Blog Posts

Success Spurs Growth of Medicaid Managed Care for Children with Special Health Care Needs

Two decades ago, the majority of state Medicaid programs that served children and youth with special health care needs (CYSHCN) relied on a traditional, fee-for-service model to pay for the complex mix of health care services that this group of children often need. But as states became more adept at designing new health care delivery […]

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  • State Health Policy Blog

    The Sept. 30, 2017, deadline has come and gone and Congress has not yet extended federal funding for the Children’s Health Insurance Program (CHIP), but for now, the estimated 9 million children enrolled in the program remain covered. This is possible because CHIP, a block grant-funded program, provided annual allotments to states and a portion […]

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    October 3, 2017 | Filed under: Blog Posts, Children's Health, State Health Policy Blog
  • State Health Policy Blog

    Improving birth outcomes, including reducing infant mortality, is a priority for state Medicaid agencies that finance nearly half of all births each year. Three states have proven to be creative and effective laboratories in developing initiatives that use Medicaid payment and delivery reform strategies to lower costs, improve access to postpartum care, reward high-quality care, […]

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  • State Health Policy Blog

    The Graham-Cassidy amendment represented a radical overhaul of how health care coverage is financed and delivered, raising anew the question of federalism – what should the federal government guarantee and how much state variation should be supported? The legislation tossed most critical health care coverage and policy decisions to states without giving them sufficient time or […]

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  • State Health Policy Blog

    The Centers for Medicare & Medicaid Services (CMS) recently released its third annual evaluation of the State Innovation Model (SIM) Round One Test States, which analyzes the ability of states to use policy and regulatory levers to drive statewide health care transformation. The evaluation, completed by a team of researchers from RTI International, the Urban […]

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    September 26, 2017 | Filed under: Blog Posts, Front Page, Maine, Minnesota, State Health Policy Blog, Vermont
  • State Medicaid Agencies Venture into Value-Based Purchasing with Federally Qualified Health Centers
    State Health Policy Blog

    State Medicaid agencies have generally found it challenging to include federally qualified health centers (FQHCs) in value-based purchasing initiatives because of a federal law passed in 2000 that regulates how state Medicaid programs pay FQHCs for the care they provide. State Medicaid agencies are required to reimburse FQHCs through the Prospective Payment System (PPS), a […]

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  • State Health Policy Blog

    Time is running out for Congress to reform the nation’s health care system, and the Senate is considering two options that could impact state health care policies dramatically. The choices include a bipartisan bill to stabilize the Affordable Care Act’s (ACA) insurance markets and give states the information they need to set insurance rates for […]

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  • CHIP’s Future: There Are Hopeful Signs from Congress, But States Still Face Uncertainty
    State Health Policy Blog

    With less than two weeks to go before current federal funding for the Children’s Health Insurance Program (CHIP) ends, Sens. Orrin Hatch and Ron Wyden have introduced a bipartisan bill to extend the program for five years. However, state officials face the unsettling possibility that if Congress is unable to pass this legislation and appropriate […]

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    September 19, 2017 | Filed under: Blog Posts, Children's Health, Front Page, State Health Policy Blog
  • State Health Policy Blog

    States have a long history of using home visiting programs to deliver cost-effective interventions to vulnerable children and families, and recent federal investments have been instrumental in the expansion of evidence-based home visiting programs across the United States. Due to budget uncertainties at the state and federal level, states are exploring opportunities to maximize investments […]

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  • State Health Policy Blog

    This month, the Senate Health Education and Labor (HELP) committee began to craft a bipartisan bill to bring short-term stability to the Affordable Care Act’s (ACA) individual insurance market. The committee, led by Chairman Lamar Alexander (R-TN) and ranking member Patty Murray (D-WA), hosted a series of four hearings featuring insurance commissioners, consumer advocates, a […]

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