resource A Communications Work Plan to Engage Stakeholders in Medicaid Managed Long-Term Services and Supports Program Development State Medicaid programs are increasingly exploring ways to provide long-term services and supports (LTSS) through capitated managed care plans...

May 2013

resource Evaluation of the Business Case for Quality, Phase II The Business Case for Quality, Phase II (BCQ II) sought to develop targeted, rigorous, and actionable evidence on improvements...

May 2013

resource Medicaid Accountable Care Organization Quality Measurement Strategy Tool Accountable care organizations (ACOs) are gaining momentum in Medicaid as an innovative model to improve health care quality and...

April 2013

resource Leading New Jersey’s Medicaid Care Delivery Transformation Details the leadership role of New Jersey’s Medicaid director, Valerie Harr, in rethinking how care is organized for the...

April 2013

resource Adapting the Medicare Shared Savings Program to Medicaid Accountable Care Organizations Many state Medicaid agencies have used the Medicare Shared Savings Program (MSSP) model as a basis for designing accountable...

March 2013

resource Customizing Health Homes for Children with Serious Behavioral Health Challenges Nearly one in 10 children in the United States has a serious emotional disorder, and mental health conditions are...

March 2013

resource Key Factors for Improving Care Delivery in Small Primary Care Practices with High Medicaid Volume Small primary care practices play a critical role in caring for low-income individuals with chronic conditions, particularly patients who...

March 2013

resource Medicaid and Children in Foster Care This brief details the health care needs of children in foster care and the role of Medicaid in providing...

March 2013

resource The Super-Utilizer Summit: Resources to Support Emerging Programs At this national summit, leaders from super-utilizer programs shared recommendations for changing how the current health care system interacts...

February 2013

resource Extending Lessons from a Medicaid Pilot to Improve Care for Medicare and Dual Eligible Beneficiaries Highlights UPMC Community Care, a new chronic conditions special needs plan for Medicare and dual eligible beneficiaries with serious...

February 2013

resource Innovations in Integration: State Approaches to Improving Care for Medicare-Medicaid Enrollees This brief explores the innovative design approaches that have been proposed by select states participating in the State Demonstrations...

February 2013

resource Financial Sustainability of Medicaid and Exchange Integrated Eligibility Systems: State Cost Allocation Methodologies This brief reviews the cost allocation methodologies for integrating Medicaid/CHIP and exchange eligibility systems employed by six states.

January 2013