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
The Honorable Paul Ryan Speaker U.S. House of Representatives Washington, D.C. 20515 The Honorable Nancy Pelosi Democrat Leader U.S. House of Representatives Washington, D.C. 20515 The Honorable Mitch McConnell Majority ...
Washington Gov. Jay Inslee has announced that the state received approval from the Centers for Medicare and Medicaid Services for a five-year Medicaid demonstration (often referred to as “waiver”) that will ...
Evidence suggests that providing housing to certain high-need, high-cost patients can transform lives and have a very meaningful return on investment. Over the past three years, National Governors Association Center ...
On Thursday, Sept. 22, 2016, the National Governors Association, in partnership with the National Academy of Public Administration and American University’s School of Public Affairs, participated in the event “Governors ...
For three years, NGA has been working with 10 states and 1 territory to develop statewide programs that transform the care of the highest-need and highest-cost Medicaid enrollees. The goal ...
Today at an event at the National Press Club, experts from the National Governors Association Center for Best Practices (NGA Center) Health Division discussed a new guide, The Future of Medicaid ...
The National Governors Association (NGA) supports governors and the crucial role they play in state Medicaid transformation. States seeking approval for broad changes to their Medicaid programs often face a ...
State governments around the nation have a long history of acting as health care innovators and pioneers. With the population aging and more Americans becoming eligible for Medicaid, states are ...
Ms. Vikki Wachino Director, Center for Medicaid and CHIP Services Centers for Medicare and Medicaid Services Department of Health and Human Services 200 Independence Avenue, SW Washington, DC 20201 Re: ...
Alabama Gov. Robert Bentley has announced the Alabama Medicaid Agency’s regional care organization plan, which provides medical care to most Alabamians on Medicaid, has been approved by the Centers for Medicare ...
