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.
Medicaid and Complex Care
WASHINGTON—The National Governors Association Center for Best Practices (NGA Center) Health Division hosted an event at the National Press Club to discuss its new report, Building Complex Care Programs: A Road ...
August 9–10, 2017 | Washington, DC The National Governors Association Center for Best Practices (NGA Center) Health Division hosted a multi-state convening as part of the Rural Health Learning Collaborative ...
The Honorable Mitch McConnell Majority Leader United States Senate U.S. Capitol, S-230 Washington, D.C. 20510 Dear Leader McConnell, As Congress continues to debate changes to our nation’s health care system, ...
WASHINGTON—Earlier today the U.S. House of Representatives Energy and Commerce Subcommittee on Health held a hearing to examine the Children’s Health Insurance Program (CHIP) and the Community Health Center Fund ...
WASHINGTON—Today the National Governors Association (NGA) Center for Best Practices released Shared Priorities from the Governors’ Bipartisan Health Reform Learning Network, which summarizes a collection of bipartisan ideas from 13 states—California, ...
June 12 – 13, 2017 | Richmond, VA The National Governors Association Center for Best Practices (NGA Center) held a learning lab to help states identify advanced strategies for reducing ...
The Honorable Orrin Hatch Chairman Senate Committee on Finance Washington, D.C. 20510 The Honorable Ron Wyden Ranking Member Senate Committee on Finance Washington, D.C. 20510 The Honorable Greg Walden Chairman ...
WASHINGTON—As Congress and the Administration consider sweeping health care reforms, governors are assessing how proposed changes will affect their residents and state budgets. Federal proposals seek to reshape the private ...
On Jan. 25, 2017, in Washington, D.C., National Governors Association (NGA) Chair Virginia Gov. Terry McAuliffe and Vice Chair Nevada Gov. Brian Sandoval discussed governors’ collective priorities and recommendations for President Trump and Congress ...
