the Centers for Medicare & Medicaid Services to achieve regulatory approval.Planning for Medicaid Expansion: An Online Toolkit
This toolkit is a collection of tools and resources to help states design programs to address the needs of the Medicaid expansion population.
Medicaid-Financed Services in Supportive Housing for High-Need Homeless Beneficiaries: The Business Case
This brief outlines the rationale for states to consider designing Medicaid-financed, supportive housing-based care management services to improve care for high-need beneficiaries who are homeless.Planning Tool: Essential Health Benefits Comparison to Guide Medicaid Benchmark Decision-Making
States can use this planning tool to compare benefits between the applicable potential Medicaid benchmark plans within the 10 Essential Health Benefit categories.Small Group Conference on Coverage Transitions and Value Based Purchasing -- April 23-24, 2012 Presentation
On April 23-24, 2012, State Medicaid leaders from across the country gathered in Boston, MA to discussa range of topics from continuity of care during coverage transitions to methods for integrated care and reimbursement.
Creating Seamless Coverage Transitions Between Medicaid and the Exchanges
This brief draws from current programs that have addressed coverage transitions effectively, with the hope that their experience will help guide seamless transitions between Medicaid managed care organizations and qualified health plans in the exchanges.Implications of Health Reform for American Indian and Alaska Native Populations
This brief outlines provisions in the Affordable Care Act that uniquely affect American Indian/Alaska Native (AI/AN) populations, including the expansion of Medicaid coverage to nearly 400,000 currently uninsured AI/AN individuals.
Strategies for Building Seamless Health Systems for Low-Income Populations
This brief explores the challenges for states in creating seamless health coverage for low-income populations. It provides a roadmap for states as they consider options for building seamless health systems.
Medicaid Managed Care: How States' Experience Can Inform Exchange Qualified Health Plan Standards
This brief examines Medicaid managed care contracts in six states and identifies opportunities for exchanges to align Qualified Health Plan standards with Medicaid managed care requirements, as well as areas where managed care requirements may need to be modified for the exchanges.