On August 21, NAMD submitted comments on a CMS proposed rule addressing the second year of the Quality Payment Program (QPP), created by the Medicare Access and CHIP Reauthorization Act (MACRA). NAMD supports some of CMS’s modifications to the Other Payer Advanced Alternative Payment Models (APM) risk thresholds for certain arrangements. NAMD requests CMS allow […]
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced the Medicare sustainable growth rate formula with the Quality Payment Program (QPP). Although the QPP affects Medicare payment, it has implications for Medicaid payment reform efforts. This issue brief, developed with support from The Commonwealth Fund, provides state Medicaid leaders with an at-a-glance look […]
NAMD Issue Brief: Medicaid Innovations for Children State Medicaid programs are designing innovations – from alternative payment models to risk-based managed care – that address the unique needs of the children covered by Medicaid, including children with complex health needs and disabilities. This issue brief, developed with support from the Commonwealth Fund, explores examples of […]
NAMD submitted comments to the Center for Medicare and Medicaid Services (CMS) on the agency’s request for information on pediatric alternative payment model concepts. The letter focuses on areas where CMS could partner with states to most effectively support Medicaid innovations for children, such as: addressing silos between federal programs, aligning quality measures, and supporting […]
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 […]
NAMD submitted comments on the Final Regulation with Comment implementing the Medicare Access and CHIP Reauthorization Act (MACRA). NAMD’s letter addresses unique Medicaid considerations in the multi-payer component of MACRA’s Advanced APM program. Read full letter.
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.
NAMD notified the Center for Medicare and Medicaid Services (CMS), of its strong support for a next generation SIM initiative to continue building state capacity to lead the movement to a value-based health care system. Read full letter.