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Shared Medical Decision Making: We’re in This Together

In recent years, awareness of the patient’s important role in managing his or her own care has been steadily growing—fed not only by such trends as the proliferation of health information on the internet and direct-to-consumer advertising, but also by the emerging science of patient-centered decision making. One way to…

Health Care Costs: The Role of Technology and Chronic Conditions

The Alliance for Health Reform and co-sponsors presented the second event in a three-part series of discussions on costs, the factors driving them up, and what (if anything) can be done about them. This briefing takes an in-depth look at two of the most often cited cost drivers – technology…

Behavioral Health: Can Primary Care Help Meet the Growing Need?

The health reform law has specific provisions covering mental health and substance use conditions, as well as general provisions to benefit those in need of behavioral health services. While addressing unmet needs, the reform law provisions raise new challenges. Given their budgetary constraints, will states be able to expand capacity…

A Dose of Reality in the Virtual World of Health IT

The Alliance for Health Reform hosted a September 28 briefing to discuss electronic health records (EHRs), and the progress of the Health Information Technology for Economic and Clinical Health (HITECH) Act. Speakers explored such questions as: How does health information technology fit in the strategy for health care delivery transformation?…

Many States Are Making Wide-Ranging Improvements To Medicaid Eligibility and Enrollment Systems to Prepare for the Affordable Care Act in 2014

New Survey Finds States Investing in Technology, Simplifying Enrollment Processes Washington, D.C. – Nearly all states are pressing forward with information technology and process improvements to develop faster, streamlined Medicaid enrollment systems as required under the Affordable Care Act (ACA) whether or not the state elects to expand Medicaid coverage under…

Managing Care Transitions in Medicaid: Spotlight on Community Care of North Carolina

Community Care of North Carolina’s Transitional Care Program (TCP) provides robust transition planning for high-risk Medicaid inpatients to support sound transitions from the hospital back to the community and reduce emergency department use and readmissions. Integral elements of the TCP are hospital-based care managers who coordinate with care managers in medical home practices; centralized health information technology, and standard care management training and tools.

Leveraging Medicaid in a Multi-Payer Medical Home Program: Spotlight on Rhode Island’s Chronic Care Sustainability Initiative

Rhode Island’s Chronic Care Sustainability Initiative (CSI) is a multi-payer patient-centered medical home program in which the one Medicaid health plan and all commercial health plans in the state participate. Hallmarks of the initiative are engaged leadership, mandatory participation but participatory governance, a common contract used by all payers, and investments in health information technology and other support for practice transformation.

Data Analytics in Medicaid: Spotlight on Colorado’s Accountable Care Collaborative

An integral component of Colorado Medicaid’s coordinated care initiative, the Accountable Care Collaborative, is the Statewide Data Analytics Contractor (SDAC), which is responsible for providing actionable data through a web portal to primary care providers and regional care collaborative organizations. The metrics and tools the SDAC provides undergird the effort to drive improvement in care management and individual and community health, and support the accountable care model.

Medicaid Health Homes: A Profile of Newer Programs

Under the ACA, states have a new Medicaid option to establish “health homes” designed to improve care coordination and integration and reduce costs for beneficiaries with chronic conditions. Thus far, 15 states have implemented health home programs. Following on a 2012 brief profiling Medicaid health home programs in the first six states to adopt the option, this brief describes the health home programs in the nine states that have implemented them since that time, and highlights common themes across them as well as distinctions among them.