Under the Centers for Disease Control and Prevention’s (CDC) 6|18 Initiative, the New York State Department of Health’s Office of Health Insurance Programs and the Division of Family Health worked to reduce the state’s unintended pregnancy rate by increasing acces... more
Colorado’s Departments of Public Health and Environment and Health Care Policy and Financing (Medicaid) partnered under the Centers for Disease Control and Prevention’s (CDC) 6|18 Initiative to enhance Medicaid enrollees’ access to and use of covered tobacco cessa... more
While creating better systems of care for aged, blind, and disabled beneficiaries is a priority within Medicaid, it is a challenge given the vast heterogeneity of this complex population. The Faces of Medicaid III: Refining the Portrait of People with Multiple Chronic C... more
Health policymakers and practitioners increasingly recognize trauma as an important factor impacting health throughout the lifespan. By offering trauma-informed approaches and treatments in health care settings, provider organizations can more effectively treat patients... more
Prioritizing high-need, high-cost Medicaid populations by risk and level of need can help states and health plans identify "high-opportunity" beneficiaries and target quality improvement resources appropriately. While predictive modeling tools have historically been use... more
Across the country, Medicaid stakeholders are exploring new ways to address the needs of the program's highest-utilizing patients. Super-utilizers make up only five percent of the Medicaid universe, yet these patients with complex needs account for more than 50 percent ... more
The Best Clinical and Administrative Practices (BCAP) Quality Framework offers a systematic approach to improve quality within Medicaid managed care. Managed care organizations using the model are able to effectively target quality improvement resources and produce meas... more
Because of the diversity of the populations served by Medicaid, state health care purchasers and their managed care contractors are uniquely positioned to improve the quality of care and health outcomes for millions of racially and ethnically diverse beneficiaries with ... more
The Covering Kids & Families Access Initiative (CKF-AI) focused on one of the thorniest problems currently plaguing the U.S. Medicaid system – namely, that insurance coverage does not automatically translate into meaningful health care access. The fact that millio... more
Exposure to trauma, particularly in childhood, can notably increase the risk of serious physical and behavioral health problems throughout life — an idea that health care providers increasingly recognize. Health care providers can address patients’ traumatic experie... more
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
New York State's Medicaid health homes offer an innovative model of integrated care coordination for individuals with multiple chronic physical and behavioral health needs. To achieve the ultimate goals of better care, improved health, and lower costs, health homes must... more
