Insurance, Medicare & Medicaid

Attendees at a recent AcademyHealth meeting discussed research on work incentives, cost sharing, healthy behaviors, and Medicaid waiver implementation challenges in several states.

Los Angeles County has California’s lowest rate of enrollment for dual-eligible consumers served by Cal MediConnect, despite the extra benefits offered by the program.

Developed as part of AcademyHealth's Payment Reform for Population Health project, this report explains how value-based purchasing changes the competitive landscape for insurance purchasers, plans, and service providers.

Developed as part of AcademyHealth's Payment Reform for Population Health project, this report explains how changing the we pay for health and health care, can incentivize the health improvements and health care cost outcomes we want. 

Highlighting research presented at the AcademyHealth Annual Research Meeting (ARM) in June 2018, Rebecca Bruno of MITRE, an AcademyHealth organizational affiliate, points to solutions for addressing social determinants of health and improving health outcomes and reduced costs of care for the Medicaid population.

Studies presented at AcademyHealth’s Annual Research Meeting also examine linkages between Medicaid and preventable hospitalization and health care quality.

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.