A Connecticut budget proposal for 2017-2018 would rollback Medicaid eligibility from 155 percent of the Federal Poverty Level (FPL) to 138 percent FPL – the national Affordable Care Act minimum level.
The steps to developing Complex Care Management Model Design for state Medicaid programs with a focus on one single point of entry. In this design, long term services and supports are provided in order for individuals to remain in the community.
An overview of waivers made possible by Section 1115 of the Social Security Act and Section 1332 of the Affordable Care Act. This presentation explains spending and waiver authority and the legal considerations that may arise, the ways that states have used waiver authority, and reviews the limitations and new responsibilities that come with waivers.
The Massachusetts High-Risk Pediatric Asthma Bundled Payment Model, created by UMass Medical School on behalf of MassHealth, is one of two innovative models featured in this webinar about how select states are using Medicaid to pay for supportive services within accountable care organizations, health homes, community health teams, and other value-based delivery system reforms.
Regimens that contain sofosbuvir (SOF) or simeprevir (SIM) are highly effective for treating chronic hepatitis C virus (HCV) infection. These regimens, however, are expensive. Most payers have implemented prior authorization (PA) requirements to ensure that patients who can benefit most have priority for these medications.
A chart pack produced by the Massachusetts Medicaid Policy Institute (MMPI), a program of the Blue Cross Blue Shield of Massachusetts Foundation, in partnership with the Center for Health Law and Economics at UMass Medical School. This updated edition includes MassHealth enrollment as of January 2016 and spending from state fiscal year 2015 and is made available in PDF and Power Point formats to facilitate its use in presentations.
The Ohio Medicaid Assessment Survey (OMAS) delivers health and healthcare data to public and private organizations, including insight into the health status of Ohio’s Medicaid and Medicaid-eligible populations. OMAS provides necessary data to measure the impact of health care reform over time, especially issues relevant to the efficient administration of the Ohio Medicaid program.
The Listening Project, a signature activity of AcademyHealth’s Translation and Dissemination Institute, seeks to identify the most pressing research needs of leaders in health policy and health care delivery for the coming three to five years. Its goal is to foster greater interaction among the producers, funders, and users of health services and policy research (HSR) and spur the production and use of timely, relevant evidence to improve health and health care.
Many of you are at the beginning of the journey to grow a successful and sustainable partnership between your public universities and your state's Medicaid-financed health and human service agencies. Perhaps there is a single faculty member who has been engaged around research or services that are of value to the state's program needs. Perhaps the state saw an expertise available through the university that was equal to or better than what it could find in the private sector.