Front Page

Self-insured employer participation in multi-payer payment reform is critical for providers to receive consistent messages across payers—an important step toward fostering widespread improvement. A recent study echoes the experience of many state-led multi-payer initiatives experiencing difficulty in engaging self-insured employers. This study looked at reforms in four states: Arkansas, Oregon, Minnesota, Vermont. Only two, Arkansas […]

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  • Webinars

    Date: February 25, 2016 Time: 3:30 PM (ET) View Webinar Here Download Webinar Slides Here While Medicaid and CHIP are important health coverage programs for children, nearly half of all children are covered through the private insurance market.  This webinar will explore several areas in which states may have some leverage to help affect change […]

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    February 17, 2016 | Filed under: Front Page, Webinars
  • State Health Policy Blog

    As we head back to court, what does a challenge to the ACA mean for the country’s Health Insurance Marketplaces? Over the past five years, the Affordable Care Act (ACA) has withstood challenges to the constitutionality of its insurance mandate, Medicaid expansion, birth control-related provisions, and questions about who can receive premium reducing tax credits. […]

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    February 16, 2016 | Filed under: Front Page, State Exchanges, State Health Policy Blog
  • Webinars

    Date: February 18, 2016 Time: 2:30 PM (ET) View Webinar Here Download Webinar Slides Here In a recently proposed rule, the Centers for Medicaid and Medicare Services (CMS) is considering providing qualified health plans with the option of offering standardized benefit plans in the federally facilitated marketplace (FFM). CMS contemplates creating standardized plan options at […]

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    February 10, 2016 | Filed under: Front Page, State Refor(u)m, Webinars
  • Publications

    Medicaid beneficiaries often need support outside the scope of clinical health care in order to lead healthy lives, and states are uniquely poised to provide this support by addressing the social determinants of health. While states steward a variety of funding sources that address the needs of low-income populations, too often a Medicaid beneficiary must […]

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  • State Health Policy Blog

    In late January, the U.S. Preventive Services Task Force released a recommendation that clinicians screen the general adult population, including pregnant and postpartum women, for depression. Depression screening for pregnant and postpartum women is not a new idea. The Medicaid program, as a major payer of perinatal health care covering 48 percent of all U.S. […]

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    February 5, 2016 | Filed under: Front Page, Population Health, State Health Policy Blog
  • State Health Policy Blog

    We recently published a brief on efforts underway in Maryland, Massachusetts, and Vermont to develop and implement global budgeting. Last week, Vermont took the next step, releasing an overview of its proposal to the Centers for Medicare & Medicaid Services (CMS) for an all-payer model. Vermont’s approach distinguishes itself by setting spending targets for almost […]

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    February 2, 2016 | Filed under: Front Page, Payment Reform, State Health Policy Blog, Vermont
  • Publications

    People with mental illnesses use more resources and are more expensive to cover than Medicaid enrollees without these disorders.  Moreover, the subset of adults with serious mental illness (SMI) has the highest per person cost of all disabled, non-dually eligible individuals enrolled in state Medicaid programs. Trained peer support specialists are well positioned to bridge the […]

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    January 26, 2016 | Filed under: Behavioral Health, Front Page, Georgia, Kansas, Oregon, Publications
  • State Health Policy Blog

    2015 has drawn to a close, and with it deadlines for consumers to have coverage on January 1. The Department of Health and Human Services has recently released an enrollment update, citing that over 11.2 million individuals have enrolled in plans through the marketplace, 2.7 million of which have come through the 13 states operating […]

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    January 14, 2016 | Filed under: All, Front Page, State Exchanges, State Health Policy Blog
  • State Health Policy Blog

    With growing recognition that the health care delivery system alone cannot improve population health, there is increasing movement at the state and local levels to create new relationships between systems that focus on traditional health care delivery and those that extend to work, housing, family, and community life. CMMI recently announced an initiative to test […]

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