Medicaid and CHIP
Commonwealth issue brief addresses innovative payment approaches
Posted on June 30, 2010
The Center for Medicare and Medicaid Innovation, created by the Affordable Care Act (ACA), has a mandate to develop innovative payment models to improve health care delivery. The aim of this initiative is to achieve higher quality health care delivery and slower cost growth. The Commonwealth Fund Commission on a Higher Performance Health System’s issue brief, “Developing Innovative Payment Approaches: Finding the Path to High Performance,” discusses how the development, implementation, and evaluation of new care payment approaches can be improved, and how those improvements can help achieve the broader goals of health reform. The brief focuses largely on Medicare, but also considers how payment innovation pilots should not be limited to Medicare alone. Instead, payment innovations should also include Medicaid and the Children’s Health Insurance Program (CHIP) to minimize the fragmented nature in which health care is provided.
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Medicaid Accountable Care Organization Demonstration Project
Posted on June 27, 2010
The law introduces ACOs on a voluntary basis by directing the Secretary of Health and Human Services to establish a “Pediatric Accountable Care Organization Demonstration Project.” This demonstration project would authorize a participating state to allow certain qualified Medicaid providers to organize themselves into an ACO for the purposes of receiving incentive payments “in the same manner as an accountable care organization is recognized and provided with incentive payments” under the health reform law’s Medicare ACO pilot program. The Medicaid ACO demonstration, akin to the Medicare ACO pilot, is aimed at reducing expenditure growth and improving health outcomes.
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Connecticut becomes first state to expand Medicaid
Posted on June 23, 2010
Connecticut has become the first state in the nation to open Medicaid to groups newly covered under the health reform law.
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Medicaid and CHIP – Outreach and Enrollment
Posted on June 21, 2010
This brief provides an in-depth look at the outreach and enrollment provisions in the Patient Protection and Affordable Care Act affecting Medicaid and CHIP.
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CMS issues Medicaid cost-sharing final rule with comment
Posted on May 28, 2010
The Centers for Medicaid and Medicare Services has issued the Medicaid cost-sharing final rule.
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Federal agencies hold 2nd meeting of Medicaid, Children’s Health Insurance Program and Employer Sponsored Coverage Coordination Working Group
Posted on May 28, 2010
The Departments of Labor and Health and Human Services announce the second meeting of the Medicaid, Children’s Health Insurance Program, and Employer Sponsored Coverage Working Group to be held June 14, 2010.
Stephen A. Somers and Melanie Bella, Center for Health Care Strategies
Posted on May 14, 2010
Never-Before Authority for Innovation Throughout the health reform debate, when concerns about “true reform” of how we organize, finance, and deliver care arose, everyone seemed to look to the Center for Medicare and Medicaid Innovation (CMI) as the place that would provide the answers. Although that is a big expectation, CMI’s unprecedented authority is so [...]
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Lynn Etheredge, Rapid Learning Project, George Washington University
Posted on May 14, 2010
The new CMS innovation center, with unprecedented discretion and $10 billion, could lead the way in health system reform. HHS should develop bold, creative, and high-impact strategies, working with the health sector’s high-performance leaders. I suggest considering these five ideas.
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Center for Medicare and Medicaid Innovation
Posted on May 13, 2010
Health reform establishes a Center for Medicare and Medicaid Innovation (CMI) and empowering and directing the CMI to “test innovative payment and service delivery models to reduce program expenditures under the applicable titles [Medicare and Medicaid] while preserving or enhancing the quality of care furnished to individuals under such titles.”
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Medicaid Eligibility Changes
Posted on April 15, 2010
Expands Medicaid to provide uniform coverage to all U.S. citizens and legal immigrants with incomes below 133 percent of the Federal Poverty Level.
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