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’s Dental Health
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Testimony – Medicaid Reform
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Maternal and Child Health (MCH) Update 2005: States Make Modest Expansions to Health Care Coverage
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Testimony – Short-term Medicaid Reform (Ray Scheppach)
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MCH Update: States Protect Health Care Coverage During Recent Fiscal Downturn
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Testimony – Medicaid Reform (Energy and Commerce)
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Testimony – Medicaid Reform (Finance)
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Testimony – Long Term Care Insurance Partnerships
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Testimony – Medicaid Intergovernmental Transfers
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