On July 10th, 2012, the National Association of Medicaid Directors (NAMD) convened a meeting of state Medicaid directors, leaders from the Centers for Medicaid and CHIP Services (CMCS) and the Center for Medicare and Medicaid Innovation (CMMI) to discuss how states can drive innovation through Medicaid. Participants from eleven states identified a number of areas for innovation they are either actively engaged in or are interested in pursuing.
While there are a number of exciting opportunities, it was also clear that state Medicaid leaders, and federal partners face challenges to achieving success in these efforts. Meeting participants identified the following challenges, including the need for:
- Better integration of behavioral health with physical health services to replace the fragmented systems of today with one holistic, coordinated system of care.
- Increased flexibility to build quality measures and greater accountability into contracts with managed care plans and fee-for-service arrangements.
- The ability and support to more effectively engage in multi-payer reforms.
- Support and best practices in strategic planning, stakeholder engagement and staff development within Medicaid agencies themselves.
Underpinning all innovation efforts is the need for adequate data and targeted analytical capacity within states to identify opportunities for improvement and to make responsive and continuous enhancements to programs as they mature. By increasing the internal capacity of state employees and organizations to manage and monitor program elements while improving the ability to proactively identify areas for future improvement, states can truly drive innovation.
This report provides a summary of the key themes of discussion, including how states are currently pursuing payment and delivery system reforms and how federal partners are working to support state efforts. NAMD will use the lessons learned from the July 10th meeting to help states share best practices and further innovate to improve their Medicaid programs.