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Return on Investment Evidence Base: Identifying Quality Improvement Strategies with Cost-Saving Potential
To help Medicaid stakeholders identify interventions with the potential to both improve quality and reduce health care costs, the Center for Health Care Strategies engaged Mathematica Policy Research to conduct a review of published quality improvement studies that repo... more
November 2007
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Randomized Controlled Trial of King County Care Partners’ Rethinking Care Intervention: Health and Social Outcomes up to Two Years Post-Randomization
A multidisciplinary pilot program for Medicaid beneficiaries with complex needs in Washington State offers valuable insights to guide the design of state care management approaches, including health homes. The King County Care Partners pilot was part of the Rethinking C... more
November 2012
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Developing Primary Care Population-Based Payment Models in Medicaid: A Primer For States
Primary care is the backbone of a strong health care system. As such, state Medicaid programs are testing policies to strengthen primary care, including new payment approaches. Primary care population-based payment (PBP) models are upfront, prospective, value-based pay... more
May 2024
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Disability Care Coordination Organizations: The Experience of Medicaid Managed Care Programs for People with Disabilities
As a growing number of states expand managed care programs for SSI-eligible adults, innovative managed care programs that integrate health and social services for people with disabilities are emerging to respond to the unique needs of this population. This report, which... more
May 2006
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Building a Medicaid Strategy to Address Health-Related Social Needs
State Medicaid agencies are increasingly pursuing opportunities to address health-related social needs (HRSN) to improve health outcomes, reduce health care spending, and advance health equity. These efforts are accelerating in the current environment due to the COVID-1... more
April 2021
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Financing Approaches to Address Social Determinants of Health via Medicaid Managed Care: A 12-State Review
Over the last decade, Medicaid managed care organizations (MCOs) have invested in local communities and developed programs to better address the individual-level health-related social needs (HRSN) of their enrollees. While most states use their MCO contracts to encoura... more
February 2023
