CHCS - Center for Health Care Strategies

Improving the quality and cost-effectiveness of publicly financed health care

People with Disabilities

States are increasingly adopting innovative Medicaid managed care approaches to meet the complex needs of adults with disabilities and chronic conditions. States are using traditional full-risk managed care, but are also testing alternative strategies, such as enhanced primary care case management. CHCS works with states and health plans to design programs that provide high-quality and cost-effective care for Medicaid beneficiaries with the most complex needs.

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Title and Description Date Type

Structuring New Service Delivery Models for Individuals with Intellectual and Developmental Disabilities

This policy brief discusses key elements of new service delivery models for individuals with intellectual and developmental disabilities and provides examples of such models now being implemented.
September 2012 Policy & Issue Briefs

Systems of Care for Individuals with Intellectual and Developmental Disabilities: A Survey of States

This policy brief describes the current delivery systems used by states to provide services and supports to individuals with intellectual and developmental disabilities.
September 2012 Policy & Issue Briefs

Trends and Challenges in Publicly-Financed Care for Individuals with Intellectual and Developmental Disabilities

This resource paper summarizes important trends and challenges facing the publicly-funded service delivery system for individuals with intellectual and developmental disabilities.
September 2012 Resource Papers

Faces of Medicaid: Clarifying Multimorbidity Patterns to Improve Targeting and Delivery of Clinical Services for Medicaid Populations

CHCS commissioned this Faces of Medicaid analysis by Johns Hopkins University researchers to examine multimorbidity patterns among adult Medicaid beneficiaries with disabilities and explore the implications of specific patterns on hospitalization and cost. The analysis uncovers significant opportunities for prioritizing clinical interventions, including the need to integrate physical and behavioral health services.

December 2010 Policy & Issue Briefs

The Faces of Medicaid III: Refining the Portrait of People with Multiple Chronic Conditions

This report provides a close-up look at Medicaid beneficiaries with serious comorbidities, and highlights the pervasiveness of mental illness among this population. The findings can help guide Medicaid stakeholders in tailoring interventions more effectively by indentifying subsets of patients or conditions that are most likely to benefit from care management.

October 2009 Reports

Using Initial Health Screens to Identify New Medicaid Beneficiaries with Care Management Needs

This technical assistance brief addresses key considerations for states in developing an initial health screening process. Sample tools from select states are also available for download.

September 2009 Technical Assistance Briefs & Tools

Investing in Quality: Medicaid Opportunities for States

On July 22, 2009, Melanie Bella, CHCS senior vice president, presented at the National Conference of State Legislatures' 35th Annual Legislative Summit in Philadelphia.

July 2009 Staff Presentations

Providing Behavioral Health Services to Medicaid Managed Care Enrollees: Options for Improving the Organization and Delivery of Services

This report examines the need to provide more integrated physical and behavioral health care for Medicaid beneficiaries and explores best practices around the country for integrating physical and behavioral health services and reducing avoidable high-cost services.

July 2009 Reports

Building a Medicaid Rapid-Learning Network: A Key Investment for Medicaid's Future

This report discusses the role of advanced research, interventions, and evaluations to expand the evidence base for appropriate care of complex Medicaid populations. The report recommends an immediate investment in a Medicaid Rapid-Learning Network to serve as "learning laboratory" for developing new knowledge and best practices for Medicaid nationally.

January 2009 Reports

Washington State Medicaid: An Evolution in Care Delivery

This case study examines Washington State's adaptable "learn-as-you-go" approach to designing, testing, evaluating, and refining multiple strategies to improve the quality and cost-effectiveness of care for Medicaid beneficiaries with complex needs.

December 2008 Case Studies

Performance Standards for Medi-Cal Managed Care Organizations Serving People with Disabilities and Chronic Conditions

This report provides a set of recommended health plan performance standards and measures that can improve how people with disabilities and chronic conditions receive services through the Medi-Cal managed care program.
November 2008 Reports

Presentations from the Medicaid Purchasing Leadership Summit

Download presentations from the Medicaid Purchasing Leadership Summit which brought together leaders from 15 state Medicaid agencies, health plans, and Medicaid policy experts to discuss best practices to improve health outcomes and control health care spending.

April 2008 Meeting Highlights

Rethinking Care for Medicaid's Highest-Need, Highest-Cost Populations

This initiative is working to design and test better approaches to care for Medicaid's highest-need, highest-cost beneficiaries by linking regional pilots with a national learning network.

April 2008 Initiative

The CMS Medicaid Targeted Case Management Rule: Implications for Special Needs Service Providers and Programs

This issue brief examines the CMS targeted case management rule, issued December 4, 2007, in the context of people with complex health needs who receive community-based care management services.

April 2008 Policy & Issue Briefs

Medicaid Best Buys: Improving Care Management for High-Need, High-Cost Beneficiaries

This brief outlines important steps for states to consider in designing comprehensive programs for this complex need population. It also highlights three states that are pioneering new care management approaches.

March 2008 Policy & Issue Briefs

Purchasing Strategies to Improve Care Management for Complex Populations: A National Scan of State Purchasers

This report outlines how states are identifying high-risk beneficiaries and developing tailored care management approaches to meet their needs. It also details state experiences in testing new financing mechanisms and more robust measurement strategies designed specifically for adults with chronic illnesses and disabilities.

March 2008 Reports

Designing Accountable Medicaid Programs for Adults with Disabilities

During this CHCS webinar, participants heard from researchers, disability experts and health plans about ways to better understand and address consumer needs.

February 2008 Webinar Resources

The Faces of Medicaid II: Recognizing the Care Needs of People with Multiple Chronic Conditions

The majority of Medicaid spending is driven by those with multiple chronic conditions. This groundbreaking examination of the patterns of multiple chronic conditions in Medicaid takes a close look at disease prevalence and acute care expenditures.

October 2007 Reports

Enrollment Options for Medicaid Managed Care for People with Disabilities

This issue brief describes managed care enrollment options for people with disabilities, including a new hybrid model – opt-in, opt-out enrollment – that shows promise in Wisconsin for satisfying consumers as well as state and MCO partners.
July 2007 Policy & Issue Briefs

Managed Care Models for Aged, Blind, and Disabled Beneficiaries

Download resources from this CHCS webinar which discussed innovative state and health plan strategies for improving care management for adults with chronic illnesses and disabilities.
May 2007 Webinar Resources
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