Noteworthy News

States Pursuing Medicaid Reforms

A new Commonwealth Fund report looks at some of the changes states are pursuing in how they deliver and pay for care for their Medicaid recipients.

The review groups the reforms into three categories:

  • Managed care reforms – demanding more data to support bids for Medicaid managed care contracts and favoring bidders that include strong value components in their bids and that seek to address recipients’ social needs.
  • Focusing on beneficiaries with complex health and social needs – working with Medicaid managed care plans to address both the medical problems of members with complex medical conditions and the social determinants of health that cause, contribute to, or impede the treatment of those problems.
  • Integrating behavioral and physical health – expanding prevention and treatment of substance abuse disorders by restructuring delivery and payment systems.

Learn more about what states are doing to improve their Medicaid programs in the Commonwealth Fund report “Considering Federal Medicaid Policy Changes in Light of State-Level Delivery System Reforms,” which can be found here.

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