[NYAPRS Enews] CMHCS: New Reports Profile Medicaid Care Management for High-Needs Individuals

[Harvey Rosenthal]

New CHCS Reports Profile Medicaid Best Buys for High-Need, High-Cost
Patients 

Center for Health Care Strategies   March 27, 2008

	
A small portion of Medicaid beneficiaries -- about 15 percent -- account
for more than 75 percent of program expenditures. Two new Center for
Health Care Strategies (CHCS) publications focus on opportunities for
states to improve care and control costs for these high-need
beneficiaries. The programs outlined in these documents are particularly
relevant today with many states facing widening budget shortfalls.  

 

Purchasing Strategies to Improve Care Management for Complex
Populations: A National Scan of State Purchasers
<http://rs6.net/tn.jsp?e=0016vaKqSV20mNu1FJwdfyqSKInF4Xup0Zhtyr2x2t_D2wv
W2zluNBN3iRMm3OKhJwgErHnPoOtL-KNTkiq3TH2kEKdhMLaSzd5tZPQ3jvuzpHX3lFOhl9-
u-SI-LIaJ1-xM2h3e0veAIZKHrZR_CpXmgXgSWZz-jYLIhjqJYjierOj5UgtZmnd-uFzHWSp
dTpO>   This report, based on interviews with Medicaid officials in 12
states, examines the latest state innovations in care management for
adults with chronic illnesses and disabilities. The states profiled are
testing a variety of purchasing models that fall between traditional fee
for service and fully capitated managed care to deliver higher quality
and more cost-effective care.
http://www.chcs.org/usr_doc/Purchasing_Strategies_to_Improve_Care_Manage
me.pdf 

 

Medicaid Best Buys: Improving Care Management for High-Need, High-Cost
Beneficiaries
<http://rs6.net/tn.jsp?e=0016vaKqSV20mPYlzYL3PyaCDrVex2YtarErAR29adCgEda
Dm8hnZZ0-9MJ3V5INq6ymjf8a0SxdsxjALbQick2QtFRumMq0Jq6bVFHH9Ic3jPoh4vpzjsy
wrxp3LNepTDA-cKZl4-LWTFS3pLnUCOT_JnYl7QEK4kC3Kk73q5z90g=>   Rethinking
how care is provided for Medicaid's most chronically ill and costliest
beneficiaries may be one of the most effective, and sustainable, ways
for states to improve health care quality and bend cost trends. This
brief outlines important steps for states to consider in designing
comprehensive programs for beneficiaries with complex and high-cost
needs.
http://www.chcs.org/publications3960/publications_show.htm?doc_id=674876


 

<http://rs6.net/tn.jsp?e=0016vaKqSV20mPRLVMG0qkhy6v4aVCZbHScARtup5YKLNIr
Bo-wCPCCPrLeQbqrP-IF2SjWHntxMA1480PJOqPwCGJQe4N_0D1-x95rLeu_XyX9ANFIaJxO
gBL9aVbi-igf4gL81bA9m2kRbu5yYxKPC8xdF_dQ75z2QLoqDQXLFomkcpKoyWdgMKLPEqFv
KhDo> These publications are part of CHCS' Medicaid Best Buys series
developed to help states, health plans, and policymakers identify
programs that have the greatest potential to improve health care quality
and control costs for beneficiaries with complex needs. The series is
made possible by the Robert Wood Johnson Foundation.

 

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