• 05.22.19

    Federal Guidance on Monitoring and Evaluating Work Requirements

    In March 2019, the Centers for Medicare & Medicaid Services (CMS) issued detailed guidance for states on the monitoring and evaluation of “eligibility and coverage” Section 1115 Medicaid demonstrations. The new guidance provides standard monitoring metrics and recommended research ...

  • 05.21.19

    Faces of MassHealth: Portrait of a Diverse Population

    Serving over 1.8 million Massachusetts residents, MassHealth provides access to healthcare services for people of varying ages and life circumstances across the Commonwealth. These services improve enrollees’ health and enable them to succeed in other aspects of their lives. Through ...

  • 05.08.19

    Spotlight on North Carolina: Ending the Opioid Epidemic

    North Carolina has fought the opioid epidemic with an array of public- and private-sector initiatives. In 2017, Governor Roy Cooper released the state’s Opioid Action Plan developed in collaboration with community partners. The plan mobilized state agencies to implement strategies for ...

  • 05.08.19

    Spotlight on Mississippi: Ending the Opioid Epidemic

    Mississippi’s opioid epidemic follows national trends. Even as the number of opioid prescriptions dispensed in the state has steadily dropped, deaths due to opioid-related overdoses have continued to increase. Governor Phil Bryant has led state efforts to address the epidemic through an ...

  • 05.06.19

    Aligning Care Delivery to Emerging Payment Models

    Hospitals and health systems across the country are redesigning care delivery to improve quality and outcomes, enhance the patient experience, reduce costs and, ultimately, produce better population health. They are testing and implementing new care models to focus on prevention and better ...

  • 04.29.19

    Promoting Comprehensive Healthcare Delivery for Children

    The Center for Medicare and Medicaid Innovation (CMMI) will fund a model of care, Integrated Care for Kids (InCK), that will test whether alternative payment models can promote closer integration across children’s physical healthcare, behavioral healthcare, social services and educational ...

  • 04.22.19

    State Medicaid Buy-Ins: Key Questions to Consider

    Lawmakers across the country are considering “Medicaid buy-in” programs to stabilize the Affordable Care Act insurance market and offer a coverage option that is more affordable and accessible than current options in the individual and employer markets. The concept of Medicaid buy-in ...

  • 04.12.19

    Emerging Trends for Addressing Social Factors in Medicaid

    Medicaid programs are increasingly considering how best to address the social factors, such as housing, healthy food and economic security, that can affect health and medical expenditures. Often referred to as social determinants of health, these factors drive as much as 80 percent of population ...

  • 04.05.19

    Work Requirements Litigation

    On March 27, a federal judge vacated, for the second time, the Centers for Medicare & Medicaid Services’ approval of Kentucky’s Medicaid 1115 demonstration waiver to test, among other things, a work requirement as a condition of Medicaid eligibility. In a related case of ...

  • 03.20.19

    Strengthening Medicaid Long-Term Services and Supports

    Long-term services and supports (LTSS) enable more than 12 million people to meet their personal care needs and live with dignity and independence in a variety of community and institutional settings. With Medicaid LTSS expenditures of more than $154 billion annually and the aging population ...

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