Updates

Jun 7, 2024 

States of Innovation: May 2024

State Health and Value Strategies’ States of Innovation series profiles the latest health news at the state level, highlighting what states are working on to achieve better, more affordable, and more equitable health for all. This States of Innovation highlights state activity in May 2024 which includes state efforts to address affordability, increase access to children’s coverage and care, engage the community and advance health equity. States also took action on maternal and reproductive health, access to mental and behavioral health, and coverage for justice-involved populations. This States of Innovation features updates from Alabama, Arizona, Arkansas, California, Connecticut, Delaware, Georgia, Hawai’i, Iowa, Kentucky, Massachusetts, Michigan, Minnesota, Nebraska, New Jersey, New Mexico, Nevada, North Carolina, Oregon, Pennsylvania, Rhode Island and Tennessee.

May 24, 2024 

Engaging Medicaid Members: New Requirements in the Medicaid Access Rule

The final Access Rule published on April 22, 2024 establishes new requirements for states regarding the engagement of people enrolled in Medicaid to inform policy and program design. Under the rule, states will need to create and support a Beneficiary Advisory Council (BAC) composed solely of current and former Medicaid enrollees, their family members, and paid and unpaid caregivers and a Medicaid Advisory Committee, comprising a diverse array of stakeholders, including members drawn from the BAC. The new requirements provide states with the opportunity to engage community members in a way that builds and maintains trust and strengthens the Medicaid program.

May 17, 2024 

State Implications of the Section 1557 Nondiscrimination Rule 

On April 26, the U.S. Department of Health and Human Services Office for Civil Rights released a final rule interpreting section 1557 of the Affordable Care Act , which prohibits discrimination on the basis of race, color, national origin, sex, age, or disability. This expert perspective reviews the implications of the rule for state policymakers.

May 16, 2024 

Optimizing SMS Strategies for Outreach to Medicaid and Marketplace Enrollees

As states continue to explore new ways to reach Medicaid and Marketplace members with targeted messages and updates about their coverage, many have incorporated SMS text messaging into their communications plans. This expert perspective highlights strategies and recommendations for states that are considering or currently implementing text messaging in their outreach plans to support states as they look to optimize text messaging in their Medicaid and Marketplace communications and outreach efforts.

May 3, 2024 

States of Innovation: March & April 2024

State Health and Value Strategies is launching a new series to highlight health news at the state level. States of Innovation will share what states are working on to achieve better, more affordable, and more equitable health for all. This inaugural States of Innovation features state activity in March and April and includes updates from: Arizona, California, Colorado, Connecticut, Florida, Illinois, Maryland, Massachusetts, Michigan, Missouri, Nevada, New Mexico, New York, North Carolina, North Dakota, Oregon, Pennsylvania and Virginia. 

Feb 7, 2024 

A Health Equity Data and Accountability Infrastructure for Massachusetts

The Massachusetts Executive Office of Health and Human Services, which houses the Massachusetts Medicaid program, convened two technical advisory groups to create a health equity data and accountability infrastructure for the state. This expert perspective highlights the work undertaken to develop a voluntary, aligned approach for collecting self-reported demographic data and the creation of a framework for introducing accountability in value-based contracts for four categories of health equity measures.

Dec 29, 2023 

What’s New in State Approaches to Addressing Health-Related Social Needs in Medicaid Managed Care

States use a variety of approaches to encourage, require, and incentivize Medicaid managed care (MMC) entities to identify and address unmet social needs that can contribute to poor health outcomes, lower quality care, and higher medical expenditures. This expert perspective highlights updates to the Addressing Health-Related Social Needs Through Medicaid Managed Care toolkit which describes 8 different health-related social needs approaches across 20 state MMC programs.

Dec 22, 2023 

2023 in Review: Ten SHVS Resources We Recommend

This expert perspective highlights 10 resources published this year by State Health and Value Strategies that showcase the innovative and hard work states are engaged in to transform healthcare. While unwinding the Medicaid continuous coverage requirement has consumed much of states’ time and attention, states have also forged ahead with innovative efforts to expand coverage, improve care, meaningfully engage the diverse communities they serve, and advance health equity. This list of 10 SHVS resources celebrate what states have accomplished and highlight policy opportunities other states may look to for inspiration. 

Dec 22, 2023 

HHS and CMS Take Action to Preserve Coverage for Eligible Children

On December 18, 2023, the Centers for Medicare & Medicaid Services released a suite of Medicaid unwinding-related guidance and enrollment data that includes a focus on ensuring eligible children maintain Medicaid and Children’s Health Insurance Program coverage. This expert perspective reviews the children-specific resources and the broader unwinding-related resources included in this release.

Oct 4, 2023 

How Medicaid Agencies Can Leverage Multi-Payer Aligned Measure Sets

This expert perspective reviews how Medicaid programs in Connecticut, Massachusetts and Rhode Island have engaged with commercial payers, providers, patients, advocates and other parties to create and adhere to multi-payer aligned measure sets. It describes the benefits to Medicaid agencies of participating in aligned measure set efforts, as well as tips and resources for Medicaid agencies interested in measure alignment.