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.


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
Supporting Health Care and Community-Based Organization Partnerships to Address Social Determinants of Health

Increasingly, health systems, providers, and payers recognize the significant influence that social factors such as housing, food insecurity, employment status, and transportation have on we... more

March 22 2019
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: A 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