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.

Testimony – Children and Disasters

Chairman Landrieu, Ranking Member Graham and distinguished members of the Committee, on behalf of the nation’s governors, thank you for the opportunity to testify today regarding the state role in ...

Testimony – Health Care Reform Scheppach

Mr. Chairman and members of the subcommittee, my name is Ray Scheppach, and I am the Executive Director of the National Governors Association. I appreciate the opportunity to be a ...

Testimony – Health Care Reform

Mr. Chairman and members of the committee, my name is Ray Scheppach, and I am the Executive Director of the National Governors Association. I appreciate the opportunity to be a ...

Testimony – Health Care Reform

Mr. Chairman and members of the committee, my name is Ray Scheppach, and I am the Executive Director of the National Governors Association. I appreciate the opportunity to be a ...

Testimony – Long Term Care

Mr. Chairman and members of the committee, my name is Ray Scheppach, and I am the Executive Director of the National Governors Association. I appreciate the opportunity to appear before ...
Maternal and Child Health (MCH) Update: States Increase Eligibility for Children’s Health in 2007

Maternal and Child Health (MCH) Update: States Increase Eligibility for Children’s Health in 2007

Medicaid and the State Children’s Health Insurance Program (SCHIP) provide a critical source of health insurance coverage to low-income pregnant women, infants, and children. This report highlights state trends in ...

Testimony – Children’s Dental Health

Mr. Chairman: I appreciate the opportunity to appear before you today to discuss the issue of dental health as it relates to Medicaid and S-CHIP. It is important to continue ...

Testimony – Medicaid Reform

Good morning and thank you for once again inviting me to appear before the Commission. Reforming the Medicaid system - and ultimately the broader health care system - remains a ...
Maternal and Child Health (MCH) Update 2005: States Make Modest Expansions to Health Care Coverage

Maternal and Child Health (MCH) Update 2005: States Make Modest Expansions to Health Care Coverage

Medicaid continues to be the nation’s largest health insurance program for low-income people. This report examines some of the policies states implemented for providing coverage. Relevant data from each state ...

Testimony – Short-term Medicaid Reform (Ray Scheppach)

Governor Sundquist, Governor King and Members of the Commission, I appreciate the opportunity to appear before you today on the National Governors Association's Medicaid Reform proposal. On June 15, 2005, ...
Privacy Overview

This website uses cookies so that we can provide you with the best user experience possible. Cookie information is stored in your browser and performs functions such as recognizing you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful. Please see our privacy policy for more information.