Medicaid

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Moving Toward Value-Based Payment for Medicaid Behavioral Health Services

Value-Based Payment (VBP) are alternative payment models that reward high-quality, cost-effective care. While many Medicaid state programs are developing VBP systems for physical health services, they have not made such advances in Medicaid behavioral health care services. The Center for Health Care Strategies’ (CHCS) brief, produced with the California Health Care Foundation, details how five states are innovating their Medicaid managed care organizations through VBP models.

Short URL: http://www.advancingstates.org/node/69557

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Money Follows the Person 2015 Annual Evaluation Report

Mathematica Policy Research recently released their Money Follows the Person 2015 Annual Evaluation Report. This report provides basic information about the program, as well as how the program has grown and changed since transitions began in 2007. The Annual Evaluation Report also discusses estimates of program outcomes and is the basis for a report to congress.

Short URL: http://www.advancingstates.org/node/69520

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Building the Caring Economy: Workforce Investments to Expand Access to Affordable, High-Quality Early and Long-Term Care

This report proposes jobs for caregivers that would help alleviate two national concerns for caregivers: the need for quality employment and the need to still act as caregivers. It discusses ways to promote the well-being of older adults, individuals with disabilities, children, and their families by laying the framework for opportunities to improve the quality and increase the quality of caregiving employment to create jobs that meet family caregiving needs.

Short URL: http://www.advancingstates.org/node/69511

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H.R. 1628: The American Health Care Act (AHCA)

On May 26th, 2017 the Congressional Research Service released their report on H.R. 1628: The American Health Care Act (AHCA) that was passed in the House on May 4th, 2017. This report provides an overview of all the AHCA provisions. It also discusses how the bill includes a number of provisions that would repeal or modify parts of the Patient Protection and Affordable Care Act.

Short URL: http://www.advancingstates.org/node/69510

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Demonstrating the Value of Medicaid MLTSS Programs

In recognition of a lack of reliable and robust information on the value of state managed long-term services and supports (MLTSS) nationally, this report aims to partially fill the gap with data and evidence from a survey of state agencies and a review of relevant outside research, and to also serve as a jumping off point for future study.

Short URL: http://www.advancingstates.org/node/69483

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Medicaid Expenditures for Long-Term Services and Supports (LTSS) in FY 2015

This report from Truven Health Analytics describes Medicaid long-term services and supports (LTSS) expenditures. The report shows federal fiscal year 2015 data, along with updates for FY 2012 through 2014 spending. Along with discussing trends in Medicaid LTSS expenditures, the report includes numerous data tables that summarize national and state-level expenditures by service category and state.

Short URL: http://www.advancingstates.org/node/69468

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Improved Oversight Needed of Payment Rates for Long-Term Services and Supports

On February 8th, the Government Accountability Office publicly released a report on Medicaid managed care and Long-term Services and Supports. The report examined MLTSS program goals, payment structures, financial incentives for plans, and federal monitoring programs. The report makes several recommendations for CMS.

Short URL: http://www.advancingstates.org/node/69196

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Medicaid & CHIP: November 2016 Monthly Applications, Eligibility Determinations, and Enrollment Report

The Centers for Medicare & Medicaid Services (CMS) released their monthly report for November 2016 on Medicaid and CHIP application, eligibility determination, and enrollment data. States provide data to CMS on factors related to key application, eligibility, and enrollment processes using the Medicaid and CHIP Performance Indicator Project. The data is then used to inform CMS on the operations of the programs in each state and to share state performance data publicly.

Short URL: http://www.advancingstates.org/node/69153

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File Downloads / Links

Medicaid & CHIP: October 2016 Monthly Applications, Eligibility Determinations, and Enrollment Report

The Centers for Medicare & Medicaid Services (CMS) released their monthly report for October 2016 on Medicaid and CHIP application, eligibility determination, and enrollment data. States provide data to CMS on factors related to key application, eligibility and enrollment processes using the Medicaid and CHIP Performance Indicator Project. The data is then used to inform CMS on the operations of the programs in each state and to share state performance data publicly.

Short URL: http://www.advancingstates.org/node/69039

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