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Results Found: 165 of 434 Resources

Issue Briefs

Within government, policy and programmatic changes are often made without engaging the people they will affect or the people currently experiencing the challenges of existing policies and programs. Community engagement is one of the ways states are attempting to establish and maintain trust and improve the accessibility and quality of services. This issue brief outlines the ways in which such efforts can improve communication, lead to more effective and efficient programs, and result in ongoing collaboration with people who have experienced state-run systems and services. The brief also contains a list of strategies and tactics, which offers options for states to consider when working to advance towards transformational community engagement and achieve their community engagement goals.

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Date Created: Jan 30, 2023


Issue Briefs

Community engagement is a key component of health equity work because it fosters trust and mutual respect, unearths unforeseen or unintended barriers to health, and improves efficacy by ensuring programs respond to the experiences of the people they impact. Yet, there is little documentation of how to successfully engage program enrollees, translate engagement into policy change, or resolve challenges related to the resource-intensive nature of engagement. This issue brief provides two case studies highlighting work in Virginia and Colorado to meet these challenges. Each state has invested in coordinated community engagement strategies that amplify the voices of those directly impacted by Medicaid and leverage their input to drive improvements. This pioneering work offers practical examples of how to structure community engagement to foster participation and improve program outcomes.

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Date Created: Jan 30, 2023


Issue Briefs

Under section 1115 authority, states can waive provisions of Medicaid law and obtain federal approval to fund initiatives not otherwise coverable by Medicaid, provided that proposals are budget neutral to the federal government and further the goals of the Medicaid program. In the past six months, the Centers for Medicare & Medicaid Services (CMS) has approved renewals and/or amendments to several long-standing section 1115 demonstrations, showcasing the Biden administration’s priorities for use of 1115 authority. This issue brief describes how recent approvals in Arizona, Arkansas, Massachusetts, Oregon, and Vermont highlight that states and CMS are leveraging 1115 demonstrations to implement new coverage strategies; address social drivers of health; strengthen the primary care and behavioral health delivery systems; institute value-based payment initiatives; and advance health equity.

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Date Created: Jan 24, 2023


Issue Briefs

Many consumers will find the relationship between Medicaid, the marketplace, and employer-sponsored insurance to be more complicated than ever in 2023 as the unwinding of the continuous coverage requirement begins. Much of the focus of Medicaid unwinding planning in states and the federal government has been on helping eligible people keep Medicaid coverage and steering the millions of people losing Medicaid eligibility toward the health insurance marketplace. Less attention has been devoted to the millions of people who are expected to be eligible for employer-sponsored insurance when their Medicaid coverage ends. This issue brief discusses how state Medicaid agencies, state-based marketplaces, labor departments, and employers can play critical roles in helping people understand and navigate their coverage options.

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Date Created: Jan 19, 2023


Issue Briefs

While much attention has been paid to how states can approach the unwinding of the continuous coverage requirement to prioritize the retention of Medicaid coverage and transitions to marketplace coverage, less attention has been paid to the role of employer-sponsored insurance. To get a sense for the size of the group that might have employer-sponsored coverage as an option, this issue brief discusses the proportion of individuals with an offer of employer-sponsored coverage by income and state, and the proportion of those offers that are considered affordable based on premium cost.

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Date Created: Jan 19, 2023


Issue Briefs

Section 1115 Medicaid demonstrations are a powerful tool for states to pursue a range of innovative programs aimed at improving the health and well-being of Medicaid enrollees. While not required under federal law or regulation, longstanding federal policy requires that 1115 waivers be “budget neutral” to the federal government—in other words, demonstrations must not increase federal spending relative to a state not pursuing an 1115 demonstration. During the summer of 2022, CMS began to roll out a series of changes to budget neutrality policy through state waiver approvals. This issue brief summarizes the key policy changes established through the Oregon and Massachusetts waiver renewals (and reinforced through the Arizona and Arkansas approvals) and discusses key implications for states.

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Date Created: Dec 2, 2022


Issue Briefs

This issue brief documents how race, ethnicity, and language (REL) data are collected by Medicaid programs in the 50 U.S. states, the District of Columbia, and five U.S. territories. This new brief serves as an update to State Health Access Data Assistance Center’s previous brief, providing up-to-date information on Medicaid REL data collection among the states and extending the analysis to include the District of Columbia and the five territories.

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Date Created: Nov 30, 2022


Issue Briefs

A growing number of states view extending affordable health coverage to lower-income residents, regardless of immigration status, as a critical step towards narrowing the gap in health coverage, advancing health equity, and improving the overall health and well-being of all residents. This state spotlight reviews California’s approach to expanding health coverage to all lower-income residents, regardless of immigration status, in an effort to help the state’s 3.2 million remaining uninsured, of which 65% are undocumented.

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Date Created: Nov 10, 2022


Issue Briefs

This compendium provides information on strategies to improve maternal health outcomes and synthesizes research about the national state-of-play, including state examples, across four domains: maternal health models, quality improvement, workforce and benefits, and eligibility and enrollment/coverage expansion. This resource builds on a September 2022 maternal health roundtable convened by State Health and Value Strategies (SHVS) and Manatt Health with California, Louisiana, Maryland, Minnesota, and Tennessee.

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Date Created: Oct 18, 2022


Issue Briefs

When the federal Medicaid continuous coverage requirement expires, states will redetermine eligibility for nearly all Medicaid enrollees, including roughly 1.7 million people enrolled in a Medicaid or CHIP pregnancy eligibility group. This issue brief reviews proactive strategies that states can deploy to support postpartum individuals in maintaining health coverage and access to care when the Medicaid continuous coverage guarantee ends and beyond.

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Date Created: Sep 9, 2022