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.

Sep 22, 2023 

States of Unwinding: How State Officials Are Innovating to Support Coverage

As states are working diligently to operationalize the unwinding of the Medicaid continuous coverage requirement, State Health and Value Strategies has been tracking the creative strategies states are implementing to minimize coverage losses. This expert perspective highlights all the hard work states are engaged in and spotlights innovative strategies other states may want to consider adopting. SHVS will continue to track and share state efforts to support coverage through the unwinding period. If your state is implementing a new effort to reach enrollees, or if you have questions about how you can implement an example included in this EP, please be in touch.

Sep 8, 2023 

Enhanced Medicaid Funding Available to Support Unwinding-Related Eligibility and Enrollment Functionality

On August 30, the Centers for Medicare & Medicaid Services (CMS) issued a State Medicaid Director Letter (SMDL) instructing states to assess whether they are in compliance with federal Medicaid regulations that require all renewal processes be conducted at the individual level. This expert perspective reviews the Federal Financial Participation match available to states as they work to come into compliance with the requirements of the SMDL.

May 1, 2023 

Supporting Health Equity and Affordable Health Coverage for Immigrant Populations

Ensuring affordable health coverage and healthcare for immigrant populations in the United States is critical to advancing health equity. In a new series, State Health and Value Strategies (SHVS), with support from the Robert Wood Johnson Foundation, highlights strategies for states to expand affordable health coverage to immigrant populations in the United States. This expert perspective provides an overview of the products included in the series.

Apr 28, 2023 

States of Unwinding: April 28, 2023

As of May 1, an additional 14 states will begin terminating individuals determined ineligible for Medicaid. To prepare Medicaid enrollees for this upcoming deadline, Medicaid agencies and state Marketplaces are doubling down on their outreach and communication efforts. As unwinding progresses, more states are putting out press releases warning enrollees about scams. Beyond communications and outreach, states are also implementing safeguards for individuals who missed the window to sign up for Medicare Supplement policies. This States of Unwinding features updates from Arizona, Colorado, the District of Columbia, Georgia, Idaho, Indiana, Kansas, Lousiana, Massachusetts, Maine, Michigan, Minnesota, Nebraska, New Mexico, Nevada, New York, Oregon, Pennsylvania, Rhode Island, South Carolina, Virginia, Washington and Wyoming. 

Apr 19, 2023 

CMS Issues Guidance on Section 1115 Demonstration Opportunity to Support Reentry for Justice-Involved Populations

On April 17, 2023, the Centers for Medicare & Medicaid Services released a State Medicaid Director Letter (SMDL), “Opportunities to Test Transition-Related Strategies to Support Community Reentry and Improve Care Transitions for Individuals Who Are Incarcerated.” The SMDL outlines the opportunity for states to waive the inmate exclusion and receive federal financial participation for expenditures for certain pre-release healthcare services provided to individuals who are incarcerated and otherwise eligible for Medicaid prior to their release.