CHCS Resource Library

Establishing Accountable Physical/Behavioral Health Care Homes: Medicaid Innovations

Wed, 28 Oct 2009 18:48:37 GMT

This CHCS webinar outlined Pennsylvania's innovative two-prong pilot program to test integrated care delivery models for beneficiaries with physical and behavioral health comorbidities.

The Faces of Medicaid III: Refining the Portrait of People with Multiple Chronic Conditions

Mon, 19 Oct 2009 16:05:20 GMT

This report provides insights for targeting efforts to improve care and control spending for the program's highest-need, highest-cost beneficiaries.

Measurement Strategies for Medicaid Beneficiaries with Complex Needs

Wed, 16 Sep 2009 14:28:27 GMT

This technical assistance brief describes how state purchasers can use the Agency for Healthcare Research and Quality's Prevention Quality Indicators to enhance measurement approaches for aged, blind, and disabled beneficiaries. It also looks at which HEDIS measures may be best suited for evaluating the care of beneficiaries with complex needs.

Using Initial Health Screens to Identify New Medicaid Beneficiaries with Care Management Needs

Thu, 03 Sep 2009 17:37:41 GMT

This technical assistance brief addresses key considerations for states in developing an initial health screening process. Sample tools from select states are also available for download.

Enhanced Primary Care Case Management Programs in Medicaid: Issues and Options for States

Mon, 31 Aug 2009 20:37:53 GMT

This report examines enhanced Primary Care Case Management (PCCM) programs in five states -- Oklahoma, North Carolina, Pennsylvania, Indiana, and Arkansas. The paper builds on an in-depth evaluation that Mathematica Policy Research, completed of Oklahoma's SoonerCare Choice enhanced PCCM program.

Rochester Regional Quality Improvement Initiative Supports Providers in Diabetes Care

Mon, 31 Aug 2009 19:03:44 GMT

Supporting physicians in better diabetes care delivery can significantly improve clinical outcomes for patients with diabetes and control spending for this high-need, high-cost population. With this in mind, a cross-payer coalition of health plans, state and county health departments, and other stakeholders in New York's Monroe County are working with physicians to achieve recognition under the Diabetes Physician Recognition Program of the National Committee for Quality Assurance.

Medicaid in the U.S. and the Aligning Forces for Quality Communities: A Snapshot

Mon, 31 Aug 2009 12:46:29 GMT

These Medicaid fact sheets highlight opportunities to improve health care quality in the 15 communities participating in the Robert Wood Johnson Foundation's Aligning Forces for Quality (AF4Q) initiative. Each fact sheet includes a regional Medicaid profile as well as national facts.

Predictive Modeling: A Guide for State Medicaid Purchasers

Fri, 07 Aug 2009 18:36:06 GMT

This guide outlines key considerations for state Medicaid agencies to address prior to purchasing or building a predictive modeling tool.

Effective Care Management: Promising Approaches for Medicaid Beneficiaries with Complex Needs

Mon, 03 Aug 2009 18:59:54 GMT

This webinar outlined the core components of effective care management interventions based on a review of Medicare care coordination pilots as well as other programs nationally. The discussion focused on the key attributes distinguishing successful programs and suggested ways to enhance care management to improve quality and control spending growth.

Pediatric Oral Health Action Plan for New Jersey's Children Ages 0-6

Thu, 30 Jul 2009 15:36:59 GMT

Developed by a multi-stakeholder group that was led by the New Jersey Head Start-State Collaboration Project, this action plan outlines strategies to improve oral health care for children throughout the state, particularly those in racial and ethnic minority groups and low-income families.

Child Health Quality Measures: Experience from the States

Thu, 30 Jul 2009 15:28:18 GMT

On July 23, 2009, Nikki Highsmith, CHCS senior vice president, presented to the Agency for Healthcare Research and Quality's National Advisory Council Subcommittee on Quality Measures for Children's Healthcare in Medicaid and Children's Health Insurance Programs.

Investing in Quality: Medicaid Opportunities for States

Thu, 30 Jul 2009 15:02:29 GMT

July 22, 2009, Melanie Bella, CHCS senior vice president, presented at the National Conference of State Legislatures' 35th Annual Legislative Summit in Philadelphia.

Rhode Island Pilots Innovative, Cross-Payer Patient-Centered Medical Home Model

Thu, 30 Jul 2009 13:28:10 GMT

Through an innovative cross-payer pilot, Rhode Island is helping physician practices achieve patient-centered medical home recognition from NCQA. The pilot is testing the power of cross-payer alignment to support a sustainable model for chronic care delivery in primary care settings.

Supporting Integrated Care for Dual Eligibles: Policy Options

Mon, 27 Jul 2009 15:22:43 GMT

This policy brief outlines the rationale for integrating care for adults who are dually eligible for Medicaid and Medicare, reasons why integration has been slow to progress, and emerging vehicles to accelerate the pace of fully integrated care.

The Relationship between Practice Size and Quality of Care in Medicaid

Thu, 23 Jul 2009 20:25:20 GMT

This resource paper presents the findings of CHCS' Practice Size Exploratory Project, which examined the quality of care that Medicaid managed care beneficiaries receive in different practice settings in Arkansas; Michigan; Erie County, and Bronx, New York; and Southwest Pennsylvania.

Opportunities for Medicaid in the Aligning Forces for Quality Initiative

Mon, 20 Jul 2009 14:07:53 GMT

This webinar discussed how participation in the Robert Wood Johnson Fountion's Aligning Forces for Quality (AF4Q) can maximize Medicaid's ability to improve health care throughout a state or region. Particpant's also heard perspectives from Minnesota's AF4Q alliance, from the state's Medicaid director, and from a health plan serving Minnesota's Medicaid beneficiaries.

Providing Behavioral Health Services to Medicaid Managed Care Enrollees: Options for Improving the Organization and Delivery of Services

Fri, 10 Jul 2009 17:01:44 GMT

This report examines the need to provide more integrated physical and behavioral health care for Medicaid beneficiaries and explores best practices around the country for integrating physical and behavioral health services and reducing avoidable high-cost services.

HIT Provisions of the Stimulus Package: Opportunities for Medicaid

Thu, 23 Apr 2009 22:06:24 GMT

During this webinar, participants learned about specific opportunities for Medicaid presented by HIT stimulus provisions of the American Recovery and Reinvestment Act. Speakers provided national, state, and physician perspectives and discussed how Medicaid programs can maximize the impact of HIT-related stimulus funding.

User's Guide to the ROI Forecasting Calculator: Estimating ROI for Medicaid Quality Improvement Programs

Wed, 01 Apr 2009 12:45:50 GMT

This how-to guide was developed to help Medicaid stakeholders use the ROI Forecasting Calculator for Quality Initiatives to generate forecasts for proposed quality improvement programs.

Maximizing Quality and Value in Medicaid: Using Return on Investment Forecasting to Support Effective Policymaking

Wed, 01 Apr 2009 12:41:14 GMT

This policy brief describes how Medicaid stakeholders can use return on investment analyses to support value-based purchasing decisions. The brief includes specific examples of how states can use ROI forecasts to support quality improvement efforts.