On Wednesday, November 9 State Health and Value Strategies (SHVS) and the Health Foundation of South Florida (HFSF) hosted a webinar that reviewed examples of state approaches to address enrollees’ health-related social needs that do not require an 1115 waiver. During the webinar, experts from Bailit Health reviewed a new SHVS/HFSF resource, Addressing Health-Related Social Needs Through Medicaid Managed Care, described approaches to require and/or incentivize Medicaid plans to address health-related social needs, and facilitated a discussion with state Medicaid officials.
On Wednesday, November 2 State Health and Value Strategies hosted a webinar on the key considerations and requirements for state Medicaid/CHIP agencies at the end of the PHE. The webinar reviewed making permanent or terminating temporary COVID-19 flexibilities and returning to normal eligibility and enrollment processes. Presenters highlighted the intersection with our dynamic policy environment, including the recent CMS Proposed Rule on Medicaid and CHIP Eligibility, Enrollment, and Renewal.
CMS Proposed Rule on Medicaid and CHIP Eligibility, Enrollment, and Renewal: Implications for States
On Monday, October 17, State Health and Value Strategies hosted a webinar that provided an overview of the proposed rule released by CMS that seeks to strengthen existing eligibility, enrollment, and renewal operational processes. During the webinar experts from Manatt Health highlighted the intersection with unwinding and the end of the public health emergency, discussed key considerations related to the new policy, IT systems, and operational process changes, and reviewed opportunities for state policymakers to provide comment. The webinar drew on the expert perspective CMS Proposed Rule on Medicaid and CHIP Eligibility, Enrollment, and Renewal that summarizes the proposed rule.
On Wednesday, July 20, State Health and Value Strategies hosted a webinar facilitated by experts from Bailit Health. The webinar explored how the Buying Value suite of resources can help states, employers, consumer organizations and providers implement quality measures to incentivize high-quality, high-value healthcare. The webinar highlighted two free, Excel-based tools, the Buying Value Measure Selection Tool and the Buying Value Benchmark Repository.
On Tuesday, June 14, State Health and Value Strategies hosted a webinar that featured state officials and Medicaid managed care entities from Rhode Island and Massachusetts who shared their experiences implementing social risk factor screening measurement. The webinar highlighted states who have implemented social risk factor screening measures for incentive use in managed care contracts. States use these social risk factor screening measures to hold plans and provider entities accountable for identifying Medicaid members affected by risk factors, such as homelessness and food insecurity.
On Wednesday, October 6 State Health and Value Strategies hosted a webinar that provided an overview of eligibility standards for evacuees and strategies that states can deploy to expeditiously enroll people into health coverage in order to access care. Tens of thousands of Afghans who fled the Taliban are awaiting resettlement, with many having already arrived in the U.S. living on military bases and being processed in several states. During the webinar, experts from Manatt Health reviewed CMS guidance that was released on September 27, 2021 to help states understand what health coverage options are available to Afghan evacuees.
The slide deck has been updated as of March 16, 2022 to reflect an updated factsheet CMS released on November 1, 2021 as well as the latest information on the number of states resettling Afghan nationals.
On Tuesday, February 15, State Health and Value Strategies hosted a webinar, Centering Health Equity in Medicaid Section 1115 Demonstrations. Many states are looking to Medicaid as a critical lever for advancing health equity, and states have multiple tools and authorities in Medicaid to advance health equity through coverage and benefit policy, delivery system and payment reform, and innovations that impact social drivers of health. During the webinar experts from Manatt Health provided an overview of Medicaid’s role in promoting health equity and ways states can advance health equity and address structural racism throughout the Section 1115 demonstration lifecycle, from planning to implementation to monitoring, and evaluation.
On Wednesday, November 10 State Health and Value Strategies hosted a webinar that provided an overview of strategies for states seeking to ensure that eligible enrollees are able to keep or transition to new affordable health coverage when the Medicaid continuous coverage requirement ends. States will be resuming eligibility and enrollment activities for all enrollees in Medicaid and the Children’s Health Insurance Program (CHIP), and as part of their planning, states have an opportunity to retain coverage gains experienced over the pandemic period by taking steps to ensure that eligible enrollees are able to keep Medicaid/CHIP coverage, and those who are eligible for subsidized Marketplace coverage are transitioned and enrolled. Experts from Manatt Health and McKinsey & Company discussed how states can prepare now by deploying strategies to update enrollee contact information, and make other eligibility and enrollment technology changes to better serve their residents.
To explore enforcement considerations across potentially multiple state agencies, State Health and Value Strategies hosted a webinar on Thursday, November 4 at 1:00pm ET, during which experts from the Georgetown University Center on Health Insurance Reforms and GMMB provided an overview of federal regulators’ proposed approach to enforcement of the NSA as well as shared strategies to consider in planning provider and consumer education efforts. The webinar also included presentations from three states on their enforcement approaches to the NSA: Maryland, Pennsylvania and Texas, followed by a question and answer session.
On Monday, November 1, State Health and Value Strategies hosted a webinar that reviewed steps states can take to integrate health equity into their Medicaid managed care programs. Medicaid’s role in providing healthcare coverage to individuals who experience economic and social disadvantage is leading many states to integrate health equity into their population health management strategies, focusing specific attention on reducing health disparities and addressing conditions that create health inequities. The webinar profiled the recently published Promoting Health Equity in Medicaid Managed Care: A Guide for States, a practical guide that offers a series of concrete actions state Medicaid agencies can implement internally and with their contracted health plans in pursuit of health equity. During the webinar, experts from Bailit Health reviewed the three sections of the Guide and facilitated a discussion with state officials.