CHCS - Center for Health Care Strategies

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

Medicaid Expansion Population

Under health reform, an estimated 16-20 million Americans will be eligible to enroll in Medicaid. To prepare for this new population, it is critical that Medicaid stakeholders develop a better understanding of these individuals and their care needs. CHCS is working to more clearly understand the needs of the expansion population to help states and health plans in preparing for these new beneficiaries.

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Financial Sustainability of Medicaid and Exchange Integrated Eligibility Systems: State Cost Allocation Methodologies

This brief and companion chart review the cost allocation methodologies for integrating Medicaid and exchange eligibility systems outlined in the Implementation Advance Planning Documents/ Implementation Advance Planning Documents Updates (IAPD/IAPDU) of California, Massachusetts, Minnesota, Nevada, Oregon, and Rhode Island.
January 2013 Technical Assistance Briefs & Tools

To Expand or Not to Expand, That is the (Medicaid) Question

Carolyn Ingram highlighted financial considerations for states in expanding Medicaid as well as a tool developed through the State Health Reform Assistance Network, which helps states determine the financial impact of Medicaid expansion.
December 2012 Staff Presentations

Medicaid State Plan Amendment Requirements of the Affordable Care Act

This chart catalogues Affordable Care Act (ACA) provisions that may require amendments, including links to the applicable ACA text, deadlines for approval, and available guidance. States can use this resource to plan sufficient time for development, stakeholder engagement, submission and approval of the applicable amendments to CMS.

August 2012 Policy & Issue Briefs

New Options for States to Improve Health Care for Individuals who are Homeless with Chronic and Complex Health Needs

Brief outlines opportunities for designing Medicaid care management services focused on improving health outcomes and lowering costs by reducing hospitalizations and other crisis services.
June 2012 Press Releases

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.
June 2012 Policy & Issue Briefs

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.
June 2012 Technical Assistance Briefs & Tools

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.

May 2012 Meeting Highlights

How to Accelerate Progress on Chronic Homelessness: Opportunities from a Medicaid Perspective

This brief outlines opportunities to link intensive Medicaid care management with supportive housing for childless adults with chronic health needs with the goal of reducing the cycle of chronic homelessness.

April 2012 Policy & Issue Briefs

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. 

February 2012 Policy & Issue Briefs

Medicaid and Criminal Justice: The Need for Cross-System Collaboration Post Health Care Reform

This paper sheds much-needed light on provisions of the bill that could change the lives of millions of low-income individuals who encounter the criminal justice system.

January 2011 Technical Assistance Briefs & Tools

Health Literacy Implications of the Affordable Care Act

CHCS President Stephen A. Somers and Program Associate Roopa Mahadevan presented the paper Health Literacy Implications of the Affordable Care Act at an Institute of Medicine workshop on November 10, 2010.

November 2010 Reports

Medicaid and Criminal Justice: The Need for Cross-System Collaboration Post Health Care Reform

CHCS Director of Complex Populations Allison Hamblin presented findings from a draft issue brief on November 17, 2010, at a meeting sponsored by Community Oriented Correctional Health Services. Ms. Hamblin described opportunities for Medicaid agencies and criminal justice system officials to collaborate to ensure access to treatment for expansion beneficiaries involved in the criminal justice system.   

November 2010 Staff Presentations

Covering Low-Income Childless Adults in Medicaid: Experiences from Selected States

This policy brief examines the experiences of 10 states with existing programs for low-income childless adults to shed light on those newly eligible to enroll in Medicaid under health reform.

August 2010 Policy & Issue Briefs

The Implications of Health Reform for U.S. Charity Care Programs: Policy Considerations

As policymakers and health systems prepare for ACA implementation, it is important that they consider who will remain uninsured and how that population can access coverage and care.

August 2010 Policy & Issue Briefs

Technical Assistance for State Health Reform Assistance Network

Through the State Health Reform Assistance Network, the Robert Wood Johnson Foundation is supporting technical assistance to maximize coverage gains made possible by the Affordable Care Act. As part of the State Network, CHCS will be providing intensive technical assistance to 10 states as they work to implement health reform coverage expansions.

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