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.
NAMD provided comments to leaders of the House Energy and Commerce Committee on their draft proposal to establish a pediatric health home option for Medicaid children with medically complex conditions. Read full letter.
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.
NAMD submitted comments to CMS on the proposed rule implementing the Merit-based Incentive Payment System and Advanced Alternative Payment Model (APM) programs, which were created under the Medicare Access and CHIP Reauthorization Act of 2015. NAMD’s comments discuss the impact of the rule on state Medicaid payment and delivery system reform, and explore unique Medicaid […]