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The Henry J. Kaiser Family Foundation

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.

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The Henry J. Kaiser Family Foundation

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.

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The Henry J. Kaiser Family Foundation

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.

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The Henry J. Kaiser Family Foundation

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.

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Stop the Drop: Profiles of Innovative Medicaid Renewal Initiatives and Lessons for 2014 and Beyond

Under the Affordable Care Act (ACA), there will be a new continuum of coverage options available beginning in 2014. While there currently is significant focus on enrolling eligible people into these new coverage options, it also is important to plan for how to keep eligible people enrolled in coverage over…

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The Henry J. Kaiser Family Foundation

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…

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The Henry J. Kaiser Family Foundation

Integrating Care for Dual Eligibles: What Do Consumers Want?

Many deficit reduction plans have recognized the need to improve care for the 9 million beneficiaries dually eligible for Medicare and Medicaid. How do Medicaid and Medicare coordinate payment and care for people covered by both programs? Are Health and Human Services initiatives encouraging innovations to integrate care for dual…

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The Henry J. Kaiser Family Foundation

Innovative Medicaid Initiatives to Improve Service Delivery and Quality of Care: A Look at Five State Initiatives

A number of states have used the flexibility of the Medicaid program to develop innovative payment and delivery systems designed to coordinate and improve quality of care. This brief, based on site visits from November 2009 through March 2010, highlights care coordination and related efforts in five states: Alabama, Oklahoma,…

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The Henry J. Kaiser Family Foundation

Strengthening Medicaid with Health Information Technology: Are Providers & States Up to the Challenge?

Health care providers can receive Medicare and Medicaid payment incentives when they adopt electronic health records and demonstrate their “meaningful use.” Additionally, states must establish a website by 2014 for Medicaid beneficiaries to electronically enroll and renew coverage. Yet many challenges remain so that health information technology (HIT) can help…

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The Henry J. Kaiser Family Foundation

The Innovation Center: How Much Can It Improve Quality and Reduce Costs – and How Quickly?

The new Center for Medicare and Medicaid Innovation (CMMI) seeks to test new health care payment and service delivery models that can potentially enhance quality of care for beneficiaries while reducing costs. How is the agency planning to administer its $10 billion in funding? What early projects is the center…

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