CHCS BlogWelcome to the CHCS Blog, where you’ll find an ongoing conversation about innovative solutions to improve the delivery of health and social services for low-income Americans.


Addressing Risky Substance Use in Adolescents: A Conversation with a Pediatrician

While experimentation with drugs and alcohol is often characteristic of the adolescent years, there are many risks associated with this behavior. Not only are adolescents more vulnerable to ... more

August 13 2019
Addressing Adverse Childhood Experiences through a Coordinated Statewide Response in New Jersey

States nationwide increasingly recognize the impact of adverse childhood experiences (ACEs) on their communities, families, businesses, and workplaces. ACEs include all types of abuse, negle... more

July 31 2019
What’s on the Horizon for Medicaid Innovation? A Conversation with CHCS Leadership

Tricia McGinnis, executive vice president and chief program officer (left) and Allison Hamblin, president and CEO (right). [su_spacer size="10"] Earlier this month, the Center for ... more

July 30 2019
Building the Case for Doula Reimbursement in New Jersey Medicaid

While New Jersey has lower infant and maternal mortality rates than most states, there are significant disparities in these rates across the state’s white and black, non-Hispanic residents... more

July 22 2019
Supporting Family Caregivers: Early Lessons from State Innovators

Almost without fail, when someone describes their experience caring for an older parent, spouse, or another relative, others will chime in with their own stories. Family caregiving is an exp... more

July 16 2019
Developing a Bold Vision to Achieve Physical-Behavioral Health Integration in Medi-Cal

In California, like many states, fragmented systems for delivering physical and behavioral health care for Medicaid beneficiaries often lead to access barriers, care disruptions, and a lack ... more

July 2 2019
The Critical Role of Medicaid Leadership

Medicaid has come a long way from its inception over 50 years ago. From a stigma-ridden afterthought at the creation of Medicare to a true bulwark of the American health care system, it is n... more

June 20 2019
A Marriage between Medicaid and Public Health: A Q&A on Partnering for Prevention

Public Health: "Why can't Medicaid pay for our stuff, haven't they seen that it is evidence-based and will save money?" Medicaid: “Why does everyone ask us to pay for their stuff?” ... more

June 18 2019
The Value of Investing in State Medicaid Leaders: A Q&A with Leadership Consultant Ed O’Neil

Medicaid directors are uniquely situated to stimulate innovations in health policy and practice to enhance care, address complex health and social needs, manage costs, and, ultimately, impro... more

June 13 2019
Championing Treatment for Substance Use Disorder in Primary Care: A Q&A with New Jersey Providers

In January 2019, Governor Phil Murphy of New Jersey announced new strategies to strengthen the state’s response to the opioid epidemic. The announcement included a robust, statewide office... more

June 6 2019
At the Front Lines in Tennessee: Rural Clinic Offers Trauma-Informed Treatment for Substance Use Disorder

After serving as a Navy corpsman during the Vietnam era, Dan Sumrok, MD, DFASAM, ABAM, ABPM, published an article in the West Virginia Medical Journal on what he perceived as a connection be... more

June 3 2019
How Understanding Trauma Can Strengthen Health Care Organizations: A Q&A with Sandra Bloom

Knowledge regarding the impact of trauma on individual health and behavior has become more mainstream in health care over the last several years. However, the effects of trauma on groups, or... more

May 28 2019
Medicaid Leadership Exchange: A Candid Dialogue on What Works — and What Doesn’t — in Leading Today’s State Programs

Medicaid directors in states across the country navigate an increasingly complex world, one in which they balance the needs of internal staff, external stakeholders, a dynamic federal pa... more

May 23 2019
Screening for Unmet Social Needs: A Conversation with a Community Pharmacist

Complicated drug regimens, also known as medication complexity, can cause adverse health outcomes, leading to avoidable hospitalizations and sometimes even death – an estimated 119,000... more

May 7 2019
Incorporating Consumer Voices into Program Development: Q&A with Washington’s Medicaid Director MaryAnne Lindeblad

Medicaid programs are increasingly interested in fostering cross-sector alignment as a means to provide quality and cost-effective health care services. At the center of these efforts are th... more

April 29 2019
What are Levers for Aligning Early Childhood and Medicaid? A Conversation with Key Stakeholders

In most states, the connection between the health care and early childhood sectors is more tenuous than it should be, and the potential of these two systems working together to support e... more

April 25 2019
Refining Oregon’s Medicaid Transformation Strategy through CCO 2.O: A Q&A with the Oregon Health Authority

In 2012, Oregon launched its coordinated care organization (CCO) program, a regional Medicaid managed care program closely tied to local providers and communities. Through a global budget ap... more

April 16 2019
Integrating Services for Children, Youth, and Their Families: Considerations and New Opportunities

During my time working in the Vermont state government — close to two decades — integrating services for children, youth, and families was a key focus for creating a system that is suppo... more

April 10 2019
Promoting Addiction Treatment in Medicaid: A Q&A with New Jersey’s Department of Human Services Commissioner Carole Johnson

In 2018, over 3,000 New Jersey residents are believed to have died from drug overdose, and suicides among 10- to 18-year-olds in the state have increased by nearly 50 percent over the past d... more

April 4 2019
Advancing Health Equity in Medicaid: Emerging Value-Based Payment Innovations

Health care disparities persist across the United States, despite growing awareness of the issue. Black mothers are two to three times more likely to die of common pregnancy complications th... more

March 26 2019