Insurance, Medicare & Medicaid

Individuals enrolled in HDHPs face high cost sharing and stand to benefit from engaging in consumer behaviors to help them save money; yet, few enrollees are engaging in these consumer behaviors.

AcademyHealth collaborated with Nemours Children’s Health System to help state Medicaid programs test approaches to financing upstream prevention and addressing social determinants of health. This brief highlights lessons learned and synthesizes important takeaways from that work.

Highlighting work in Maryland, this brief outlines how a state Medicaid agency can maximize existing authority to delivery nutritional counseling in Head Start settings in an effort to prevent obesity.

Medicaid cannot address and invest in social determinants on its own. This brief highlights Head Start as a natural partner offering significant opportunity for alignment of care coordination and service delivery with Medicaid.

This brief explores the unique role community health workers can play in addressing the social needs that have tremendous impact on the burden of chronic disease.

Comprehensive systems that connect patients with both the health and social service sectors are an essential element to to addressing the social determinants of health. Based on work in Oregon, AcademyHealth and Nemours developed a checklist of the functions and features of a successful comprehensive system.

AcademyHealth and Nemours work in Oregon highlighted that the 2016 Medicaid Managed Care Rules enable Medicaid to fund and pay for a wide range of upstream interventions via managed care.

Working with the Washington Health Care Authority, AcademyHealth and Nemours examined the evidence base supporting upstream prevention investments from a business perspective.

Sponsored by the Long-Term Quality Alliance, AcademyHealth’s Long-Term Services and Supports Interest Group designed a webinar to provide a national overview of Managed Long-Term Services and Supports programs and an update on the state of the knowledge base on the effectiveness of these programs.

Trends in state programs provide an opportunity to examine how long-term services and supports (LTSS) are being financed and implemented. This post previews a forthcoming webinar from AcademyHealth’s LTSS interest group that will provide an overview of Medicaid financed Managed LTSS.