Funder: Robert Wood Johnson Foundation

November 2016 |

States participating in the Centers for Disease Control and Prevention’s 6|18 Initiative are bringing together Medicaid and public health agency partners to adopt evidence-based prevention strategies for Medicaid populations in three high-opportunity areas: asthma, tobacco, and unintended pregnancy prevention. A core component of implementing sustainable interventions to address these health conditions is engaging Medicaid managed care organizations (MCOs) in the design, adoption, and promotion of prevention benefits.

This webinar, made possible by the Robert Wood Johnson Foundation, explores strategies for successful state engagement with Medicaid MCOs to promote coverage and adoption of evidence-based prevention strategies. The discussion addresses: (1) effective communication approaches for developing successful partnerships with Medicaid MCOs; (2) opportunities to align state and MCO goals to adopt policy changes and align health plan benefits; and (3) ways in which Medicaid MCOs can educate providers and Medicaid beneficiaries about available prevention services. The conversation also addresses 6|18 states’ successes and challenges around building Medicaid MCO partnerships.


I. Introductions

II. Overview and Rationale for Medicaid MCO Engagement

Speaker: Tricia Leddy, Center for Health Care Strategies

Tricia Leddy described the rationale for MCO engagement and offered effective strategies and communication approaches, as well as opportunities to reach providers and Medicaid beneficiaries.

III. The Health Plan Perspective

Speaker: William Alexander, MD, Amerigroup Community Care of Georgia

Dr. William Alexander described both health plan obstacles and selling points for pursuing evidenced-based prevention strategies and offered recommendations for interacting with health plans.

IV. State Approaches to Engaging MCOs in 6|18

Speakers: Francesca Lopez, Georgia Department of Public Health; Amanda Jansen, ClearWay Minnesota

Francesca Lopez and Amanda Janson described Georgia’s and Minnesota’s experiences engaging with Medicaid health plans on 6|18 interventions for asthma control and tobacco cessation.