Briefs & Reports

Politics, budgets and reform pummel state Medicaid programs

State Medicaid directors are caught in the vice grip of competing interests driven by the looming election, lean state budgets, uncertainty about expansion caused by the Supreme Court health reform decision and the threat that Congress will cut the health program to help balance the federal budget. At the same time, Medicaid directors have an … Read More

Governance of Accountable Care

As the nation moves in the direction of reorganizing how health care services are delivered and paid for, new structures will need to be developed to ensure coordination, lack of duplication, and incentives for best practices.  This document addresses some elements of organization and governance that are critical to multi-provider, population-focused delivery models.

Making the Connection: The Role of Community Health Workers in Health Homes

The development of health homes creates a unique opportunity to develop and implement care management models that meet the complex needs of high-need and high-cost patients. Incorporating community health workers (CHWs) into care management teams is an effective—and cost-effective—approach to achieving the goals of health homes. The roles and tasks CHWs perform already align well with the six core … Read More

HMA to host one-day seminar for IL FQHCs

Several states are developing accountable care organizations (ACOs) for their Medicaid populations. Under this model, financial incentives are changed to encourage better-coordinated care delivery across providers, and accountability for patients shifts from health plans down to the practice level, where providers are better positioned to assess and help address patient needs.  HMA has been involved … Read More

The Future of Medicaid in Colorado: Impacts of U.S. Supreme Court Ruling

This paper provides background on the optional Medicaid expansion under the ACA identifies key assumptions about who the newly eligible Medicaid populations will be lists the choices states could consider regarding a Medicaid expansion and what data should be analysed to inform the choices and decisions and lays out the issues of greatest interests to … Read More

Integrated Care for Dual Eligibles

In previous editions of The Michigan Update we have written about Michigan’s plan to implement an integrated delivery system of health care for persons dually eligible for Medicare and Medicaid. DCH submitted a proposal to CMS in April 2012, which CMS posted for public comment. Based on questions and comments from CMS, the department has … Read More

Implications and Options for State-Funded Programs Under Health Reform

A number of states and the District of Columbia currently administer health coverage programs for low-income uninsured individuals who either exceed maximum Medicaid income eligibility thresholds or who are not categoricallly eligible for the Medicaid program, such as childless adults.  The majority of individuals currently covered through these programs will be eligible for other coverage pursuant to … Read More

Medicaid Health Homes for Beneficiaries with Chronic Conditions

This Kaiser Issue brief focuses on the first four states to receive CMS approval under the new Medicaid Health Home option authorized by the Affordable Care Act: Missouri, Rhode Island, New York, and Oregon. It examines the health home programs these states have established, explores similarities and differences in their approaches, and offers observations regarding … Read More

Baltimore Sun Op-Ed: Compromise needed on the Affordable Care Act

By Jack Meyer and Karoline Mortensen Twenty million Americans live at or below the federal poverty line and are uninsured. The Supreme Court ruling on the Affordable Care Act (ACA) could leave many without access to affordable health insurance — but only if we let ideological warfare triumph over practical policy solutions. The court upheld the Medicaid expansion under … Read More

Understanding the ACA Supreme Court Decision: State Decisions and State Solutions

In upholding the vast majority of the Affordable Care Act, the Supreme Court has placed the responsibility for implementation back with the states.  HMA shares our perspective on “what now” for states.  What are some of the questions states should be asking?  What decisions will states need to make?  And how to best implement and … Read More