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.
Demystifying Federal Authorities: State Considerations for Addressing Health-Related Social Needs in Medicaid
State Strategies to Support Marketplace Plan Enrollment as the Medicaid Continuous Coverage Requirement Winds Down
State-Driven Initiatives to Support Moving to Value-Based Care in the Era of COVID-19
BALANCING MEDICAID BUDGETS AND SERVING STATE RESIDENTS DURING A PANDEMIC
State Strategies to Advance Health Data Interoperability
A Strong National Economy Depends on Strong States and Territories
Supporting A Trained Direct Care Workforce In Facility Settings During And After The Covid-19 Pandemic
Associations Release Roadmap on Strategies for Countering Opioid Misuse in Correctional Settings
Expanding Access to Medications for Opioid Use Disorder in Corrections and Community Settings
