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.

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NGA Vaccine Survey of States and Territories

States and territories will need additional resources, funding and support to carry-out the most expansive vaccination plan in history. (View/Download) Summary NGA surveyed states and territories in November and December ...
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The Future of State Telehealth Policy

This paper summarizes the types of telehealth policy flexibilities provided by states and the federal government during the COVID-19 pandemic and longer-term considerations for Governors regarding the impact of such ...
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Supporting State Behavioral Health Systems During COVID-19 Response and Recovery

This paper identifies for Governors the key issues that are currently challenging state behavioral health systems, along with actions that state agencies may consider to support and sustain behavioral health ...
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Understanding the Effects of Medicaid Innovation

Considerations for Evaluating State Medicaid Policies (View/Download) Executive Summary Section 1115 Medicaid demonstrations are important vehicles for experimenting with new Medicaid policies. Rigorous evaluations of these policies, if done well, ...
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Working Together for Vaccine Distribution

The distribution and implementation of the vaccine is a massive undertaking that cannot be managed without significant logistical coordination, planning and financial assistance between states and the federal government. States ...
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State Actions Addressing COVID-19 in Long-Term Care Facilities

This table provides an overview of notable state actions to address COVID-19 in long-term care facilities. (View/Download) This table provides an overview of notable state actions to address COVID-19 in ...
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Improving Outcomes and Reducing Cost of Care for Complex Care Populations With Behavioral Health and Social Support Needs: Toolkit for Governors

The toolkit features lessons learned from Arizona and Michigan, who served as models for the participating states, and supplements the NGA road map for building complex care programs and the ...
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Expanding Access To Non-Opioid Management Of Chronic Pain

This report synthesizes the existing evidence base for non-opioid therapies, examines Medicaid coverage policies, and identifies barriers and opportunities for scaling evidence-based integrated pain management delivery systems. (View/Download) Executive Summary ...
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State & Territory Policy Strategies Supporting Maternal & Child Health During COVID-19

Thirty-eight states and territories representing politically and geographically diverse jurisdictions completed this survey, giving a broad picture of how states and territories are working within existing policies and making adaptations ...
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Opioid and COVID-19 Related Resources

(View/Download) Relevant information and guidance for communities confronting opioids in the age of COVID-19 The Intersection of Two Pandemics: Addiction and COVID-19 Webinar The USC Schaeffer Center and the Institute ...
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