Improving the quality and cost-effectiveness of publicly financed health care
Resources
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The Center for Health Care Strategies publishes materials to share policy and operational lessons from our national initiatives. Additional resources can be found by browsing our Issue Areas. Visitors may also request digital copies of archived publications |
| Title | Type |
|---|---|
Medicaid Accountable Care Organization Quality Measurement Strategy ToolApril 2013 — This technical assistance tool was developed to help states select quality measures for Medicaid ACO programs. It can be used to facilitate quality strategy discussi… |
Technical Assistance Briefs & Tools |
Adapting the Medicare Shared Savings Program to Medicaid Accountable Care OrganizationsMarch 2013 — This technical assistance brief explores the shared savings approaches of Minnesota and New Jersey, which both used MSSP as a foundation for their Medicaid ACO progr… |
Technical Assistance Briefs & Tools |
Innovations in Integration: State Approaches to Improving Care for Medicare-Medicaid EnrolleesFebruary 2013 — This brief explores the innovative design approaches that have been proposed by select states participating in the State Demonstrations to Integrate Care for Dual El… |
Policy & Issue Briefs |
Financial Sustainability of Medicaid and Exchange Integrated Eligibility Systems: State Cost Allocation MethodologiesJanuary 2013 — This brief and companion chart review the cost allocation methodologies for integrating Medicaid and exchange eligibility systems outlined in the Implementation Adva… |
Technical Assistance Briefs & Tools |
To Expand or Not to Expand, That is the (Medicaid) QuestionDecember 2012 — Carolyn Ingram highlighted financial considerations for states in expanding Medicaid as well as a tool developed through the State Health Reform Assistance Network, … |
Staff Presentations |
Core Considerations for Implementing Medicaid Accountable Care OrganizationsNovember 2012 — This issue brief outlines 10 core considerations to help guide the development and implementation of Medicaid ACO approaches. |
Policy & Issue Briefs |
Income Dynamics and Coverage Transitions of Health Reform Expansion PopulationsNovember 2012 — This presentation highlights current state and national models for managing coverage transitions between Medicaid and the exchanges, as well as best practices for fa… |
Staff Presentations |
Medicaid Primary Care Rate Increase Final Rule: Fast FactsNovember 2012 — This CHCS Fast Facts summary provides an overview of the regulation, highlighting select provisions for states to consider when planning implementation. Loo… |
Policy & Issue Briefs |
Medicaid Primary Care Rate Increase: Next Steps for State ImplementationNovember 2012 — This technical assistance brief reviews the final regulatory language and identifies key questions and operational steps states should consider in implementing this … |
Technical Assistance Briefs & Tools |
Implementing the Medicaid Primary Care Rate Increase to Improve Access to CareSeptember 2012 — This brief outlines recommendations for leveraging the rate increase to improve primary care access. |
Technical Assistance Briefs & Tools |
Leveraging the Medicaid Primary Care Rate Increase – A Provider Outreach StrategyAugust 2012 — This technical assistance brief outlines a recommended provider outreach strategy and an aggressive timeline for implementing the rate increase by 2013. |
Technical Assistance Briefs & Tools |
Medicaid State Plan Amendment Requirements of the Affordable Care ActAugust 2012 — This chart catalogues Affordable Care Act (ACA) provisions that may require amendments, including links to the applicable ACA text, deadlines for approval, and avail… |
Policy & Issue Briefs |
Planning for Medicaid Expansion: An Online ToolkitJuly 2012 — This toolkit is a collection of tools and resources to help states design programs to address the needs of the Medicaid expansion population. |
Toolkits |
Medicaid-Financed Services in Supportive Housing for High-Need Homeless Beneficiaries: The Business CaseJune 2012 — This brief outlines the rationale for states to consider designing Medicaid-financed, supportive housing-based care management services to improve care for high-need… |
Policy & Issue Briefs |
Planning Tool: Essential Health Benefits Comparison to Guide Medicaid Benchmark Decision-MakingJune 2012 — States can use this planning tool to compare benefits between the applicable potential Medicaid benchmark plans within the 10 Essential Health Benefit categorie… |
Technical Assistance Briefs & Tools |
Overview: Proposed Federal Rules for Increased Medicaid Payment for Primary Care ProvidersMay 2012 — This fact sheet provides an initial overview of the proposed fedeal regulations for increased Medicaid payment for primary care providers, including next steps for s… |
Policy & Issue Briefs |
Small Group Conference on Coverage Transitions and Value Based Purchasing -- April 23-24, 2012 PresentationMay 2012 — 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 … |
Meeting Highlights |
Creating Seamless Coverage Transitions Between Medicaid and the ExchangesApril 2012 — This brief draws from current programs that have addressed coverage transitions effectively, with the hope that their experience will help guide seamless transitions… |
Policy & Issue Briefs |
How to Accelerate Progress on Chronic Homelessness: Opportunities from a Medicaid PerspectiveApril 2012 — This brief outlines opportunities to link intensive Medicaid care management with supportive housing for childless adults with chronic health needs with the goal of … |
Policy & Issue Briefs |
Accountable Care Organizations in Medicaid: Emerging Practices to Guide Program DesignFebruary 2012 — This brief highlights emerging best practices from state ACO activities across the country and summarizes safety-net ACO programs being developed in five states.… |
Policy & Issue Briefs |
Implications of Health Reform for American Indian and Alaska Native PopulationsFebruary 2012 — This brief outlines provisions in the Affordable Care Act that uniquely affect American Indian/Alaska Native (AI/AN) populations, including the expansion of Medicaid… |
Policy & Issue Briefs |
Strategies for Building Seamless Health Systems for Low-Income PopulationsFebruary 2012 — 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… |
Policy & Issue Briefs |
Leveraging the Medicaid Primary Care Rate Increase: The Role of Performance MeasurementJanuary 2012 — This brief identifies how Medicaid agencies can use performance measurement to assess the impact of the 2013-2014 primary care rate increase. |
Policy & Issue Briefs |
Innovations in Medicaid: Considerations for MassHealthDecember 2011 — This report from the Massachusetts Medicaid Policy Institute (MMPI), authored by Suzanne Gore of the Center for Health Care Strategies (CHCS), outlines opportunities… |
Reports |
Medicaid Managed Care: How States' Experience Can Inform Exchange Qualified Health Plan StandardsNovember 2011 — This brief examines Medicaid… |
Policy & Issue Briefs |
Defining Essential Health Benefits – Key State ConsiderationsOctober 2011 — Presentation on Essential Health Benefits by CHCS senior vice president Carolyn Ingram at the NASHP Fall 2011 meeting. |
Staff Presentations |
Health Care Purchasing, Global Budgeting, and Shared Savings ModelsSeptember 2011 — This overview charts the progress of global budgeting and shared savings models currently underway in various states. |
Technical Assistance Briefs & Tools |
Impact of the Insurance Exchanges on Latino Health ImprovementsSeptember 2011 — On September 24, 2011, Carolyn Ingram, CHCS senior vice president, presented at the Latino Legislative Summit on Health on the implications of the exchange structure… |
Staff Presentations |
Potential Risk-Sharing Between States and Coordinated Care OrganizationsSeptember 2011 — On September 20, 2011, Carolyn Ingram, CHCS senior vice president, presented to the Oregon Health Policy Board's Global Budget Methodology Workgroup. … |
Staff Presentations |
Medicaid Supplemental Payments: Where Do They Fit in Payment Reform?August 2011 — This policy brief examines the need to align supplemental payment arrangements with broader payment reform objectives to ensure that beneficiaries have access to qua… |
Policy & Issue Briefs |
Ten Considerations for States in Linking Medicaid and the Health Benefit ExchangesAugust 2011 — This brief looks at the opportunities for linkages between public and private coverage, explaining that such linkages should seek to streamline administration across… |
Policy & Issue Briefs |
Accountable Care Organizations: Creating a Workable Approach for MedicaidJune 2011 — This issue brief outlines 10 key issues that CMS and states would need to address in developing a future Medicaid ACO Program. |
Policy & Issue Briefs |
Forecasting the Return on Investment of Health Homes and Medical HomesJune 2011 — During this 90-minute webinar, states, health plans, and other stakeholders learned how they can use this free, web-based tool to develop an ROI forecast, and to fac… |
Webinar Resources |
Implementing Health Homes in a Risk-Based Medicaid Managed Care Delivery SystemJune 2011 — This brief explores how states might advance their health home strategy in whole or in part through their existing Medicaid risk-based managed care infrastructures. … |
Policy & Issue Briefs |
Initial Considerations to Guide the Development of Medicaid Health HomesJune 2011 — This technical assistance tool outlines six key initial considerations and includes a hands-on checklist that walks states through a list of decision point… |
Technical Assistance Briefs & Tools |
ROI Forecasting Calculator for Health Homes and Medical HomesMay 2011 — The Return on Investment Forecasting Calculator for Health Homes and Medical Homes is a web-based tool developed to help Medicaid stakeholders identify the … |
Technical Assistance Briefs & Tools |
User's Guide to the ROI Forecasting Calculator for Health Homes and Medical HomesMay 2011 — Medicaid stakeholders, faced with rising health care costs, increasing prevalence of chronic illness, and growing recognition of gaps in quality, are interested in p… |
Technical Assistance Briefs & Tools |
Fact Sheet: Health Home Opportunities for MedicaidMarch 2011 — This fact sheet provides an overview of the health homes provision, including a description of health homes services, who is eligible to receive these services, and … |
Fact Sheets |
Implementing the Medicaid Primary Care Rate Increase: A Roadmap for StatesMarch 2011 — This roadmap can help states: (1) understand critical parameters of the increase; (2) identify the operational steps to prepare for and implement the increase a… |
Technical Assistance Briefs & Tools |
Inventory of State's Medical Home and/or Care Management ProgramsMarch 2011 — This tool was developed by the Center for Health Care Strategies to help states inventory existing care management programs and decide those that can be aligne… |
Technical Assistance Briefs & Tools |
Medicaid Health Home Program Design StrategiesMarch 2011 — Call summaries highlighting critical issues, emerging ideas, and state progress regarding Medicaid health home program design. |
Technical Assistance Briefs & Tools |
Preparing for the Medicaid Primary Care Rate IncreaseMarch 2011 — This CHCS webinar described how Medicaid agencies and health plans can address the numerous policy and technical issues associated with implementing the provider rat… |
Webinar Resources |
Section 4108 of the Affordable Care Act: Medicaid Incentives for Prevention of Chronic DiseasesMarch 2011 — This fact sheet identifies considerations for states in deciding whether to apply for the incentive program. |
Fact Sheets |
The Intersection of Essential Health Benefits and MedicaidMarch 2011 — On March 2, 2011, Carolyn Ingram, CHCS senior vice president, presented at the Institute of Medicine's second meeting of the Committee on the Determination of Essent… |
Staff Presentations |
Affordable Care Act Opportunities: A Roadmap for Medicaid Delivery System RedesignJanuary 2011 — CHCS developed this roadmap to help consumer advocates understand key provisions in the Affordable Care Act that are designed to improve patient care through Medicai… |
Technical Assistance Briefs & Tools |
Increasing Primary Care Rates, Maximizing Medicaid Access and QualityJanuary 2011 — This brief is the first in a series of papers that CHCS will produce to augment CMS guidance and help states develop implementation plans for the primary care r… |
Policy & Issue Briefs |
Medicaid and Criminal Justice: The Need for Cross-System Collaboration Post Health Care ReformJanuary 2011 — 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 sys… |
Technical Assistance Briefs & Tools |
Advancing Integrated Models for Dual Eligibles: New Innovations and OpportunitiesDecember 2010 — This 90-minute webinar highlighted state progress for integrating care for duals and showcased innovative approaches in two states. A representative from the Centers… |
Webinar Resources |
Medicaid & Health Reform 101December 2010 — On December 10, 2010, Carolyn Ingram, CHCS senior vice president, participated in a panel at the Board of Hispanic Caucus… |
Staff Presentations |
Health Literacy Implications of the Affordable Care ActNovember 2010 — CHCS President Stephen A. Somers and Program Associate Roopa Mahadevan presented the paper Health Literacy Implications of the Affordable Care Act at an Ins… |
Reports |
Medicaid and Criminal Justice: The Need for Cross-System Collaboration Post Health Care ReformNovember 2010 — 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 C… |
Staff Presentations |
Medicaid Payment Reform: What Policymakers Need to Know About Federal LawNovember 2010 — This policy brief examines federal Medicaid law, regulations, and court decisions that govern payment practices in both fee-for-service and managed care. The brief o… |
Policy & Issue Briefs |
Profiles of State Innovation: Roadmap for Improving Systems of Care for Dual EligiblesNovember 2010 — This roadmap synthesizes state best practices across the country to offer guideposts for improved integration of services for dual eligible beneficiaries with the go… |
Reports |
Sound Practices in Medicaid Payment for Hospital CareNovember 2010 — This resource paper examines current state practices in hospital inpatient and outpatient payment and suggests approaches for incentivizing quality improvement and r… |
Resource Papers |
The Affordable Care Act: Opportunities for Medicaid to Advance Ambulatory Care QualityOctober 2010 — In this CHCS webinar, presenters described provisions of the Affordable Care Act that can be used to strengthen Medicaid's primary care infrastructure. … |
Webinar Resources |
Covering Low-Income Childless Adults in Medicaid: Experiences from Selected StatesAugust 2010 — 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 enr… |
Policy & Issue Briefs |
The Implications of Health Reform for U.S. Charity Care Programs: Policy ConsiderationsAugust 2010 — 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 co… |
Policy & Issue Briefs |
Integrating Medicare and Medicaid Data to Support Improved Care for Dual EligiblesJuly 2010 — This brief provides practical information about identifying ways to link Medicare and Medicaid data to better understand the dual eligible population and uncover opp… |
Technical Assistance Briefs & Tools |
Models for Improving Medicaid Primary Care: Lessons for Health ReformJuly 2010 — This webinar described the evolving model of primary care, as well as practice-based primary care transformation strategies underway in two states. |
Webinar Resources |
Webinar Resources - Payment Reform: Creating a Sustainable Future for MedicaidJune 2010 — This June 28, 2010 webinar explored opportunities for redesigning Medicaid payment policies to improve quality and contain costs as outlined in a recent CHCS po… |
Webinar Resources |
Payment Reform: Creating a Sustainable Future for MedicaidMay 2010 — This policy brief outlines opportunities and challenges in undertaking Medicaid payment reform and details how federal and state roles might shift to facilitate qual… |
Policy & Issue Briefs |
Integrating Care for Dual Eligibles: An Online ToolkitMarch 2010 — This online toolkit is designed to share innovative approaches for integrating Medicaid and Medicare services. It offers policy-related materials, hands-on tool… |
Toolkits |
Options for Integrating Care for Dual Eligible BeneficiariesMarch 2010 — This resource offers a valuable reference for states looking to integrate Medicare and Medicaid services to deliver higher-quality and more cost-effective care for t… |
Technical Assistance Briefs & Tools |