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
Health care organizations are increasingly seeking to meaningfully partner with community members to better address community needs and priorities, especially for patients with complex health and social needs. As health care entities prioritize strategies to address hea... more
In recent years, states have been working to help providers and communities address adverse childhood experiences (ACEs) — traumatic events such as abuse, violence, and neglect that occur before age 18. California is among this group of innovators, with the Departmen... more
Publicly traded plans have become increasingly important players in the Medicaid managed care market in a number of states. A CHCS-commissioned study, conducted by a team led by Robert Hurley, PhD, Virginia Commonwealth University, examines the influence of publicly tra... more
By synchronizing asthma interventions at the health plan and provider practice level, organizations can potentially accelerate the benefits of quality improvement interventions. This two-part tool uses the Chronic Care Model¹ to outline provider site interventions and ... more
Youth with serious emotional disorders are a high-utilizing and high-cost Medicaid population that is not well served by traditional approaches to care. Managed care organizations (MCOs) are uniquely positioned to deliver more appropriate and cost-effective care that ad... more