Found 36 resources.
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The Georgetown University Center for Children and Families (CCF) has released a revealing new report on Medicaid in rural areas and small towns. CCF updated its semi-annual rural analysis to show Medicaid's reach in rural areas, which is not always well understood. For your review, a copy of the full report is provided here, and a link to the recording of a recent webinar on the topic can be found here. If you are not up on the current debate on potential Medicaid cuts, this webinar and report are definitely important to listen to and read.
Topics: Medicaid / Medicare, Research

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The Centers for Medicare and Medicaid Services (CMS) and states spend over $300 billion per year on the care of dually eligible individuals, yet still do not achieve acceptable health outcomes. In a 2016 study of social risk factors in the Medicare value-based purchasing programs, dual enrollment status was the most powerful predictor of poor outcomes. For example, relative to Medicare-only beneficiaries, dually eligible individuals had 10-31 percent higher risk-adjusted odds of hospital readmission across conditions measured in the Hospital Readmissions Reduction Program, and scores were...
Topics: Dual-eligibles, Funding, Health, Low-income, Medicaid / Medicare, Research, Seniors

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As of 2015, the Centers for Medicare & Medicaid Services (CMS) pays for chronic care management (CCM) services for Medicare beneficiaries with two or more chronic conditions. CMS requires eligible providers to first obtain patients’ verbal (and, prior to 2017, written) consent, to ensure that patients who participate in CCM services understand their rights and agree to any applicable cost sharing. CCM providers must also enhance patients’ access to continuous and coordinated care, including ongoing care management.
Topics: Health, Low-income, Medicaid / Medicare, Research

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With persistent concerns about health care expenditures, the health care field has recognized a group of patients known as super utilizers—people with complex health needs and socioeconomic challenges who have very high levels of hospital use. A well-publicized team-based care management model to address the needs of these patients is the hotspotting model pioneered by the Camden Coalition of Healthcare Providers in New Jersey, first brought to national attention by an article in the New Yorker in 2011. So far, interest in programs to help super utilizers has outpaced the available evidence...
Topics: Health, Low-income, Medicaid / Medicare, Research

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Strengthening primary care is critical to promoting health and reducing costs in the United States. Comprehensive Primary Care Plus, or CPC+, is an advanced alternative payment model for primary care that builds on the foundation of the Comprehensive Primary Care initiative, implemented by the Center for Medicare & Medicaid Innovation from 2012 through 2016. The evaluation is assessing whether CPC+ achieves improved quality, reduced expenditures, and better health for Medicare and Medicaid beneficiaries in thousands of primary care practices using a mixed methods study. We are analyzing...
Topics: Health, Medicaid / Medicare, Research

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The number of kids enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) — two government health plans for the poor — fell by nearly 600,000 in the first 11 months of 2018, a precipitous drop that has puzzled and alarmed many health policy analysts, while several states say it reflects the good news of an improving economy.
Topics: Affordable Care Act, Child welfare, Early childhood, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Research, Youth

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Improved access to health insurance contributed to reducing worry and stress associated with paying rent/mortgage or purchasing meals among low-income people. Expanding health insurance access may have contributed to increasing the disposable income of low income groups.
Topics: Affordable Care Act, Health, Housing, Low-income, Medicaid / Medicare, Mental health, Research, Stability
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While there are many examples of small-scale programs that have integrated care and financing for Medicare-Medicaid eligible individuals, implementation at large scale has been elusive, often limited by concerns that savings will not materialize. The Medicare-Medicaid Coordination Office with its Financial Alignment Demonstration was specifically created to allow states to step forward and develop models that could substantially improve care for beneficiaries while delivering savings to states and the federal programs.We are now six years into this audacious set of pilots, which involve 12...
Topics: Health, Legislation & Policy, Low-income, Medicaid / Medicare, Research
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Medicaid helps low-income seniors, children, people with disabilities, and families get needed health care. Medicaid coverage improves families’ financial security by protecting them from medical debt and helping them stay healthy for work. Medicaid coverage also has long-term health, educational, and financial benefits for children. Click on the map to learn more about Medicaid’s contributions to your state.
Topics: Child welfare, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Research

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Medicaid coverage reduced the prevalence of undiagnosed depression by almost 50% and untreated depression by more than 60%. It increased use of medications and reduced the share of respondents reporting unmet mental health care needs by almost 40%.
Topics: Depression, Low-income, Medicaid / Medicare, Mental health, Metrics, Pacific Northwest, Research
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The nation’s public housing authorities are seeking closer links to health insurers and medical care providers to address social determinants of health.
Topics: CLPHA, Funding, Health, Housing, Low-income, Medicaid / Medicare, Partnerships, Place-based, Research
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Housing and health systems need to work together. Public housing authorities (PHAs) are significant providers of housing to those in need, offering the health sector scale and expertise. Little was known about how PHAs worked with the health sector writ large. With a national survey, we found that PHAs across the country are engaged in a wide range of partnerships with different health organizations that address various target populations and health priorities. Barriers to housing-health collaboration, such as funding and staffing capacity, can be overcome with cross-system partnerships that...
Topics: Child welfare, Funding, Health, Housing, Low-income, Medicaid / Medicare, Partnerships, Preventative care, Research, Seniors, Smoke-free

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In response to the heightened interest in the relationship between work and the health of individuals and communities, CMCS has clarified that Medicaid funds cannot be used to pay beneficiaries’ wages, but can pay for employment counseling as an optional benefit—to help people get jobs. Years of experience with work requirements for the Supplemental Nutrition Assistance Program, Aid to Families with Dependent Children, and populations with disabilities have developed the evidence for what is needed to help different populations find and keep jobs.
Topics: Affordable Care Act, Disabilities, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Research, Stability, Workforce development
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Health and reentry are closely related, and chronic medical, mental health, and substance use problems make it harder for newly released people to seek employment, obtain housing, and avoid reincarceration. Compared with the general population, justice-involved people tend to be in poorer health and need access to physical and behavioral health services, as well as the know-how and motivation to get care.
Topics: Affordable Care Act, Criminal justice, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Research, Stability
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Prioritizing young children in Medicaid through cross-sector, innovative practice change has the potential to improve their lifetime trajectories, overall population health and long-run savings.
Topics: Child welfare, Early childhood, Health, Low-income, Medicaid / Medicare, Research
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As the Trump Administration continues to encourage states to take Medicaid coverage away from people who don’t meet a work requirement, a new report describes Montana’s promising alternative: a workforce promotion program that targets state resources toward reducing barriers to work.
Topics: Affordable Care Act, Asset building, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Research, Workforce development

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The uninsured rate among children rose in 2017 from 4.7 percent to 5 percent, a new report from Georgetown University’s Center for Children and Families finds — the first increase since Georgetown began producing this annual report a decade ago.
Topics: Affordable Care Act, Child welfare, Health, Low-income, Medicaid / Medicare, Research
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Studies have consistently documented high rates of obesity and tobacco use among individuals with serious mental illness. In recent years, Medicaid programs have enrolled individuals with serious mental illness into managed care plans, which are responsible for ensuring that their members receive preventive care. Despite the movement to managed care, not much is known about whether this population receives routine screening and follow-up care for common comorbid health conditions and health behaviors.
Topics: Disabilities, Health, Low-income, Medicaid / Medicare, Mental health, Preventative care, Research
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Using multiple panels from the US Census Bureau’s Survey of Income and Program Participation, we find that participation in Temporary Assistance for Needy Families, the Supplemental Nutrition Assistance Program (SNAP), or public health insurance reduces the number of hardships low-income families with children experience by 48 percent and reduces the share who experience food insufficiency by 72 percent.
Topics: Child welfare, Cost effectiveness, Food insecurity, Legislation & Policy, Low-income, Medicaid / Medicare, Metrics, Research, Stability
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CLPHA’s Housing Is Initiative is engaged in a number of cross-sector activities focused on developing partnerships, facilitating a community of practice, resource development, promoting best practices, online collaboration, policy and advocacy, and training and education. Read about recent activities in this Fall Update.
Topics: Child welfare, CLPHA, Community development, Cost effectiveness, Data sharing, Early childhood, Education, Family engagement, Funding, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Mental health, Partnerships, Place-based, Post-secondary, Research, Stability, Substance abuse, Workforce development, Youth
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Half of public housing authorities (PHAs) are engaged in at least one health initiative, almost all in partnership with the health sector, according to a new report by the Council of Large Public Housing Authorities (CLPHA) and the Public and Affordable Housing Research Corporation (PAHRC).Health Starts at Home: A National Snapshot of Public Housing Authorities' Health Partnerships finds that PHAs are key players in addressing the intersection of housing and health and that deepening partnerships between PHAs and health providers can better serve residents' and communities’ health...
Topics: CLPHA, Dual-eligibles, Health, Housing, Low-income, Medicaid / Medicare, Mental health, Nutrition, Partnerships, Place-based, Preventative care, Research, Seniors

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Using administrative data from Massachusetts, this study analyzes the health care use and Medicaid expenditures of families who experienced one or more homeless episodes between 2008 and 2015 to investigate how health care use is related to emergency housing experiences.
Topics: Asthma, Child welfare, Depression, Health, Homelessness, Housing, Low-income, Medicaid / Medicare, Metrics, Pre-natal, Research
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Health care payment and delivery models that challenge providers to be accountable for outcomes have fueled interest in community-level partnerships that address the behavioral, social, and economic determinants of health.We describe how Hennepin Health—a county-based safety-net accountable care organization in Minnesota—has forged such a partnership to redesign the health care workforce and improve the coordination of the physical, behavioral, social, and economic dimensions of care for an expanded community of Medicaid beneficiaries.
Topics: Affordable Care Act, Cost effectiveness, Health, Low-income, Medicaid / Medicare, Mental health, Metrics, Partnerships, Research

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This report aims to provide the Robert Wood Johnson Foundation (RWJF) and other health foundations with a perspective on the emerging intersection of social determinants of health (SDOH), health care systems, and social and other services. These fields intersect in how and what data are collected, and in ways the data are used to improve health and well-being and promote a Culture of Health.
Topics: Data sharing, Funding, Health, Medicaid / Medicare, Metrics, Nutrition, Partnerships, Place-based, Research

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The aim of the study was to understand how policy capacity was defined and managed by state health leaders in different political environments during the implementation of the ACA. Working with a sample of states—large and small, red and blue, actively reformist or more circumspect, etc.—the research team interviewed 18 state executive agency officials and six legislators from 10 states about their experiences developing and sustaining the capacity needed for major transformations in health care
Topics: Affordable Care Act, Funding, Health, Legislation & Policy, Low-income, Medicaid / Medicare, Partnerships, Research
