Filter By:

Topic:
Type:
Results Found: 224
Document Type

On Thursday, January 26 State Health and Value Strategies co-hosted a webinar with the Social Interventions Research & Evaluation Network (SIREN) at the University of California San Francisco on the new social care quality measures that will launch from many federal and some state agencies. The measures target a range of payer and delivery system reporting entities. They include requirements around social risk screening and, in some cases, social care interventions. The marked variation across these initiatives highlights a key question: How do we define and measure high quality social care?   

Click here for slides

Click here for webinar recording

 

Download
Date Created: Jan 26, 2023
Document Type

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.

Download
Date Created: Jan 24, 2023
Document Type

These infographics provide an overview of the key changes to the parameters for unwinding enacted by the Consolidated Appropriations Act (CAA) as well as an illustrative continuous coverage unwinding timeline under the CAA. The infographics are intended to help states communicate internally or with key stakeholders about the Medicaid continuous enrollment condition provisions in the CAA and can be downloaded to use in communications.

Click here to download PowerPoint version

Download
Date Created: Jan 19, 2023
Document Type

To help states respond to the ongoing COVID-19 pandemic, the White House, the U.S. Department of Health and Human Services, and the Centers for Medicare and Medicaid Services have invoked their emergency powers to authorize temporary flexibilities in Medicaid and the Children’s Health Insurance Program. Congress’s legislative relief packages have provided additional federal support for state Medicaid programs, subject to certain conditions. The timeframes for these emergency measures are summarized in the chart, including the effective dates and expiration timelines dictated by law or agency guidance. This SHVS product has been updated to reflect HHS’s January 11 notice renewing the federal Public Health Emergency and also includes a timeline of key Medicaid unwinding provisions included in the Consolidated Appropriations Act, 2023. 

 

Download
Date Created: Jan 19, 2023
Document Type

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.

Download
Date Created: Dec 2, 2022
Document Type

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.

Download
Date Created: Nov 30, 2022
Document Type

State Health and Value Strategies hosted a working session for state officials responsible for operationalizing, refining, and overseeing eligibility and enrollment processes, including redeterminations/renewals and systems changes. The slide deck from the session provides an overview of ex parte processes and includes key ex parte resources in the appendix. The session provided state participants with the opportunity to pose questions to experts from Manatt Health regarding the issues they are facing as they work to improve their ex parte rates in preparation for the end of the continuous coverage requirements.

Download
Date Created: Nov 29, 2022
Document Type

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.

Download
Date Created: Nov 10, 2022
Document Type

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.

Click here for slides

Click here for webinar recording

Download
Date Created: Nov 9, 2022
Document Type

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.

Download
Date Created: Oct 18, 2022