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 Kevin McCarthy House Majority Leader H-107, The Capitol Washington DC 20515 The Honorable Kevin Brady Chairman, House Committee on Ways and Means 301 Cannon Building Washington DC, 20515 ...
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 tool, Housing as Health Care. NGA gathered ...
The National Governors Association (NGA) today announced that two states, Oklahoma and Rhode Island, will receive technical assistance to identify and implement strategies to re-envision how to use Medicaid funds to address state ...
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 ...
