黑料不打烊

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黑料不打烊 Insights: Your source for healthcare news, ideas and analysis.

黑料不打烊 Insights鈥攊ncluding briefs, webinars, and our podcast鈥攇ives you easy access to 黑料不打烊鈥檚 deep expertise, helping you stay current on the latest healthcare trends and topics. Search for a topic of interest or browse the latest insights below.

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Case study examines Georgia鈥檚 experience unbundling LARC payments from Medicaid prospective payment system

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A new case study prepared by colleagues from 黑料不打烊 (黑料不打烊) analyzes the Georgia Medicaid program鈥檚 experience with unbundling long-acting, reversible contraception (LARC) devices and services from the Medicaid prospective payment system (PPS) for reimbursement in Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs).

黑料不打烊 examined Medicaid claims data from 2012-2019 as well as conducted key interviews to understand whether the unbundling reimbursement policy change could have increased LARC utilization and provided analysis for policymakers and stakeholders in other states pursuing similar strategies and programs.

Additional findings and the full report are available here.

黑料不打烊鈥檚 research was supported by and with support from . The 黑料不打烊 team included Rebecca Kellenberg, Diana Rodin, and Jim McEvoy.

黑料不打烊 colleagues conduct environmental scan of NEMT benefit to Medicaid enrollees

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As part of a larger Medicaid and CHIP Payment and Access Commission (MACPAC) study on Medicaid non-emergency medical transportation (NEMT) in response to a request from the Senate Appropriations Committee, a team of 黑料不打烊 colleagues conducted a 50-state environmental scan of NEMT programs and stakeholder interviews to better understand approaches and trends in the provision of the NEMT benefit to Medicaid enrollees across the United States.

The culminating report included NEMT trends, challenges, and innovations drawn from the scan of programs and interviews with stakeholders including federal officials, Medicaid officials from six study states, NEMT brokers and providers, managed care companies, beneficiary advocates, and subject matter experts.

The key findings are outlined in the report and include information about:

  • NEMT populations and utilization
  • Various modes of transportation
  • NEMT delivery system model variations, advantages, and challenges
  • NEMT complaints, performance issues, and innovation
  • Performance improvement, oversight, and program integrity
  • Transportation network challenges and increasing role of transportation network companies
  • Coordination across federally assisted transportation services
  • Stakeholders鈥 view on the value and role of NEMT

In December 2020, following the completion of the interviews for this study, Congress added a requirement to the federal statute requiring states to provide NEMT to Medicaid beneficiaries who have no other means of transportation to medically necessary healthcare services.

The 黑料不打烊 team included Principals Sharon Silow-Carroll, MSW, MBA and Kathy Gifford, JD, Senior Consultant Carrie Rosenzweig, MPP, Consultants Anh Pham and Julie George, JD as well as retired Managing Principal Kathy Ryland.

The research underlying this report was completed with support from the Medicaid and CHIP Payment and Access Commission (MACPAC). The findings, statements, and views expressed are those of the authors and do not necessarily represent those of MACPAC.

黑料不打烊 briefs on Medicare-Medicaid integration

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This issue brief听from 黑料不打烊,听Medicare-Medicaid Integration: Essential Program Elements and Policy Recommendations for Integrated Care Programs for Dually Eligible Individuals听is part of a multi-phased research initiative to increase enrollment in integrated care programs (ICPs)[1]that meet full benefit dually eligible individuals鈥[2]听needs and preferences. Dually eligible individuals have a range of chronic conditions and disabilities requiring both Medicare and Medicaid services, which makes integrated programs important to their lives.

For a succinct overview of the essential elements and policy recommendations, please access the听brief fact sheet. For a full discussion of the elements and policy recommendations, please access the听full brief.

The authors are Sarah Barth, Ellen Breslin, Samantha DiPaola and Narda Ipakchi.[3]

For further information or questions, contact Sarah Barth, Ellen Breslin or Samantha DiPaola.

[1]听Integrated Care Programs (ICPs): For this research, we defined ICPs as financing and care delivery organizing entities or programs that coordinate and integrate Medicare and Medicaid-covered services and supports for dually eligible individuals.They include the Centers for Medicare & Medicaid Services (CMS) Financial Alignment Initiative (FAI) capitated and fee-for-service models; the Program of All-Inclusive Care for the Elderly (PACE); Medicare Advantage (MA) Fully Integrated Dual Eligible Special Needs Plans (FIDE SNPs); Medicaid Managed Long-Term Service and Supports Program (MLTSS) managed care organizations and aligned MA dual eligible special needs plans (D-SNPs); and state-specific programs that may be proposed to CMS.

[2]听Dually Eligible Individuals:When using the term dually eligible individuals, we are referencing Medicare-Medicaid full benefit dually eligible individuals (FBDEs), those who qualify for full Medicaid benefits.

[3]听Narda Ipakchi was formerly a Senior Consultant with 黑料不打烊.

Vermont proposes risk-bearing, state-run Medicaid managed care entity

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This week our In Focus section reviews Vermont鈥檚 Global Commitment to Health Section 1115 waiver renewal application. In the proposed five-year demonstration extension, Vermont seeks to move the Medicaid population to a new a risk-bearing public, state-run managed care organization (MCO). Under the arrangement, the Department of Vermont Health Access (DVHA) would transition into the new entity and accept capitated risk for the state鈥檚 Medicaid population, covering physical and mental health, pharmacy services, substance use disorder (SUD) services, and long-term services and supports (LTSS) beginning January 1, 2022.

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黑料不打烊 prepared issue briefs explore MLTSS impacts on state Medicaid programs

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In a recent pair of reports prepared for , 黑料不打烊 colleagues examined the impact of managed long-term services and supports (LTSS) in state Medicaid programs. The first report, Growth in MLTSS and Impacts on Community-Based Care, examines the historical increase in the adoption of LTSS by state Medicaid programs and how that has contributed to a shift in long-term care from institutions to the community. The second report, Managed LTSS Improves Quality of Care, describes the evidence on the impact of managed LTSS in state Medicaid programs on the quality of care.

Authors:
Principal Stephen Palmer
Senior Consultant Ashlen Strong
Senior Consultant Aaron Tripp

Webinar Replay: Value Propositions and Roadmaps for Integrating Children鈥檚 Behavioral Health and Medicaid with Child Welfare Systems

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This held on July 15, 2021, was the seventh webinar in the series 鈥淓xploring the Landscape of Behavioral Healthcare,鈥 covering the growing impact of behavioral healthcare on clinical outcomes and cost.

The success of the delivery of state and local child welfare systems is predicated on a strong collaboration across child welfare, children鈥檚 behavioral health and Medicaid, building a multigenerational, multisystem response to the problem of child maltreatment. During this webinar, 黑料不打烊 behavioral health, child welfare and Medicaid experts broke down what鈥檚 needed to get the integration process started, including a practical approach to workflows as well as an understanding of the touchpoints where integration efforts are likely to have their biggest payoff.

Learning Objectives

  • Understand how child welfare services departments currently interact with the behavioral health service continuum.
  • Learn how to build value by identifying areas where the intersection of child welfare, Medicaid and children鈥檚 behavioral health helps improve outcomes and mitigate risk.
  • Identify potential barriers to integration efforts.
  • Learn how other states have applied solutions and strategies aimed at better integrating child welfare systems, Medicaid, and children鈥檚 behavioral health.
  • Learn about financing infrastructures that support meaningful whole family approaches to improving protective factors and strengthening family resilience.

黑料不打烊 Speakers:

Uma Ahluwalia, MSW, MHA, Managing Principal, Washington, DC
Annalisa Baker, MPH, LCSW, Senior Consultant, New York, NY
Caitlin Thomas-Henkel, MSW, Principal, Philadelphia, PA
Heidi Arthur, MSW, Principal, New York, NY

Louisiana Releases Medicaid Managed Care RFP

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This week our In Focus section reviews the Louisiana Medicaid managed care request for proposals (RFP) released on June 23, 2021, by the Louisiana Department of Health. Louisiana is seeking full-risk health plans to serve approximately 1.6 million Medicaid beneficiaries. Contracts are worth approximately $9 billion annually.

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黑料不打烊 brief examines state efforts to integrate care across Medicaid FFS LTSS and Medicare Advantage D-SNPs

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Funded by UnitedHealthcare, the issue brief, State Efforts to Integrate Care Across Medicaid Fee-for-Service Long-Term Services and Supports and Medicare Advantage Dual Eligible Special Needs Plans, outlines approaches taken by Medicaid programs seeking to coordinate Medicare and Medicaid services for dually eligible individuals without first implementing standalone Medicaid managed long-term services and supports (MLTSS) programs.

Authors are Sarah Barth, Rachel Deadmon and Julie Faulhaber.

Tennessee Releases Medicaid Managed Care RFP

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This week our In Focus reviews the Tennessee Medicaid managed care request for proposals (RFP) released on June 11, 2021, by the State of Tennessee, Division of TennCare. Tennessee will select three plans to provide physical services, behavioral services, and Managed Long-Term Services and Supports (MLTSS), including nursing facility services and home and community-based services (HCBS), to beneficiaries enrolled in TennCare (Medicaid), CoverKids (Children鈥檚 Health Insurance Program), and Dual Eligible Special Needs Plans (D-SNP). Current incumbents serve over 1.5 million beneficiaries, with contracts worth $12 billion annually.

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Indiana Releases Medicaid Managed Care RFP

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This week, our In Focus section reviews the Indiana Medicaid managed care request for proposals (RFP) for health plans serving beneficiaries enrolled in Hoosier Healthwise and Healthy Indiana Plan (HIP) programs. Contracts will be worth over $6 billion annually.  The RFP was released on June 7, 2021, by the Indiana Department of Administration on behalf of the Family and Social Services Administration Office of Medicaid Policy and Planning.

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California proposed May revision budget adds Medi-Cal expansions

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This week, our In Focus section reviews California鈥檚 May Revision to the Governor鈥檚 Budget, which proposes a $267.8 billion budget (with $196.8 billion General Fund) for fiscal year 2021-22. The revised budget includes $24.4 billion in reserves, the largest in history. The May Revision builds on the California Advancing and Innovating Medi-Cal (CalAIM) proposal and introduces several Medi-Cal initiatives and benefits for fiscal year 2021-22.

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