Sourcebook

Chapter 3 – Medicaid and CHIP

State-federal partnerships that provide health coverage for people with low incomes, children, pregnant women, parents of dependent children and disabled individuals.

Understanding What’s Next for Medicaid

This briefing will examine the real-world implications of proposed policy changes to Medicaid and the impact on populations such as children, the disabled, and those who need long-term services and supports. We will discuss how the current House and Senate health care bills would transform Medicaid, how a system of per capita caps would work, and what steps states are likely to take with our without changes in federal legislation.






Where Medicaid Stands: From the AHCA to State Waivers

This webinar focused on how the AHCA would impact states and Medicaid beneficiaries, how a system of per capita caps would work, what we learned from the Medicaid expansion under the Affordable Care Act, and how states might respond to new waiver flexibility from the Centers for Medicare & Medicaid Services. We examined these issues from both the federal and state perspective, and from the perspective of reporters covering this important issue.






What’s In Store for Medicaid

Medicaid programs could see dramatic changes this year and beyond, even if the effort to repeal and replace the Affordable Care Act continues to stall. Several states are taking a fresh look at expanding Medicaid under the ACA, while others are considering waivers under a new administration that will be receptive to experimentation. This briefing for journalists looked ahead at actions that may be taken by Congress, the Centers for Medicare & Medicaid Services, and the states.






What’s Next for Health Policy?

This webinar looked ahead at the issues surrounding U.S. health care and at potential changes that Congress, the Trump administration, and the states will be likely to adopt in the coming months and years.






Medicaid Moving Forward

This briefing examined the state of play for Medicaid and policy approaches moving forward. Our panel addressed how states and the Centers for Medicare & Medicaid Services may respond to the new landscape, as Congress shifts its focus away from health care.






Assessing Innovations in Medicaid

Medicaid is testing numerous new alternative payment and delivery system models to enhance the coordination of the health care services provided to millions of low-income Americans. This briefing examined the range of Medicaid’s efforts to improve care and promote value, including integrating health with non-clinical and behavioral services, creating managed care organizations, and instituting regional care collaborative organizations. Our panel also addressed Medicaid’s role in managing emerging issues such as the opioid epidemic and the spread of the Zika virus.






High-Need, High-Cost Patients: Challenges & Promising Models

Health systems have applied many innovative new strategies for improving quality and reducing costs when it comes to care for high-need, high-cost patients, who typically have multiple chronic conditions. Which of these innovations show promise, and what can we learn from them?






Briefing for Reporters on State Health Initiatives

A governor met with reporters Friday, February 19 to discuss the latest health care innovations and changes they are pursuing or implementing. Gov. Asa Hutchinson, R-Ark., discussed his experience with the state’s program to move newly eligible Medicaid beneficiaries to qualified health plans, and his intentions for changes moving forward.






Health Care Out from Behind Bars: Meeting Reentering Prisoners’ Needs Efficiently

Research shows that approximately 40 percent of former federal prisoners and over 60 percent of former state prisoners are rearrested within three years of release and many are re-incarcerated. Individuals transitioning into and out of the criminal justice system include many low-income adults with significant physical and mental health needs. Through outreach and education, correctional facilities are increasingly playing a key role in connecting eligible individuals to health care coverage and other social supports to facilitate their reintegration into the community. The Medicaid coverage expansion is also providing new opportunities to increase health care access to this particular population and potentially improving health outcomes, while bringing down costs. This briefing, the last in our “Medicaid: Beyond the Silos” series, built on last year’s correctional health briefing, with an added focus on reentry programs, and further explored the intersection of health policy and the criminal justice system.






Home and Community-Based Services: System-wide Coordination to Improve Care, Hold Down Costs

The movement toward home and community-based, long-term services and supports (LTSS) continues to grow, resulting in increased demand for these services. The goal is to help people live in the community independently, yet many barriers to offering HCBS still exist. This briefing will examine the potential of HCBS to reduce health care costs and improve quality of care. It will explore the intersection of HCBS, the broader health care delivery system and Medicaid, which is the largest payer of LTSS.






Long-Term Services and Supports Toolkit: Changes and Challenges in Financing and Delivery

The aging of the baby boomers and the increase in the number of old-old persons (those 85 and older) are predictors for the increasing need for long-term services and supports (LTSS). Among persons age 65 and over, an estimated 70 percent will use LTSS. A new Alliance for Health Reform toolkit, “Long-Term Services and Supports: Changes and Challenges in Financing and Delivery,” provides a background on LTSS and discusses policy issues surrounding the topic.

Medicaid 101: What You Need to Know

With some states grappling over whether to expand Medicaid, and Congress facing big decisions about the future of the Children’s Health Insurance Program (CHIP), this briefing reviewed the basics about both programs and discuss current issues.






Health Care Behind Bars: A Key to Population Health?

This briefing explored innovations and challenges in delivering health care to a growing population of inmates, and also the prospect of health care in the correctional setting as a key to improving population health. This is an expensive group because of the large number of people with mental illness, addiction disorders, conditions associated with aging and Hepatitis C. Indeed, corrections spending is the second fastest-growing state expenditure, behind Medicaid, according to the Pew Charitable Trusts.