Wednesday, October 21, 2015
This workshop will focus on how state statutes and regulations can break down false barriers to health information sharing and can influence health information interoperability at the legal, policy, and technical levels. Specifically, the workshop will cover opt-in versus opt-out approaches, basic choice/computable privacy, and how states can take the lead in addressing misconceptions related to the sharing of health information. Attendance is limited to current state officials only.
Expert Resource: Anne Gauthier, Project Leader, Health Care Payment Learning and Action Network, the MITRE Corporation
Expert Resources: Virginia (Gigi) Raney, LCSW, Health Insurance Specialist, Centers for Medicare & Medicaid Services, and Deirdra Stockmann, PhD, Health Insurance Specialist, Centers for Medicare & Medicaid Services
Expert Resource: Karen Brodsky, Principal, Health Management Associates
A Medicaid/Behavioral Health Data Integration pilot is being initiated by several states.
Key policy questions that only an integrated State Medicaid & specialty State Behavioral Health Agency (SBHA) data system could answer.
Total State government expenditures for mental health services (combining SBHA and Medicaid expenditures) and what are the changes (service patterns, funding resources, etc.) over a specified time period?
- Overall health care costs of BH clients (combining Medicaid primary health care expenditures to SBHA client information) and what are the changes (service patterns, funding resources, etc.) over a specified time period?
- Crisis Services and Emergency Room Usage by BH clients?
- 30 day hospital readmissions and how do they relate to other services?
- Many others
Tell us your key policy topics and learn from others.
Expert Resource: Tim Knettler, MBA, CAE, Executive Director/CEO, (NRI) National Association of State Mental Health Program Directors Research Institute
This roundtable features the work of four research teams representing the Health Care Cost Institute (HCCI)/ National Academy for State Health Policy (NASHP) State Health Policy Grant Program. These research teams have utilized a large, national dataset comprised of healthcare claims data to study changes and reforms in state health policies. These innovative research projects cover various topics of interest to healthcare and state policy stakeholders including, scope of practice laws, integrated behavioral and primary healthcare, provider consolidation, and direct access to care laws.
Expert Resource: Dr. Amanda Frost, Senior Researcher at the Health Care Cost Institute
State budgets are under tremendous pressure, and new, costly prescription drugs have put additional burdens on Medicaid, state employee, and prison budgets. While new medications play a critical role in helping to prevent, manage and even cure disease, states also have to consider their costs and overall value. This Roundtable will discuss strategies and solutions for states as they consider drug costs for all areas of the budget.
Expert Resources: TBD
The Affordable Care Act has given states substantial flexibility, as well as new requirements, for designing benefit packages for their Medicaid expansion populations. States have taken different approaches toward developing these Alternative Benefit Plans (APBs) — for example, adopting their exact or modified State Plan benefits, or basing the benefits on commercial marketplace-style coverage. This roundtable will discuss the choices states have made in creating ABPs and policy implications of those decisions.
Expert Resource: Colin Planalp, Research Fellow at the State Health Access Data Assistance Center (SHADAC)
For many low-income adults with disabilities, states’ expansion of Medicaid coverage offers a direct avenue to Medicaid enrollment previously only available through Supplemental Security Income (SSI) receipt. Using data from the Social Security Administration (SSA), Mathematica is estimating the impact of states’ Medicaid expansion decisions on the volume of SSI applications. Nearly all states provide supplemental payments to SSI recipients. If increased Medicaid availability makes low-income adults with disabilities less likely to enroll in SSI, states’ net costs to expand Medicaid may be lower than previously estimated.
Expert Resource: Maggie Colby, Associate Director and Senior Health Researcher, Mathematica Policy Research
Expert Resource: Rachel Nuzum, MPH, Vice President, Federal and State Health Policy
Adults with mental health and/or substance use disorders are not only some of the highest-cost enrollees in state health systems, they are also very prevalent in the corrections population. Coordination across systems is necessary to ensure that people’s needs are met, and that care is continued and coordinated as people move through various settings. This discussion will focus on building bridges across multiple systems to address the needs of people with serious mental illness and substance use disorders both before and after incarceration.
Expert Resource: Maria Schiff, Director, State Health Care Spending, The Pew Charitable Trusts