Innovative Medicaid Initiatives to Improve Service Delivery and Quality of Care: A Look at Five State Initiatives September 1, 2011 Report 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,…
Managing Costs and Improving Care: Team-based Care of the Chronically Ill August 11, 2011 Event Treating those with multiple chronic conditions, including the elderly and disabled populations, accounts for 30 percent of total U.S. health care spending. Half of this amount is spent by Medicare and Medicaid on behalf of beneficiaries eligible for both programs. This briefing, cosponsored by the Alliance for Health Reform and…
An Overview of Changes in the Federal Medical Assistance Percentages (FMAPs) for Medicaid July 1, 2011 Issue Brief The joint federal-state financing of the Medicaid program works through a matching mechanism known as the Federal Medical Assistance Percentage (FMAP). This mechanism determines the federal and state shares of Medicaid costs based on a state’s per capita personal income relative to the national average. While the FMAP formula has…
Medicaid and Managed Care: Key Data, Trends, and Issues February 1, 2012 Issue Brief This brief provides a snapshot of the Medicaid program’s use of managed care to deliver services to beneficiaries. It examines the prevalence of managed care in state Medicaid programs; the various approaches states have used, including primary-care case management; managed care for long-term services and for beneficiaries dually eligible for…
Children’s Health Coverage: Medicaid, CHIP, and Next Steps October 31, 2009 Event The Alliance for Health Reform and the Robert Wood Johnson Foundation co-sponsored this briefing to examine the factors which influence children’s coverage. Questions addressed include: What are the trends in private sector coverage? How well are the enrollment simplification and outreach tools that are included in this year’s CHIP reauthorization…
Efforts in States to Promote Medicaid Community-Based Services and Supports August 31, 2009 Issue Brief This brief summarizes lessons in offering more home and community-based services from states at the forefront of the effort. It describes current options for state Medicaid programs and draws on interviews with state officials to provide details about specific policies and procedures in states. Brief (.pdf)
Key Issues in Medicaid and Home and Community-Based Services and Support August 31, 2009 Issue Brief These briefs examine current issues in providing more people who need long-term care services and supports access to these Medicaid services in home and community-based settings rather than in institutional ones. The first brief, Advancing Access to Medicaid Home and Community-Based Services: Key Issues Based on a Working Group Discussion…
Express Lane Eligibility Efforts: Lessons Learned from Early State Cross-Program Enrollment Initiatives August 1, 2009 Issue Brief The Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) provides states new options to reach and enroll eligible but uninsured low-income children into Medicaid and CHIP. The law’s Express Lane Eligibility (ELE) provisions enable state Medicaid and CHIP agencies to identify, enroll and recertify children by relying on eligibility…
CHIP TIPS: Citizenship Documentation Changes April 29, 2009 Issue Brief This brief, the third in a series, examines changes to citizenship documentation requirements under the Children’s Health Insurance Program Reauthorization Act of 2009. The law extends the requirement to document citizenship that applied in Medicaid to CHIP as well. At the same time, it modifies current requirements to reduce the…
CHIP TIPS: Medicaid Performance Bonus March 30, 2009 Issue Brief This brief, the first in a series, examines the new federal “performance bonus” available to states that do an especially good job of signing up eligible children for Medicaid. The bonus, created by a provision in the Children’s Health Insurance Program Reauthorization Act of 2009, is designed to help states…