Medicaid

Feds Send Mixed Responses on States’ Efforts to Control Medicaid Drug Costs

The Centers for Medicare & Medicaid Services (CMS) had a mixed response to two states’ innovative efforts to control Medicaid drug costs in June. The agency denied Massachusetts’ 1115 waiver request to create a closed Medicaid drug formulary, but it approved Oklahoma’s State Plan Amendment that authorizes supplemental rebates for value-based purchasing arrangements with pharmaceutical […]

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  • How State Medicaid and Title V Partnerships Improve Care for Children with Special Health Care Needs in Medicaid Managed Care

    States are increasingly utilizing Medicaid managed care (MMC) to serve children and youth with special health care needs (CYSHCN), who often require a complex array of services. Many states are finding that forging partnerships between their MMC systems and Title V CYSHCN programs improves care coordination, transitions from pediatric to adult care systems, quality of […]

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  • NASHP’s State SUD Policy Institute Supports States to Address SUD in Federally Qualified Health Centers
    State Health Policy Blog

    NASHP congratulates the five states selected to participate in NASHP’s State Substance Use Disorder (SUD) Policy Institute: Alabama Illinois South Dakota Virginia Wisconsin The State SUD Policy Institute, supported by a cooperative agreement with the Health Resources and Services Administration, will assist these five state teams to develop innovative strategies to increase access to and […]

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  • Learn the Latest about States’ Medicaid Work Requirement Proposals
    State Health Policy Blog

    More than 30 states have proposed or are implementing work requirements, in some cases to enable Medicaid expansion. Read an update about state efforts and a recent federal court ruling on Kentucky’s waiver application. Since January, when the Centers for Medicare & Medicaid Services (CMS) announced it would allow states to require certain enrollees to […]

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    July 3, 2018 | Filed under: Front Page, Medicaid, State Health Policy Blog
  • Washington’s Medicaid Chief Examines the Future of Medicaid and Health Reforms
    State Health Policy Blog

    MaryAnne Lindeblad oversees Washington State’s Apple Health (Medicaid) program, which serves more than 1.8 million residents. She also chairs the National Academy for State Health Policy’s executive committee and is a National Association of Medicaid Directors board member. Lindeblad took time recently to talk to NASHP about the future of Medicaid and health care reform. […]

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    June 26, 2018 | Filed under: Front Page, Medicaid, State Health Policy Blog, Washington
  • Health Services Initiative Gives States Unique Tools to Improve the Health of Low-Income Children
    State Health Policy Blog

    With federal funding for the Children’s Health Insurance Program (CHIP) assured through 2027, states can consider using a portion of their CHIP dollars to improve the health of low-income children through innovative Health Services Initiative (HSI). HSIs provide states with a mechanism to use CHIP administrative dollars to fund a range of activities beyond just […]

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  • How States Can Improve Access to Care for Children Under the Medicaid Managed Care Rule
    State Health Policy Blog

    Next month, states face new federal requirements for establishing and maintaining Medicaid managed care provider networks. As they work to comply with these new rules, states have an opportunity to strengthen access to care for children and youth with special health care needs (CYSHCN). Medicaid and requirements, which address how enrollees access care and the […]

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  • An Early Look at Vermont’s Value-Based, Multi-Payer “Next Gen” Model, Designed to Lower Costs and Improve Population Health
    Publications

    By Robin Lunge, JD, MHCDS Robin Lunge is a member of Vermont’s Green Mountain Care Board, which regulates health insurance rates, hospital budgets, and accountable care organizations. In this brief, she explores how the state’s transformation from a fee-for-service payment system to a value-based, multi-payer model designed to curb health care spending and improve care […]

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  • The Roadmap Ahead: New York’s Value-Based Payments Reward Communities and Providers for Addressing the Social Determinants of Health
    State Health Policy Blog

    Medicaid payment models in many states are shifting away from rewarding providers for the quantity of care they provide to models that reward high-quality, coordinated care that addresses some of the broader social factors that influence health and well-being. One example is New York’s Value-Based Payment (VBP) Roadmap, which rewards Medicaid providers and community-based organizations […]

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  • 50-State Scan of Lead Screening and Treatment Policies for Children and Pregnant Women

    The US Centers for Disease Control and Prevention estimates that children in 4 million households are exposed to high levels of lead. Elevated blood lead levels increase risk for damage to the brain and nervous system, slowed growth and development, and learning, behavior, hearing, and speech problems, along with long-term financial financial and health implications. […]

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