CHCS - Center for Health Care Strategies

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

Medicaid Best Buys

CHCS’ Medicaid Best Buys series helps states, health plans, and policymakers identify programs that have the greatest potential to improve Medicaid quality and control costs for high-risk beneficiaries. The series, made possible through support from the Robert Wood Johnson Foundation, provides policy recommendations and technical resources to guide program development and implementation.

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Medicaid Best Buys: Critical Strategies to Focus on High-Need, High-Cost Beneficiaries

This brief outlines promising state approaches to improve care and curb spending for Medicaid's highest-cost patient subsets, including opportunities to: 1) enhance fee-for-service primary care case management programs; 2) integrate physical and behavioral health services; and 3) integrate care for adults who are dually eligible for Medicare and Medicaid.

April 2010 Policy & Issue Briefs

Medicaid Best Buys - Integrating Care for Dual Eligibles: Opportunities for States

This webinar explored progress that states have made in integrating care for dual eligible populations via Special Needs Plans (SNPs), the challenges for integrating care, as well as new non-SNP alternatives for states to consider.

December 2008 Webinar Resources

Medicaid Best Buys: Using Predictive Modeling to Pinpoint “High-Opportunity” Medicaid Beneficiaries

This 90-minute webinar addressed how Medicaid stakeholders can apply predictive modeling approaches to identify beneficiaries who are most likely to benefit from care management interventions.

August 2008 Webinar Resources

Medicaid Best Buys: Performance Measurement for Programs Serving Adults with Disabilities and Chronic Conditions

During this CHCS webinar participants heard about promising performance measurement approaches for Medicaid programs being tested by states and health plans.

July 2008 Webinar Resources

Medicaid Best Buys: Opportunities to Bend the Cost Trend for High-Need, High-Cost Beneficiaries

This webinar is part one in a series co-sponsored by CHCS and the National Governors Association Center for Best Practices that identified where Medicaid costs are concentrated and highlighted innovative state approaches to improve care management.

May 2008 Webinar Resources

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

Managed Care Models for Long-Term Care Supports and Services

Download resources from this CHCS webinar which featured state and health plan best practices for managing the long-term care of Medicaid beneficiaries, integrating acute and long-term care for adults solely covered by Medicaid, as well as those dually eligible for Medicaid and Medicare.
June 2007 Webinar Resources

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

Care Management Strategies for High-Risk Pregnancy and High-Risk Asthma

Download resources from this CHCS webinar, which outlined innovative approaches to identify and stratify the risks for children with severe asthma and women with high-risk pregnancies.
March 2007 Webinar Resources

Resources from the Policy Briefing - Medicaid Best Buys: Promising Reform Strategies for Governors

Download resources from this CHCS webinar where a panel of national experts discussed the five strategies for both improving the quality of services and curbing the growth in Medicaid spending.
February 2007 Webinar Resources

Five-Part Strategy for Medicaid Reform: Resources for States

CHCS has gathered the following set of resources for states interested in considering the recommendations outlined in Medicaid Best Buys: Promising Reform Strategies for Governors.
December 2006 Technical Assistance Briefs & Tools

Medicaid Best Buys: Promising Reform Strategies for Governors

This policy brief outlines five of the most promising opportunities to improve the health of high-risk Medicaid beneficiaries.  States adopting these strategies can lead the health care system in providing cost-effective and high-quality care within Medicaid and beyond.
December 2006 Policy & Issue Briefs

Seeking Higher Value in Medicaid: A National Scan of State Purchasers

This report provides a look at the current Medicaid managed care environment from the perspectives of 14 states. Interviews with Medicaid directors and staff offer insights about states' plans for managed care expansions, improving quality through value-based purchasing, and trends in the Medicaid managed care marketplace.

November 2006 Reports
 

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