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.


It’s Not Just Risk: Why the Shift to Value-Based Payment is also about Provider Flexibility

The movement to adopt value-based payment (VBP) in the U.S. health care system tends to focus on getting providers to assume financial risk. Recently, for example, the Centers for Medicare &... more

March 21 2019
Using Medicaid Levers to Improve Health Outcomes and Reduce Disparities: Q&A with Louisiana’s Medicaid Director Jen Steele

Since Louisiana expanded Medicaid in 2016, an additional 502,647 newly eligible adults enrolled in the state’s health care program for low-income residents. In Louisiana, a state that has ... more

March 13 2019
Information-Sharing Considerations for Health Plan Members with Opioid Use Disorder: A Q&A with Legal Experts

People eligible for both Medicare and Medicaid experience co-occurring substance use disorders and chronic pain at rates as much as six times higher than Medicare-only beneficiaries or Medi... more

March 7 2019
Opportunities for States to Support Family Caregivers

Across every state, from Maine to California, an estimated 18 million individuals provide vital care to older family members who need in-home assistance, yet there are few systematic support... more

March 5 2019
Pay for Results: A New Way for States to Access Federal Funding for Social Determinants of Health Interventions

Yesterday, the U.S. Department of the Treasury announced a significant funding opportunity for states and local governments looking to invest in social determinants of health (SDOH). The... more

February 15 2019
Health Affairs Blog | Deploying Community Paramedics to Address Medication Complexity at Home

Complicated drug regimens are often a challenge for people with complex health and social needs — including individuals with physical and behavioral health comorbidities, seniors, and thos... more

January 30 2019
The Medicare Shared Savings Program Final Rule: Implications for Medicaid Accountable Care Organizations

With the publication of the Medicare Shared Savings Program (MSSP) Final Rule on December 21, the Centers for Medicare & Medicaid Services (CMS) clearly signaled that the Trump administr... more

January 8 2019
Connecting Physical and Oral Health Care in Louisiana

Primary care professionals are generally the first point of contact in the health care system and are often underutilized as a source of basic oral health services to their patients. Fluorid... more

December 18 2018
A New Approach to Integrating Care for Dually Eligible Beneficiaries: Idaho’s Medicare Medicaid Coordinated Plan

Individuals who are eligible for both Medicare and Medicaid often have complex health and social needs that are difficult to address in a fragmented, uncoordinated system of care. Like a gro... more

December 12 2018
Reducing Dental Opioid Prescribing in Oregon: A Conversation with Oral Health Leaders

With the United States in the grip of an opioid epidemic, public health care leaders are seeking innovative solutions to address the crisis. Educating dental providers is one way that states... more

December 5 2018
We Need More Data on Medicaid ACOs to Determine Drivers of Success

“Provider Payment Reform: Right Course, Wrong Students?,” a recent blog post authored by Chris Koller, President of the Milbank Memorial Fund, argues that while delivering high-value... more

December 3 2018
States Need Pragmatic Policy Solutions to Better Support Family Caregivers

Nearly 18 million family members in the United States provide care to older people who need assistance. They are often invisible members of our health care system who receive little preparat... more

November 29 2018
Successfully Connecting Medicare and Medicaid for Dually Eligible Beneficiaries: MyCare Ohio

People who are dually eligible for Medicare and Medicaid often have complex needs that are not met in fragmented, uncoordinated systems of care. Ohio’s solution to this problem has been to... more

November 27 2018
Policy Update: State and Federal Movement to Advance Trauma-Informed Care

Over the past year, the Center for Health Care Strategies (CHCS) has been monitoring state and federal policymakers’ interest in addressing early adversity, toxic stress, and trauma to pro... more

November 15 2018
Medication Trauma: What It Is and How to Help

Medication complexity is a challenge to patients, physicians, and pharmacists alike. It occurs when an individual is prescribed multiple medications, each with its own dosing schedules and s... more

November 8 2018
How States Can Better Engage Medicaid Patients

Experts weigh in on practical approaches for engaging Medicaid beneficiaries to ensure that services are designed to meet their needs. Medicaid is the largest health care program in the Uni... more

October 29 2018
What Does it Take to Become Trauma-Informed? Lessons from Early Adopters

Trauma-informed care has emerged as a core competency to improve how health care organizations deliver services to people who have experienced adverse life events. Through the Advancing Trau... more

October 18 2018
Five Things to Know About CDC’s 6|18 Initiative

As the US health care system undergoes dynamic change, increased alignment between health care quality and payment is providing new opportunities for the public health and health care se... more

October 11 2018
Charity Care Programs: What They See on the Horizon

Charity care programs (CCPs) are an integral part of the safety-net landscape for many low-income Americans. These programs have evolved over the past several years, particularly in the post... more

September 20 2018
Payment Innovation in Federally Qualified Health Centers: Lessons from California

Significant movement has occurred over the past few years among states, managed care organizations (MCOs), and providers, including federally qualified health centers (FQHCs), to adopt value... more

September 12 2018