March 24, 2016 – A new NAMD report, released in partnership with Bailit Health Purchasing and with the support of The Commonwealth Fund, provides an overview of Medicaid’s critical work to design and implement value-based purchasing models in the U.S. health care system. Specifically, it explores Medicaid’s path to transform provider payment away from the […]

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NAMD responded to a series of questions from the Senate Finance Committee on how to account for value in the pricing and coverage of breakthrough prescription drug therapies. The letter outlines potential policy options for improving the Medicaid Drug Rebate Program and other options to grant states additional tools for managing the impact of these […]

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NAMD Memo Addresses Accountable Health Care Communities Initiative NAMD issued a memo to Medicaid Directors to help inform and shape state agencies’ initial phase of work in response to new Accountable Health Communities grant program launched by the Center for Medicare and Medicaid Innovation. Read full memo here.

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NAMD submitted a response to the December 2015 policy options paper issued by the Chronic Care Working Group of the Senate Committee on Finance. NAMD conveyed its strong support for permanent authorization for the Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) program and called for reform of enrollment policies for the Medicare-Medicaid dual eligible […]

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NAMD provided responses to a set of Senate Finance Committee questions regarding streamlining and improving Medicaid data reporting, as well as exploring avenues to enhance Medicaid’s access to other data sources. In the response, NAMD calls for reducing certain outdated reporting requirements, facilitating the sharing of Medicaid data between federal entities, and making other federal […]

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NAMD Responds to Medicaid Access RFI

NAMD submitted comments to a Centers for Medicare and Medicaid Services (CMS) Request for Information (RFI) to provide key considerations around Medicaid access monitoring measures. NAMD recommends that CMS must allow states to retain authority over their reimbursement rates, as well as prioritize high-value measures that target specific program priorities and minimize overall reporting burden […]

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NAMD submitted comments to the Centers for Medicare and Medicaid Services (CMS) in response to CMS’s final rule on monitoring access to Medicaid services. The letter requests a delay in the initial submission date for state access monitoring plans, that states heavily invested in Medicaid managed care be exempted from the rule’s requirements, and discusses […]

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NAMD Supports Revising Medicare Risk Model

NAMD submitted comments in response to the Centers for Medicare and Medicaid Services (CMS) proposed changes to the CMS-Hierarchical Condition Category (HCC) risk adjustment model for plan year 2017. Alignment of Medicare and Medicaid payment policies is increasingly important to states’ work to drive person-centered systems that address the continuum of complex service needs for […]

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