MACRA and Medicaid Value-based Purchasing

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...

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NAMD Issue Brief: Medicaid Innovations for Children

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...

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NAMD Response to CMS Pediatric Request for Information

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,...

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NAMD Sends Letter to Hill on CHIP and D-SNP Reauthorization

This letter articulates Medicaid Directors’ requests for federal policymakers to provide states with certainty of the ongoing federal commitment around two key programs: first, the Children’s Health Insurance Program (CHIP), and second, the Medicare Advantage Duals – Special Needs Plans (D-SNPs) program. These actions can provide states with the budgetary...

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Key Statutory Flexibilities for Consideration in Medicaid Reform

NAMD released a statement requesting federal policymakers’ consideration of key statutory flexibilities for the Medicaid program as part of overall health care reform efforts. The statement articulates Medicaid’s successes in recent years, but also situates Medicaid as one payer among many within the wider health care system. It notes that...

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NAMD Congratulates Seema Verma on Confirmation as CMS Administrator

NAMD sent a congratulatory letter to newly-confirmed Centers for Medicare and Medicaid Services Administrator Seema Verma. In the letter, NAMD expresses appreciation for Ms. Verma’s experience with the Medicaid program and her immediate indication of a commitment to improving the state-federal partnership. Read full letter.

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NAMD Comments on Substance Use Disorder Privacy Supplemental Rule

This NAMD letter responds to a supplemental proposed rule from the Substance Abuse and Mental Health Services Administration on the privacy requirements for substance use disorder (SUD) information (42 CFR Part 2). The letter underscores that separate privacy requirements for SUD information continue to prevent high quality, coordinated care for...

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