- ACA Implementation & State Health Reform
- Coverage and Access
- Federal/State Issues
- Medicaid and CHIP
- Population and Public Health
- Providers and Services
- Acute Care
- Assisted Living
- Behavioral Health
- Case Management
- Child Development Services
- Chronic Care Management
- Community Health Centers
- Developmental Screening
- Early Childhood Services
- Emergency Care
- EPSDT
- Family Planning
- Federally Qualified Health Centers
- Home & Community Based Services
- Hospitals
- Long Term Services & Supports
- Medical Homes & Health Homes
- Mental Health
- Nursing Homes
- Oral Health
- Preventive Care
- Primary Care
- Safety Net Providers
- Quality, Cost, and Health System Performance
- ACOs
- Adverse Event Reporting
- Care Transitions
- Comparative Effectiveness
- Cost Sharing
- Delivery System Reform
- Fraud and Abuse
- Health Care Workforce
- Health Information Technology
- Managed Care
- Medical Homes & Health Homes
- Medical Malpractice
- Patient Safety
- Payment Reform
- Performance Measurement
- Provider Payment Policy
- Quality Oversight
- Specific Populations
- Adolescents
- Childless Adults
- Children
- Children with Special Health Care Needs
- Dual Eligibles
- Elders
- Families
- Low Income People
- Parents
- People with Chronic Conditions
- People with Developmental Disabilities
- Transitional Youth
- Vulnerable Populations
- Young Adults
- Youth
- Youth in Foster Care System
- Youth in Juvenile Justice System
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Implementing the Affordable Care Act: New Options for Medicaid Home and Community Based Services
States have significant roles in implementing practically all aspects of the Affordable Care Act. The Act gives states additional options for financing Medicaid home and community based services and supports (HCBS) through a combination of enhanced Medicaid matching payments, demonstrations, and new Medicaid state plan options. They include the State Balancing Incentive Payments Program, the Money Follows the Person Rebalancing Demonstration, State Plan HCBS, and Community First Choice Option. This issue brief analyzes the scenarios under which states might adopt them. In making those determinations, states will assess whether the new options improve upon the Medicaid authorities they currently use to finance HCBS, namely Medicaid 1915(c) HCBS waivers and state plan personal assistance.
October 2010» -
Managed Care for Low Income Elders Dually Eligible for Medicaid and Medicare
Low income older people are frequently eligible for both Medicare and Medicaid. Approximately six million Medicaid beneficiaries also participate in the Medicare program. Dual eligibles are aged, blind or disabled individuals who qualify for both Medicare and Medicaid. Most, but not all, SSI beneficiaries and Medically Needy Medicaid beneficiaries also participate in Medicare. This paper focuses on elderly dually eligible beneficiaries.
June 1997» -
State Multi-Payer Medical Home Initiatives and Medicare’s Advanced Primary Care Demonstration
In September 2009, the U.S. Secretary of Health and Human Services announced that Medicare will join selected state-based, multi-payer medical home initiatives in an Advanced Primary Care (APC) demonstration. States have welcomed this announcement viewing Medicare as a valuable potential strategic stakeholder, yet are concerned that the proposed APC criteria may be too narrow to fit many current initiatives. This paper builds from a December 2009 research scan and webcast that looks at a broad range of state multi-payer initiatives and compares some of these criteria against the proposed APC criteria.February 2010» -
Ideas for Managing Costs and Improving Care Delivery for High-Cost Medicaid Beneficiaries
Chronic care is driving the cost of the Medicaid program, and the future of insurance coverage for low-income families and children depends upon success in meeting the needs of those with chronic conditions at a cost society can afford. This paper tallies the suggestions made by a group of informants who have given substantial thought to how Medicaid can achieve this goal.January 2007 -
Making Medicaid Work for the 21st Century: Improving Long-Term Services and Supports
One of a series of issue briefs designed to share with federal and state policymakers, as well as other stakeholders, the issues and options raised by the Making Medicaid Work for the 21st Century workgroup. This brief discusses ways to improve long-term services and supports.
April 2004» -
Making Medicaid Work for the 21st Century: Medicare and Medicaid Dual Eligibles
One of a series of issue briefs designed to share with federal and state policymakers, as well as other stakeholders, the issues and options raised by the Making Medicaid Work for the 21st Century workgroup. This brief discusses ways to improve care coordination and reduce the cost of Medicare and Medicaid dual eligibles.April 2004 -
State Perspectives on Medicaid Long-Term Care: Report from a July 2003 State Forum
States, through the Medicaid program, are major purchasers of long-term care. Financed by the federal and state governments and administered by the states, Medicaid pays for over 40 percent of long-term care services nationwide. At the same time, long-term care for the elderly and persons with disabilities is the largest single component of Medicaid, averaging 35 percent (or $76 billion) of the program’s total budget. Soaring health costs combined with plunging state revenues have forced states to take a number of actions to control the growth of Medicaid. And as our nation ages and the demand for long-term care services continues to grow, long-term care programs are facing increasingly close scrutiny at both the federal and state levels.January 2004 -
Coordinating Care for the Chronically Ill: How Do We Get There from Here?
This paper, a product of the National Academy for State Health Policy’s Flood Tide Forum series, is designed to identify innovative strategies to improve care coordination for the chronically ill. It reviews data on the incidence and costs of chronic conditions, summarizes the literature on care coordination, and highlights state programs.June 2003 -
Care Coordination for People with Chronic Conditions
This paper explores the components of care coordination and a sample of state initiatives that bridge the health and supportive systems.January 2003
