Executive Summary State Medicaid programs have taken on a number of different reforms in order to improve quality and enhance program efficiency. State reforms span incremental changes in payment to large scale health system reorganizations and occur across a number of existing delivery system models. Driving innovation through fee-for-service (FFS) or managed care, or through […]
NAMD contacted CMCS Director Cindy Mann and CMMI Director Dr. Patrick Conway to provide strategic direction for CMS’ Innovation Accelerator Program (IAP). The three overarching themes addressed are: CMS’s technical assistance must be aligned with overall federal agency policy; CMS must be engaged with and focused on Medicaid agencies; and the IAP must be flexible […]
NAMD responded to a request for information to inform potential future models to be tested under the Center for Medicare and Medicaid Innovation’s (CMMI) demonstration authority. NAMD lays out six principles to make any model relevant to and feasible for administering in the Medicaid program. Read the full letter here.
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 […]
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 […]
NAMD submitted a letter requesting that Health and Human Secretary Kathleen Sebelius use her authority to resolve a number of challenges states identified that cut across the Medicaid and Federally Qualify Health Center (FQHC) and Rural Health Center (RHC) programs. The accompanying issue brief includes nearly twenty specific action steps that states believe would help […]
NAMD’s second edition of an ongoing report, “State Medicaid Snapshot: Affordable Care Act Implementation.” These snapshots seek to portray an aggregate experience of states in critical systems and process reforms in preparation for October 1 and January 1. Read the full report here.
NAMD has complied the first in a series of updates called the “State Medicaid Snapshot: Affordable Care Act Implementation.” This summary delineates the progress and current status of a representative cross-section of states—describing efforts to implement the Medicaid program changes called for in the ACA. It portrays the experience of states in critical systems and […]
In response to CMS’ request for information on proposed Medicaid performance indicators, NAMD made recommendations to prioritize performance indicators and to make them practical and actionable for states. Read the full letter here.
This is HHS’s brief in opposition to petitions for rehearing and rehearing en banc in which HHS announced that states can lower provider payments in order to hold down Medicaid program costs. Read the full brief here.