As states transition their Medicaid programs into a sometimes chaotic and always fast moving managed care marketplace, careful consideration is required to protect Medicaid beneficiaries and assure them access to quality care. Based upon a day-long discussion with state officials, this paper summarizes how states are developing those consumer protections through enrollment and disenrollment systems, […]
Author Archive for: neva-kaye
About Neva Kaye
Neva Kaye rejoined the NASHP staff as a part time Policy Fellow in July, 2016 to work on the State Innovation Model (SIM) evaluation. She first joined the organization in 1994 as director of the Medicaid Managed Care Resource Center. During her over 20 years at NASHP she served as program director, senior program director and, finally, managing director. She worked with teams of staff to develop and implement projects supporting state efforts to address a variety of health policy issues, including Medicaid, purchasing, medical homes, behavioral health, and children’s health. During her time at NASHP she led learning collaborative designed to support young children’s healthy mental development, advance medical homes, and improve the delivery of care provided to children in foster care. Before joining NASHP, Neva served as director of Wisconsin’s Medicaid managed care program where she established several innovative managed care programs including some of the earliest programs serving people with disabilities and youth involved with the juvenile justice system. Neva holds a BS in industrial engineering and psychology from the University of Wisconsin.
Entries by Neva Kaye
This project, funded by the David and Lucile Packard Foundation, examines how five states handle Medicaid managed care enrollee complaints specifically through grievance processes, ombudsman programs, and fair hearings. The linkages among these aspects of grievance and complaint systems are explored and different characteristics of various state programs are highlighted. States selected for review were […]