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.
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 ...
On March 13, President Trump issued an emergency declaration under both the National Emergencies Act and the Robert T. Stafford Act concerning the Novel Coronavirus and COVID19. Department of Health ...
The Honorable Alex AzarSecretary, U.S. Department of Health and Human Services200 Independence Avenue SWWashington, DC 20201The Honorable Seema VermaAdministrator, Centers for Medicare & Medicaid ServicesU.S. Department of Health and Human ...
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 20510The Honorable Nancy PelosiSpeaker ...
The nation’s governors called on the U.S. Senate to pass the Families First Coronavirus Response Act to aid their efforts to prevent the spread of the virus, provide medical treatment ...
Highlights From An NGA Roundtable (View/Download) Executive Summary Individuals who are eligible for both Medicare and Medicaid, commonly referred to as dual eligibles, have some of the most complex and ...
January 29, 2020 The Honorable Seema VermaAdministratorCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-2393-PP.O. Box 8016Baltimore, MD 21244-8016 RE: Medicaid Fiscal Accountability Rule (CMS-2393-P) Dear Administrator ...
The National Governors Association (NGA) competitively selected five states — Maryland, Nevada, North Carolina, Puerto Rico and Wisconsin — to participate in a new project focused on implementing best practices ...
The National Governors Association Health Division (NGA Health) will be working with five states -- Alaska, Idaho, Iowa, Nevada and Tennessee -- on a learning lab highlighting best practices around ...
