Building Complex Care Programs: A Roadmap for States

January 4, 2018

States pursuing the three-part aim of improved health, high quality care, and reduced costs often start with programs for complex care populations. These programs target high-need, high-cost Medicaid enrollees who are the most frequent users of costly sites of care, such as emergency departments and inpatient settings, but whose needs are often best met in… Read more »

Better Care Playbook

January 4, 2018

The Better Care Playbook is part of an effort led by The Peterson Center, The Commonwealth Fund, The John A. Hartford Foundation, the Robert Wood Johnson Foundation and The SCAN Foundation to offer you the latest information and resources on how to provide better care for people with complex needs. The rapidly evolving policy and… Read more »

Strengthening Medicaid Long-Term Services and Supports in an Evolving Policy Environment: A Toolkit for States

January 4, 2018

The Center for Health Care Strategies (CHCS) and Manatt Health has developed a new toolkit that provides a targeted menu of long-term services and supports (LTSS) reform strategies adopted by state innovators that may be replicated by other states. The toolkit identifies concrete policy strategies, operational steps, and federal and state authorities that states have… Read more »

How Community-Based Organizations Contract and Receive Reimbursement for Home and Community-Based Services in Medicaid Arrangements – A Blueprint for Success

February 26, 2017

Community-based organizations (CBOs) have a long history of supporting people with disabilities and older adults to live and thrive in the community, through a variety of funding structures. States are increasingly realizing the value of these organizations as providers and partners in their Medicaid-funded programs. At the same time, many states are partnering with Medicaid… Read more »

Webinar: How Community-Based Organizations Contract and Receive Reimbursement for Home and Community-Based Services in Medicaid Arrangements – A Blueprint for Success

February 26, 2017

Community-based organizations (CBOs) have a long history of supporting people with disabilities and older adults to live and thrive in the community, through a variety of funding structures. During this webinar, a panel of experts will provide real-world strategies that CBOs can use to effectively expand access to their services, work with state Medicaid programs,… Read more »

Post-election outlook on health system transformation in Medicaid: Assessing the impact on vulnerable populations

December 12, 2016

Medicaid has become a laboratory for innovation, particularly for improving the care of vulnerable populations. What will happen to these models of care, such as Accountable Care Organizations and demonstrations for dual eligibles, in the new political landscape? What’s the future for 1115 waivers? What are the threats to consumers with complex care needs? Please… Read more »

Are You Ready for the Age Wave in Social Programs?

October 26, 2015

America is aging. By 2030, approximately one in five Americans will be 65 or older. This age wave will have dramatic implications for the financing and delivery of government-sponsored social programs, including Medicaid and Medicare-Medicaid dual eligibles. During this webinar, experts will outline the challenges that an aging population poses for Medicaid health plans, state… Read more »

Food Is Medicine: Opportunities in Public and Private Health Care for Supporting Nutritional Counseling and Medically-Tailored, Home-Delivered Meals

April 15, 2015

For critically and chronically ill people, food is medicine. With adequate amounts of nutritious food, people who are sick have a better response to medication, maintain and gain strength, and have improved chances of recovery. This report focuses on the provision of nutritional counseling and the delivery of medically-tailored, home-delivered meals to those with debilitating… Read more »

State Medicaid Integration Tracker

April 16, 2015

The State Medicaid Integration Tracker© focuses on the status of the following state actions: Medicaid Managed Long Term Services and Supports (MLTSS), State Demonstrations to Integrate Care for Dual Eligible Individuals and other Medicare-Medicaid Coordination Initiatives, Other LTSS Reform Activities, including: Balancing Incentive Program, Community First Choice Option under §1915(k), and Medicaid Health Homes.

Home and Community-Based Services in Assisted Living Facilities

April 16, 2015

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) conducted a study to identify the costs and types of home and community-based services (HCBS) covered under 1915(c) waivers for Medicaid beneficiaries residing in assisted living facilities (ALFs). Additionally, to determine the extent to which Medicaid programs complied with federal and state… Read more »

Medicaid Managed Long-Term Services and Supports (MMLTSS): Increasing State Interest & Implications

April 17, 2015

This Forum session (Medicaid Managed Long-Term Services and Supports (MMLTSS): Increasing State Interest and Implications for Consumers, Quality of Care, Providers, and Costs) explored lessons learned from state experiences with MMLTSS, evidence of its effect on cost savings and quality outcomes, actions being taken by the Centers for Medicare & Medicaid Services (CMS) to help… Read more »