Briefs & Reports

Managing Medicaid Pharmacy Benefits: Current Issues and Options

Informed in part by the perspectives of a group of Medicaid pharmacy administrators convened in May 2011 to discuss Medicaid pharmacy issues, this report analyzes reimbursement, benefit management and cost sharing issues in Medicaid pharmacy programs, highlighting the potential of several strategies to reduce Medicaid pharmacy costs.

State Health Insurance Exchanges and Children’s Coverage: Issues for State Design Decisions

Based on input gathered during a daylong meeting with state government officials, general health care experts, federal representatives, and individuals from nonpartisan health policy institutions, this issue brief examines the critical health insurance exchange design decisions states must make, focusing on issues that impact children’s coverage, enrollment and retention.

Sustaining State Health Information Exchange: A State Toolkit

Given states’ current financial challenges, it is important for states to implement a cost-effective and sustainable health information exchange (HIE) infrastructure. This report addresses how health information organizations can create and deliver value to achieve long-term sustainability.

Reducing Hospital Readmissions? Lessons from Top-Performing Hospitals

Significant variability in 30-day readmission rates among U.S. hospitals suggests that some are more successful than others at providing safe, high-quality inpatient care and promoting smooth transitions to follow-up care. HMA conducted a series of case studies and developed an overview report that offer lessons from four hospitals with exceptionally low readmission rates.

Issues in Missouri Health Care in 2011

An analysis of the Missouri health care landscape to help policymakers, health care professionals, and community-based organizations understand the stateÍs health system, particularly as the state implements health reform and faces budget challenges.