Medicaid Managed Care Procurements: A Toolkit for State Medicaid Agencies
Implementing a statewide, competitive procurement for Medicaid managed care is one of the more important things state purchasers do to improve value. This toolkit is designed to help states develop a procurement process focused on improving program performance in specific areas valued by the state. It guides Medicaid agencies through key action steps and considerations in the major phases of the procurement cycle: 1) strategic procurement planning, 2) solicitation development, 3) bid review and selection, 4) contract execution, readiness review and implementation, and 5) contract management.
Buying Value: Measures That Matter
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.
Defining the “Glide Path”: State Medicaid Agencies’ Efforts to Promote Action on Social Determinants
State Medicaid agencies are increasingly exploring opportunities to incorporate “social care” into strategies for improving health, decreasing healthcare costs, and achieving equity. While some target healthcare delivery organizations, most revolve around managed care organizations (MCOs). This slide deck highlights findings from a series of interviews with 13 states that explored the choices Medicaid leaders face around selecting which monitoring mechanisms to use to ensure that social programs are implemented as they envisioned.
Protected: Affordable Health Coverage for Immigrant Populations
Password protected resource page for members of the Affordable Health Coverage for Immigrant Populations affinity group.
Protected: Coordinating the Continuous Coverage Unwinding
Password protected resource page for members of the Coordinating the Continuous Coverage Unwinding affinity group.
Experiences Implementing Social Risk Factor Screening Measures in Medicaid
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.
Improving Ex Parte Renewal Rates: State Diagnostic Assessment Tool
Improving ex parte rates as part of the Medicaid renewal process is one of the most effective tools available to states to mitigate coverage loss for eligible individuals when the public health emergency (PHE) ends. There are tremendous benefits to enrollees and to states in maximizing eligibility redetermination through an ex parte process. As states develop their unwinding policies and operational plans in readiness for the end of the PHE, improving ex parte rates should be at the top of their priority list. This toolkit contains a table that can be used by a state to examine current ex parte processes and identify and deploy additional strategies that could increase their ex parte rates.
Protected: Marketplace and Department of Insurance Innovations – A Small Group Convening
Slide decks that were shared at the Small Group Convening on Marketplace and Department of Insurance Innovations that was held on May 24, 2022 in Philadelphia, PA.
Consulate Outreach Template Flyers
State Health and Value Strategies has created a flyer for states to customize and place in consulate offices, to serve as a resource to enroll eligible immigrants in health coverage in their state. The flyer is designed so that states can add their own contact information and logos for their outreach purposes and has been translated into Spanish.
Planning for the End of the Continuous Coverage Requirement: Communications Resources for States
This page provides communications resources designed to support states as they prepare for the various stages of work needed to inform stakeholders and consumers about the upcoming end of the Medicaid continuous coverage requirement. The end of the Medicaid continuous coverage requirement presents states with tremendous opportunities to keep individuals enrolled in Medicaid or transition to another form of health coverage.