Resources to help inform and educate on key health reform topics.
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Policies for Dual Eligible Integration
- Increase the Number of Dual Eligibles Receiving High-Quality, Coordinated Care While Generating Program Savings
- CMS Demonstration to Integrate Care for Dual Eligibles: A Backgrounder
- Caring for Medicare Medicaid Dual Eligibles A Population Profile
- Utilize Medicaid Provider Network Standards in Programs Integrating Care for Dual Eligibles
- Dual Eligible Integration Recommendations for Provisions in Three-Way Agreements
- Dual Eligible Integration Demonstration Playbook
- Dual Eligible Integration Considerations for Structuring Prescription Drug Coverage
- Medicare-Medicaid Dual Eligible Population Fast Facts
Policy Options for States
- Improve Coverage and Lower Costs – New Savings Opportunities
- Achieve Medicaid Savings By Offering Online Provider Services
- Adopt Common Quality Standards, Process and Outcome Measures
- Eliminate Direct Marketing and Sales Models in Enrollment
- Encourage Use of Generic Drugs By Medicaid Beneficiaries
- Expand Availability of the Centering Model of Prenatal Care
- Expand Proven Practices for Cost Effective Health Care Coverage in Medicaid
- Focus on Strategies to Increase Prescription Drug Adherence
- Focus Provider Reimbursement Models on Patient and Service Bundling
- Improve Access To Health Care By Promoting Continuous Coverage
- Advance New Policy Solutions To Generate Savings in Medicaid
- Incorporate New Medical Home Model within State Medicaid Programs
- Increase Detection and Prevention of Fraud, Waste and Abuse
- Increase Provider Participation in Medicaid and Improve Access to Care
- Integrate Pharmacy Benefits into Medicaid Managed Care
- Promote Beneficiary Understanding Through Cultural and Linguistic Services
- Promote Health Literacy To Improve Beneficiary Health Outcomes
- Reduce Hospital Readmissions With Care Transitions Planning
- Reduce Irregular and Above Medicaid Rates Charged By Some Providers
- Reduce Unnecessary Emergency Room Use With Enhanced Primary Care Access
- Standardize and Simplify Enrollment
- Increase the Number of Dual Eligibles Receiving High-Quality, Coordinated Care While Generating Program Savings
- Addressing the Growing Problem of Childhood Obesity
- The Rising Costs of Nonemergent Care in Medicaid
- Coordinated Long-Term Care A Solution to Budget Constraints
- Achieving the Benefits of Managed Care While Preserving Funds From Upper Payment Limit Programs
- Partner With a Medicaid Health Plan to Provide Coordinated Long-Term Services and Supports to Seniors and People With Disabilities
- Integrating Physical and Behavioral Health Care for Medicaid Through Managed Care
Reform Spotlight
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Feds Make It Easier For States To Enroll Poor Under Health Law
Kaiser Health News: The Obama administration is making it easier for states to sign up the poor for health coverage – and to help those people stay covered. On Friday, it informed state officials that they could simplify enrollment in Medicaid, the federal-state program for the poor, to handle the onslaught of millions of anticipated enrollees next year when the health care law expands coverage. The administration said the changes are geared to states that are expanding their programs, but they may also be adopted by others.
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HHS Secretary Sebelius announces Senate confirmation of Marilyn Tavenner
HHS: HHS Secretary Kathleen Sebelius announced this afternoon, that the United States Senate confirmed Marilyn Tavenner as administrator of the Centers for Medicare & Medicaid Services (CMS). “I’m pleased to announce that the Senate voted today to confirm Marilyn Tavenner as administrator of the Centers for Medicare & Medicaid Services making her the first CMS administrator to be confirmed in over nine years. Marilyn brings with her a breadth of experience and expertise from virtually all angles of health care policy and delivery, having served as a hospital CEO, a state health official, and a registered nurse. Marilyn will serve in a critical role at CMS as we work to improve the health care for hundreds of millions of Americans.”
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