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Brief & Report

Issue brief examines Medicaid outreach, enrollment strategies


A continuum of coverage options take effect under the Affordable Care Act (ACA) in 2014. In advance of this milestone, the Kaiser Family Foundation is offering a series of issue briefs that profile Medicaid outreach and enrollment strategies to inform efforts to implement the ACA.

HMA Principal Jennifer Edwards and Consultant Diana Rodin worked with Samantha Artiga, of the  Kaiser Family Foundation, to produce the recently released “Profiles of Medicaid Outreach and Enrollment Strategies: Helping Families Maintain Coverage in Michigan.” It is the second installment in the “Gearing up for 2014” series which highlights lessons learned from Medicaid and CHIP outreach and enrollment strategies . This brief profiles a new initiative of the Michigan Primary Care Association (MPCA) to facilitate coverage renewals through a systematic, technology-based reminder system coupled with one-on-one assistance.

The inaugural issue brief profiled a successful initiative among health centers in Utah to provide one-on-one Medicaid enrollment assistance.

Brief & Report

Report looks at Managed Care Organizations’ outreach efforts


The Commonwealth Fund

As state Medicaid programs are increasingly shifting beneficiaries into managed care organizations (MCOs), some MCOs are expanding their traditional role to better meet the needs of their vulnerable members and communities.

In a new Commonwealth Fund report, Health Management Associates Managing Principal Sharon Silow-Carroll and Consultant Diana Rodin, report on the efforts of four managed care organizations (MCOs) that are forging community partnerships to meet the needs of vulnerable Medicaid patients and others in their communities.

They developed four case studies:

These case studies describe the “how” and the “why” when it comes to MCOs addressing barriers and changing the way care is delivered, including internal and state policy drivers, leveraging partnerships and key take-aways.


Brief & Report

New report details state dual integration efforts


In the fall of 2012, Health Management Associates Senior Consultant Jenna Walls and colleagues from the AARP Public Policy Institute, and the National Association of States United for Aging and Disabilities (NASUAD) surveyed all 50 states and the District of Columbia to develop a comprehensive picture of emerging dual integration initiatives for older adults and adults with physical disabilities.

The research shows that two-thirds of all states will integrate Medicaid and Medicare services for dual eligibles over the next two years, most with statewide initiatives designed to target all full-benefit duals and span most types of long-term care services and supports. In addition, the report discovered that most states are turning to risk-based managed care models to deliver these integrated services to duals.