Care Coordination

The Agency for HealthCare Research and Quality (AHRQ) released an eye-opening study this past week, indicating that utilization of emergency department (ED) services due to behavioral health conditions increased sharply from 2006 to 2013. The brief “Trends in Emergency Department Visits Involving Mental and Substance Use Disorders,” highlights a 52 percent increase in ED utilization […]

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  • State Health Policy Blog

    The 21st Century Cures Act (“Cures”), signed into law on December 13, 2016, is being heralded as landmark legislation for biomedical innovation. Cures funds new research, streamlines the development of new drugs, and supports the interoperability of health information systems. State policymakers, however, may want to focus their attention on Cures’ myriad behavioral health provisions, […]

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  • State Health Policy Blog

    As the opioid crisis continues across the country, state health policy makers understand that health is more than health care. In order to maximize health benefits, and save on costs states are looking for innovative ways to address this crisis. Several states are implementing ACH models that emphasize prevention and work with community and cross-sector, […]

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  • The high prevalence of uncontrolled asthma among child populations served by Medicaid programs and the associated rising costs often are the impetus for states to improve the quality of care provided to children with asthma. New opportunities to comprehensively address asthma and its triggers are emerging through state and national health care delivery system and […]

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  • NASHP has written two case studies for HealthHIV’s Three D HIV Prevention Program, which is supported by the Centers for Disease Control and Prevention (CDC), and provides technical assistance to better inform programmatic decisions impacting the delivery of quality HIV prevention and treatment services: New York’s experience implementing performance metrics for the HIV/AIDS population in its Medicaid managed […]

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  • Publications

    States across the country are fully engaged in delivery system and payment reform efforts to improve care and lower costs in their Medicaid programs. Data is a critical component of these efforts. This NASHP brief provides an introduction to two types of Medicaid utilization data—fee-for-service claims data and managed care encounter data—and, based on examples […]

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  • Publications

    Medicaid beneficiaries often need support outside the scope of clinical health care in order to lead healthy lives, and states are uniquely poised to provide this support by addressing the social determinants of health. While states steward a variety of funding sources that address the needs of low-income populations, too often a Medicaid beneficiary must […]

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  • Designing a successful PCMH program involves policy decisions that create new provider and patient expectations, incentives, and infrastructure to support patient-centered care. An integral feature of the CareFirst PCMH program is the development of a care coordination infrastructure at the central, regional, and local level. Much of the work at the local level is done […]

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    February 2, 2015 | Filed under: Care Coordination
  • Developing a coordinated care organization in northwest Oregon’s Yamhill County presented an opportunity to build an organization that reflected the community’s vision for high-quality, more efficient, integrated care for Medicaid beneficiaries. When assessing the needs of the community, it became clear to Yamhill Community Care Organization’s (YCCO’s) Clinical Advisory Panel (CAP) that a small percentage […]

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    January 26, 2015 | Filed under: Care Coordination
  • Caring for the health care needs of vulnerable populations has inherent challenges. Doing this in an accountable care organization (ACO), where providers bear financial risk for meeting cost, quality, and patient satisfaction metrics, intensifies the challenges. When Hennepin Health launched in 2012 to serve as a safety-net ACO for Minnesota’s early Medicaid expansion population, it […]

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    January 5, 2015 | Filed under: Care Coordination