This case study explores Ohio’s Medicaid Managed Care Prison Transition Program, which prospectively identifies eligible inmates to enroll in Medicaid managed care plans upon release. Read the full paper here.
The opportunity to connect individuals being released from prison and jails to the Medicaid program has generated interest and discussion in the past several years. To support states in this arena, NAMD will release a series of three case studies highlighting approaches in Ohio, New York, and North Carolina to engage this population. This document […]
Million Hearts is a national initiative to prevent one million heart attacks and strokes by 2017. Through this effort, private and public partners, including Medicaid and public health agencies, have been collaborating since September 2011 to enhance cardiovascular disease (CVD) prevention and achieve this goal. This fact sheet, which is being released in partnership with […]
Through Medicaid-led initiatives, federal grants and programs, and multi-payer efforts, Medicaid directors are actively engaged in efforts to improve quality, contain costs and increase the value of the Medicaid investment. One tool for system reform is the Delivery System Reform Incentive Pool (DSRIP). In DSRIP, states procure a Section 1115 waiver that allows the state […]
The National Association of Medicaid Directors released a public memo which discusses average acquisition cost (AAC) methodologies for Medicaid prescription drug reimbursement. The memo also provides an update on CMS’s progress finalizing average market price-based Federal Upper Limits (AMP-based FULs) for prescription drugs. Read the full memo here.
As the pace of payment and delivery system reform accelerates in Medicaid programs, state agencies have begun to emerge as thought leaders and major players in health care data analytics. Medicaid programs are increasingly using internal and external expertise to realign payment and quality measurement in order to set their programs on the path to […]
The National Association of Medicaid Directors released a public memo which includes recommendations to strengthen the “Achieving a Better Life Experience Act of 2013,” or ABLE Act. Read the full memo here.