• 03.06.19

    Medicaid Briefing Series: Priority Issues for State Policymakers

    Medicaid is woven into the fabric of states’ healthcare systems and economies. Covering one in five Americans, the Medicaid program is the single-largest insurer in every state, and is the largest source of funding for mental health, substance use disorder, long-term care and emergency ...

  • 02.28.19

    Monitoring and Evaluating Medicaid Work and Community Engagement Requirements

    Under Section 1115 of the Social Security Act, the Secretary of Health and Human Services is permitted to waive certain federal Medicaid requirements to allow a state to undertake an experimental, pilot or demonstration project that is “likely to assist in promoting the objectives of” ...

  • 02.25.19

    Telehealth: A Path to Virtual Integrated Care

    How patients experience healthcare is shifting. Care that used to take place only in brick-and-mortar settings can now occur digitally. Accordingly, hospitals and health systems are exploring a variety of virtual care models, many of which are underpinned by telehealth technology.

  • 02.21.19

    Opioid Safety Toolkit for Health Plans

    The United States is in the midst of the worst drug crisis in its history. In 2017, nearly 50,000 Americans died of an opioid overdose, including more than 2,000 Californians. Addressing the epidemic requires responses from multiple sectors of the healthcare system.

  • 02.20.19

    The Landscape of Federal and State Healthcare Buy-In Models

    Across the country, policymakers, healthcare stakeholders and consumer advocates are motivated to expand affordable coverage, with the overarching goals of lowering the uninsured rate, addressing affordability and access-to-care issues (such as high premiums, deductibles and cost-sharing), and ...

  • 02.06.19

    Potential Enrollment Impacts of Michigan’s Medicaid Work Requirement

    To date, Section 1115 waivers that condition Medicaid eligibility on beneficiaries’ meeting work and community engagement (CE) requirements have been approved by the Centers for Medicare & Medicaid Services (CMS) for eight states: Arizona, Arkansas, Indiana, Kentucky, Maine, Michigan, ...

  • 02.01.19

    Alabama Medicaid Expansion: Summary of Estimated Costs and Savings

    Alabama is currently one of only 14 states that have not expanded Medicaid, leaving more than $1 billion in federal money on the table each year that would boost economic activity and strengthen the ability of hospitals and other healthcare providers to serve residents throughout the state, and ...

  • 01.31.19

    Quantitative Evaluation of a Targeted Medicaid Buy-In for New Mexico

    New Mexico, similar to a number of other states, is exploring a Medicaid buy-in product as part of a broader strategy to expand coverage and affordability of health insurance for residents. Medicaid buy-ins allow people above current Medicaid eligibility levels to pay a premium to receive ...

  • 01.31.19

    Ready for Reform: Behavioral Healthcare in Massachusetts

    Massachusetts has long been a national leader in state-level healthcare reform. In 2006, the state enacted a landmark coverage expansion that became the model for the Affordable Care Act. It has also been a leader in broadening mental health parity laws, implementing innovative cost control ...

  • 01.16.19

    Spotlight on Colorado: Ending the Opioid Epidemic

    Colorado has addressed the opioid epidemic with an array of public and private initiatives. Yet Colorado’s death rate has stayed consistent with national trends, despite a statewide comprehensive opioid strategy and successful efforts to reduce opioid prescriptions. This demonstrates that it ...

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