Medicaid Directors are reorienting the health care system to deliver better care and lower costs through “value-based purchasing” initiatives. These efforts are seeking to address historical fragmentation in the health care delivery system and ensure the sustainability of the Medicaid program. This resource, developed with support from The Commonwealth Fund, provides foundational information about Medicaid […]
Two new NAMD documents outline key Medicaid issues and operational considerations for policymakers should they move forward in evaluating proposals to repeal and replace the Affordable Care Act (ACA) and/or make structural changes to Medicaid. NAMD has not taken positions on proposals related to the ACA or structural changes to the Medicaid program. Rather, these […]
NAMD’s legislative and regulatory priority documents outline opportunities to modernize the federal rules governing Medicaid to ensure these comport with the realities and expectations for states to run high performing Medicaid programs. NAMD believes these modernizations – in federal statute and in federal regulation – can have a meaningful, positive impact for Medicaid enrollees. See […]
This issues brief explores the concept of an integrated ACO model for dually eligible individuals and outlines issues policymakers would need to consider in the design of such an approach. These considerations include: the role of state partnership, timely integrated Medicare and Medicaid data, quality measure alignment, the heterogeneity of the dually eligible population, and […]
This document provides a quick reference to the key provisions for states in the Nov. 4, 2016 final rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA). It provides brief background information, identifies key changes between the proposed and final rule, and highlights areas where CMS is seeking additional comment. Read full document.
This memo provides background information for interested congressional staff on the IMD exclusion in light of the Center for Medicare and Medicaid Innovation’s (CMMI) recent decision not to extend the Medicaid Emergency Psychiatric Demonstration (MEPD). This document examines the context for the IMD exclusion; explores the available pathways for states to mitigate the IMD exclusion […]
Today, Matt Salo, executive director of the National Association of Medicaid Directors, gave testimony before the House Energy and Commerce Committee, Subcommittee on Health, on “Examining the Advancing Care for Exceptional Kids Act.” Read full testimony.
This new issue brief – developed with the support of The Commonwealth Fund – explores the importance of Medicaid state-led work in national conversations on value-based purchasing (VBP). It also explores the potential for state and federal efforts to be aligned in VBP development to achieve the maximum effect in improving health, improving care and […]
This memo aims to support Medicaid Directors in reviewing CMS’s final rule implementing mental health parity requirements in Medicaid under the Mental Health Parity and Addiction Equity Act of 2008. The document explores state Medicaid program and MCO roles and responsibilities under the rule, as well as the general parity requirements. It also highlights key […]
NAMD staff prepared a memo for Directors outlining key federal regulatory and legislative priorities for the remainder of the year. It provides a snapshot of major priorities for HHS, including completion of the final Medicaid managed care rule, systems work, and value-based purchasing. It also provides an assessment of legislation which is likely to impact […]