Medicaid currently covers more than 40 percent of the nation's long-term care needs. Yet close to 95 percent of beneficiaries needing long-term care are in fragmented fee-for-service programs, including a disproportionate number in institutions versus consumer-preferred... more
A recording of this April 6 event is available for replay at Vimeo.com. Over the last decade, Medicaid managed care organizations (MCOs) have made significant headway in developing initiatives to address both individual-level health-related social needs (HRSN) and... more
The Improving Preventive Care Services for Children Toolkit provides a practical approach for increasing the quality of preventive care for children covered under Medicaid and SCHIP. It includes a simple process improvement model to consistently follow; strategies for i... more
[youtube v="-p5qQFnG_I8"] In January 2023, the Centers for Medicare & Medicaid Services (CMS) published new guidance to help states enhance and expand efforts to address health-related social needs of Medicaid enrollees through a category of services known as ... more
States and health plans are increasingly developing provider incentive programs to drive quality at the point of care. By jointly implementing provider incentive strategies, purchasers and plans can replace well-meaning but redundant and often conflicting programs. The ... more
Healthify provides access to networks of social service organizations, supported by a collaborative technology platform, and advisory services to help payors and at-risk providers address social deterinants of health (SDOH) at scale. Each network is comprised of soci... more
The Affordable Care Act (ACA) has the potential to dramatically improve rates of health insurance coverage for low-income Americans, including many vulnerable populations. In states that are opting to expand Medicaid, people with incomes up to 138 percent of poverty may... more
Accountable care organizations (ACOs) are gaining momentum in Medicaid as an innovative model to improve health care quality and reduce costs. As states design ACO programs for Medicaid populations, they must identify a robust set of quality measures that align with sta... more
Accountable care organizations (ACOs) represent a fundamentally different way of paying for and delivering health care services, necessitating substantial change for providers and care teams. Providers in Medicaid ACOs must build new connections across health services a... more
