Front Page

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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  • State Health Policy Blog

    Vermont Takes Next Step in Global Budgeting: Releases All-Payer Model

    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

    Using Peers to Support Physical and Mental Health Integration for Adults with Serious Mental Illness

    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

    Rounding the Bend: Enrollment and Outreach Updates from the State-based Marketplaces

    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: Front Page, State Exchanges, State Health Policy Blog

  • State Health Policy Blog

    Accountable Health Community Models: What’s the State Role?

    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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  • Meeting the Health-Related Social Needs of Low-Income Persons: Funding Sources Available to States

    The Accountable Health Communities initiative recently announced by the Center for Medicare & Medicaid Innovation (CMMI) holds promise for helping communities bridge the gap between health care and social services. This important work has the potential to improve health in communities by addressing food insecurity, housing instability, and other social determinants of health.  Although the […]

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  • State Health Policy Blog

    The Kentucky ‘Wrap’: Decreasing Administrative Costs for Medicaid and FQHCs in MCO Payment Reconciliation

    States that have implemented managed care in their Medicaid programs face the complex and time consuming task of reconciling managed care payments to federally qualified health centers (FQHCs) to ensure they are at, or above, their Prospective Payment System (PPS) rates. Several senior Medicaid officials raised this issue during a recent NASHP meeting on the […]

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    January 12, 2016 | Filed under: Front Page, Kentucky, Medicaid, State Health Policy Blog

  • Publications

    Addressing and Reducing Health Care Costs in States: Global Budgeting Initiatives in Maryland, Massachusetts, and Vermont

    In the five years since the passage of the Affordable Care Act (ACA), 17 states and the District of Columbia have created health insurance exchanges and 30 states and the District have expanded their Medicaid programs to cover low-income populations.  More than 16 million people are newly insured under the law. In addition to expanding health coverage, […]

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  • Maps
    State Delivery System and Payment Reform Map

    State Delivery System and Payment Reform Map

       

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    January 4, 2016 | Filed under: Front Page, Maps

  • State Health Policy Blog

    State Medicaid Expansion Plans: 2015 Recap and 2016 Possibilities

    As 2015 comes to a close, Medicaid expansion activity in states has not slowed down. Currently, 30 states and the District of Columbia have expanded Medicaid, and six of these states have chosen to pursue waivers to implement alternative versions of expansion. As the new year approaches, a number of additional states are considering options […]

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