Delivery System Reform

By Jill Rosenthal June 2012 North Carolina’s success in developing a statewide infrastructure that supports a robust primary care system has resulted in better health outcomes, lower cost, and a new way of organizing and improving health in the state.  This success is due largely to its ability to synchronize and align initiatives within the […]

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  • Webinars

    Section 2703 of the Affordable Care Act provides states with an enticing opportunity to provide health homes for chronically ill Medicaid enrollees. States are able to draw an enhanced federal match to integrate primary care with behavioral health and long-term services and supports for two years.  Join Melinda Abrams of The Commonwealth Fund and state […]

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  • In 2011, NASHP was awarded a National Organizations of State and Local Officials (NOSLO) national cooperative agreement with the federal Health Resources and Services Administration (HRSA). By facilitating collaboration between Medicaid agencies and the safety net, the NOSLO cooperative agreement, which builds on NASHP’s prior work with HRSA (see Community Health Centers), aims to support […]

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    May 17, 2012 | Filed under: Delivery System Reform, Medicaid
  • Publications

    This is the third and final in a series of papers on dual eligibility supported by The Pew Charitable Trusts, with additional support from The Henry ]. Kaiser Family Foundation, Center for Vulnerable Populations. The first paper, Managiiig Care for Older Beneficiaries of Medicaid and Medicare: Prospects and Pitfalls (September, 1994), describes the fragmentation of […]

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  • Publications

    Increasingly, states are turning to managed care to deliver health services to Medicaid recipients. In a 1994 survey of states conducted by the National Academy for State Health Policy, 16 states reported that they enroll elders in Medicaid managed care programs. A few states (Arizona, Minnesota, Oregon, Tennessee, Utah) require mandatory enrollment and others allow […]

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  • Publications

    Increasingly, states are turning to managed care to deliver health services to Medicaid recipients. In a 1994 survey of states conducted by the National Academy for State Health Policy, 16 states reported that they enroll elders in Medicaid managed care programs. A few states (Arizona, Minnesota, Oregon, Tennessee, Utah) require mandatory enrollment and others allow […]

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    May 16, 2012 | Filed under: Delivery System Reform, Medicaid, Publications
  • Publications

    The purpose of this document is to summarize the current state-of-the-art in managed care for the elderly and to provide states with background information needed to launch their own initiatives to provide quality, cost effective care to the rapidly aging population. As you will see, attempts to truly coordinate primary, preventive, acute, and long term […]

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  • Publications

    Major Issues and Selected Initiatives Interest in managed care for older persons and persons with disabilities has intensified in recent years, as states and the federal government have searched for ways to make publicly funded programs more effective and less costly. The heightened interest has stimulated a lively debate among consumers, policy makers, advocates and […]

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  • Publications

    Medicaid today pays for 41% of the nation’s long term care bill. Most of that spending (85%) is on institutions. As the Congress grapples with efforts to reduce Federal expenditures and balance the budget, the Medicaid program and its investment in long term care are particularly vulnerable to cuts. Indeed, Medicaid comprises nearly half of […]

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  • Publications

    This report highlights What states have been doing to reduce their expenditures on long term care while maintaining access to needed services. In our analysis of the major strategies employed by the states we found that they fell into several categories: (1) Delivery system activities include strategies to reduce or control the number of nursing […]

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