District of Columbia

Three-Part Series: Improving Care for People Living with HIV: Opportunities for State Medicaid-Ryan White HIV/AIDS Program Collaboration

States play critical roles in ensuring that people living with HIV (PLWH) have access to quality care through their Medicaid and Ryan White HIV/AIDS programs. PLWH can be among the most medically complex individuals covered by state health programs, and their care can cost five-times more than the average Medicaid beneficiary. Given limited resources, state […]

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  • Toolkit: State Strategies to Develop Value-Based Alternative Payment Methodologies for FQHCs
    Toolkits

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  • Measurement and Reporting

    The National Academy for State Health Policy (NASHP) designed this toolkit to support states interested in developing a value-based alternative payment methodology (APM) for federally qualified health centers (FQHCs). The following section on measuring performance discusses key considerations and promising strategies based on lessons learned from states during NASHP’s Value-Based Payment Reform Academy. Types of […]

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  • 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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  • On Monday, July 10th, the Centers for Medicare and Medicaid Services (CMS) released a tally of issuer submissions to offer individual market coverage through the Federally-facilitated Exchange. The National Academy for State Health Policy (NASHP) conducted an analysis of preliminary rate filings for states that have opted to run a State-based Exchange (SBE), finding that […]

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  • State Health Policy Blog

    Increasingly states are focused on the critical role social determinants play in health, and public coverage programs play a key role in this focus. For more than 20 years, the Children’s Health Insurance Program (CHIP) has worked in coordination with state Medicaid programs to serve the health needs of low-income children. States are leveraging Medicaid […]

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  • State Health Policy Blog

    Stark health disparities make it difficult to move the needle on health outcomes and costs and reflect the fact that states face a variety of political and resource constraints when it comes to implementing health equity initiatives. Minority groups disproportionately bear the burden of disease. The CDC reports that when compared with white adults, African […]

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  • Publications

    Every open enrollment affords the health insurance marketplaces new opportunities to introduce innovative ways to improve their systems while lowering costs. For the 2015-16 open enrollment season, DC Health Link, the District of Columbia’s health insurance marketplace, levied such an opportunity by transferring their marketplace onto a new open source code solution. Agile, efficient, and cost effective, open […]

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  • State Health Policy Blog

    On November 1, health insurance marketplaces officially opened to millions of individuals for 2016 enrollment. Early reports indicate a smooth launch of the open enrollment season, partially due to several new tools to ease enrollment and renewal processes for marketplace consumers. Smarter Plan Comparison Tools Recent articles have featured the many new shopping tools available […]

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  • Publications

    One of the central elements of the Affordable Care Act (ACA) is to establish “one-stop shopping” through health insurance marketplaces allowing consumers to find and access affordable, high-quality health coverage either through private health insurance, and the subsidies available for those who qualify, or through Medicaid. The ACA and related regulations define a spectrum of marketplace […]

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