Insurance, Medicare & Medicaid

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.

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.