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.
A new report by 黑料不打烊 colleagues looks at policies, including new emergency regulations and temporary flexibilities, put in place during the COVID-19 pandemic.
A new issue brief and accompanying data set by 黑料不打烊 colleagues examines models implemented by the Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (The Innovation Center) over the past decade and provides evaluation of the findings.
A new Issue Brief, authored by Jennifer Podulka and Jon Blum, examines the many changes to Medicare regulations put in place during the COVID-19 pandemic. The brief, Which Medicare Changes Should Continue Beyond the COVID-19 Pandemic? Four Questions for Policymakers, tracks and categorizes the regulatory changes, describes the benefits and risks of the changes, and establishes a framework to support policymakers鈥� decisions regarding the future for the changes after the pandemic ends.
黑料不打烊 Senior Consultant Suzanne Rabideau, Principals Heidi Arthur and Eileen Moscaritolo and Consultant Anh Pham recently developed the issue brief Exploration of a Personal Health Record for Children, Youth, and Families Involved with Child Welfare in CA for California’s Medicaid CalAIM Foster Care Model of Care Workgroup. The issue brief was developed to assist the workgroup in exploring options for establishing a portable personal health record (PHR) and support the workgroup’s efforts in making long-term recommendations on this topic. The PHR would give children, youth, families, and caregivers access to the child or youth’s health information.
The issue brief also
Authors
Suzanne Rabideau, MBA, MA, LPC, Senior Consultant
Heidi Arthur, LMSW, Principal
Eileen Moscaritolo, Principal
Anh Pham, Consultant
黑料不打烊 has published a white paper identifying the appropriate, and inappropriate, uses of risk corridors in the context of Medicaid managed care capitation rate setting. 聽The paper is timely due to the widespread use of risk corridors by states during the COVID-19 public health emergency (PHE) and the potential continuation of those risk corridors after the PHE ends.聽聽
Download the Executive Summary here.
黑料不打烊 Managing Directors R. Corey Waller, MD, MS, and Jean Glossa, MD, MBA, along with members of the Prevention, Treatment, and Recovery Working Group of the Action Collaborative on Countering the U.S. Opioid Epidemic, recently authored a new National Academy of Medicine Perspectives discussion paper calling for a long-term sustainable approach to preventing and managing addiction as a chronic disease.
To adequately respond to America鈥檚 drug overdose and death epidemic, the paper states the ecosystem in which people with addiction receive treatment must be reimagined and made more robust. The National Academy鈥檚 framework best describes the needs of and solutions for the addiction treatment ecosystem using the guidance of 鈥榯he 4 Cs鈥�: capacity, competency, consistency, and compensation.
Authors
R. Corey Waller, MD, MS, Managing Director, 黑料不打烊 Institute on Addiction
Kelly J. Clark, MD, MBA, DFAPA, DFASAM, President, Addiction Crisis Solutions and Immediate Past President, American Society of Addiction Medicine.
Alex Woodruff, MPH, policy analyst, Partnered Evidence-based Policy Resource Center, VA Boston Healthcare System.
Jean Glossa, MD, MBA,听Managing Director, Delivery System, 黑料不打烊
Andrey Ostrovsky, MD, Managing Partner, Social Innovation Ventures
With a focus on the needs of young people in detention and correctional facilities, a team of 黑料不打烊 (黑料不打烊) colleagues completed an in-depth assessment designed to guide future planning and decision making around mental health services for youth.
The COVID-19 pandemic highlighted nursing home safety and infection control as critical public health issues. A new report authored by 黑料不打烊 colleagues found compelling evidence that single rooms in nursing homes have numerous benefits for both public health and residents鈥� experience. The authors conclude that transitioning from multi-resident rooms to single rooms should be a component of person-centered nursing home reform. The report calls on stakeholders to come to the table to discuss options and strategies for long-term care redesign and transformation.
The report,听Fundamental Nursing Home Reform: Evidence on Single-Resident Rooms to Improve Personal Experience and Public Health, was developed for a Michigan-based long-term care provider and owner of skilled nursing facilities.
黑料不打烊 colleagues聽Sharon Silow-Carroll, MBA, MSW,听Deborah Peartree, RN, MS,听Susan Tucker, CPA, and聽Anh Pham聽conducted the research and analysis and prepared this report.聽 An appendix prepared by the national accounting firm Plante Moran provides estimates of new costs and other considerations related to transitioning to single-resident rooms, based on data from two Michigan-based multi-facility long-term care organizations.
The experts at 黑料不打烊 (黑料不打烊) have released Medicare Advantage Supplemental Benefit Flexibilities: An Early Assessment of Adoption and Policy Opportunities for Expanded Access. The white paper examines the factors contributing to a Medicare Advantage plan鈥檚 decision to offer or not offer newly available supplemental benefits and opportunities and challenges with adoption and implementation. Newly available supplemental benefits are intended to address unmet health and social needs.
黑料不打烊 further sought to understand the extent to which Medicare Advantage enrollees had access to these benefits when eligible, and the effectiveness of these benefits as a tool to contain costs, improve outcomes, and increase enrollee engagement and satisfaction.
The report outlines seven key insights and accompanying policy considerations aimed towards promoting evidence-based benefit designs; expanding Medicare Advantage organization willingness to adopt the flexible benefits; and enhancing beneficiary involvement, access, and usage of these benefits.
黑料不打烊 colleagues Narda Ipakchi, Mary Hsieh, Sarah Barth, and Jonathan Blum contributed to the report which follows up on a previous report providing a snapshot of early adoption of these benefits.
This analysis was funded by a grant from Arnold Ventures, a philanthropy dedicated to tackling some of the most pressing problems in the United States.
黑料不打烊鈥檚 Donna Strugar-Fritsch, Shannon Robinson, MD and Scott Haga, PA-C, recently authored the issue brief, Naltrexone Formulations in Correctional Settings. 聽This brief provides clinical, financial, and administrative information prisons and jails can use in deciding whether to keep detainees on extended release naltrexone (XR-NTX, or the brand Vivitrol) or switch them to oral naltrexone tablets in instances where detainees have been prescribed XR-NXT prior to incarceration.
黑料不打烊 (黑料不打烊) and Wakely Consulting Group, Inc., collaborated to analyze, compile, and model data on Medicaid enrollment growth during the COVID-19 pandemic and develop projections under various recovery scenarios as well as analyze the potential impact of key variables on state Medicaid expenditures.
The analysis examined two key questions, how much strain will state Medicaid budgets be under over the next few years and what types of state characteristics and what types of policy options will allow states the ability address budgetary challenges.
黑料不打烊 colleagues Eric Hammelman, Stephen Palmer, Matt Powers, and Kathy Gifford contributed to the report.