Medicaid and Complex Care

States continue to drive toward improving the health of their residents and, because health care costs are a large and growing component of state budgets, governors also are looking for long-term, transformational ways to improve the efficiency of their Medicaid programs. Generally, a small segment of the enrollee population account for large portion of states’ Medicaid expenditures. Those individuals with complex care needs, also known as “super-utilizers,” tend to have a history of chronic illness, multiple comorbidities, special needs and other non-clinical complications that may be related to unstable housing, employment, food and transportation and interaction with the criminal justice system. They often use emergency departments and inpatient services when home and community-based interventions could be employed with good outcomes and at lower costs. By appropriately redirecting state funds to address the comprehensive needs of people with complex care needs, states can rein in escalating costs and improve the quality of care delivered to high-risk and vulnerable Medicaid beneficiaries.

If state and local governments continue to struggle, so will America

Opinion by Bill McBride, Matthew Chase, Clarence Anthony, Marc A. Ott, Tim Storey, David Adkins and Tom Cochran ORIGINALLY PUBLISHED ON CNN.COMWhile much of the media and the public remain ...
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Four Ways Congress Can Partner with States and Territories to Combat COVID-19

Susie Perez Quinn | Director, Government Relations As leaders of their respective states and territories, governors are battling the effects of the coronavirus on all fronts: protecting and supporting public ...
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Strategies for COVID-19 Response for Populations Receiving Long-Term Care

(View/Download) This memo, originally published on April 3, and was last updated on July 13. Introduction As governors consider ways to mitigate the spread of COVID-19 and protect high-risk communities, ...
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State, Local Governments Urge Enhanced Federal Health Care Match During COVID-19 Pandemic

State, Local Governments Urge Enhanced Federal Health Care Match During COVID-19 Pandemic

Associations representing states, territories, counties, cities and towns call on Congress to provide an enhanced federal share for the Medicaid program in the next bipartisan COVID-19 relief bill.Boosting the Federal ...
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Organizations' Letter Advocating for Enhanced Federal Medicaid Match

Organizations’ Letter Advocating for Enhanced Federal Medicaid Match

The Honorable Mitch McConnellMajority Leader, United States SenateU.S. Capitol Building, Room S-230Washington, DC 20510The Honorable Chuck SchumerMinority Leader, United States SenateU.S. Capitol Building, Room S-224Washington, DC 20510 The Honorable Nancy ...
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COVID-19 Testing in Long-Term Care Facilities

(View/Download) Introduction Many states are prioritizing and, in some cases, requiring COVID-19 testing of all residents and staff at long-term care (LTC) facilities. This brief provides considerations for developing a ...
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State Strategies to Support Access to Substance Use Disorder Treatment Services through the COVID-19 Pandemic

(View/Download) New Challenges Prior to the COVID-19 pandemic, many governors were looking for ways to strengthen substance use disorder (SUD) provider capacity as part of their comprehensive response to the ...
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Coalition Letter Advocating for Federal Aid to State and Local Governments

Coalition Letter Advocating for Federal Aid to State and Local Governments

June 29, 2020 The Honorable Mitch McConnellMajority Leader, United States SenateU.S. Capitol Building, Room S-230Washington, DC 20510The Honorable Chuck SchumerMinority Leader, United States SenateU.S. Capitol Building, Room S-224Washington, DC 20510 ...
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Medicaid and Complex Care

States continue to drive toward improving the health of their residents and, because health care costs are a large and growing component of state budgets, governors also are looking for ...
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Healthcare Delivery

The National Governors Association Center for Best Practices (NGA Center) is working closely with Governors and senior state staff to develop and implement evidence-based healthcare delivery initiatives. We work with ...
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