Medicaid

Innovations

Primary Care–Based, Multidisciplinary Teams Provide Care Management Services to Complex Patients, Enhancing Patient Engagement and Reducing Hospitalizations 06/27/16

The San Francisco Health Network embeds multidisciplinary teams within primary care practices to provide “wraparound” services to medically and psychosocially complex patients. Made up of nurses,...

Culturally Tailored Group Meetings and Other Support Help Abused African-American Women Build Coping Skills and Reduce Depressive Symptoms, Suicidal Thoughts, and Suicide Attempts 11/05/14

Grady Health System's Grady Nia Project is a culturally tailored program that helps African-American women build coping skills to reduce the psychological symptoms and suicidal behaviors stemming...

Regional Commission Made Up of Diverse Stakeholders Enhances Access to Coverage and Services for Low-Income Residents, Reducing Readmissions and Emergency Department Visits 11/04/14

The St. Louis Regional Health Commission is a diverse consortium of collaborating stakeholders (providers, civic leaders, community activists, and local and State government officials) that...

Statewide Managed Care Plan for Foster Care Children Features Care Coordination and a Central Database, Leading to Improved Access and Mental Health Treatment 10/31/14

The Texas STAR (State of Texas Access Reform) Health Program is a statewide managed care plan for children and young adults in foster care and young adults who have aged out of the foster care...

Countywide, Public–Private Consortium Conducts Outreach and Provides Enrollment Assistance, Enhancing Access to Coverage for Low-Income and Uninsured Residents 09/18/14

A jointly governed consortium of more than 100 local organizations, the Milwaukee Enrollment Network helps county residents (particularly low-income and uninsured individuals) learn about and...

QualityTools

Predictive Modeling: A Guide for State Medicaid Purchasers 01/16/14

This guide for care managers and State Medicaid agencies provides information on how to use predictive modeling tools to identify patients who are good candidates for care management. A list of key considerations can help States prioritize and...

Medicaid and CHIP Learning Collaboratives Toolbox 08/27/13

This Medicaid and CHIP Learning Collaboratives (known as the MAC Collaboratives) online toolbox, for use by collaboratives, partners, and stakeholders, provides practical tools and resources to address common challenges and pursue innovations in...

Children's Electronic Health Record Format 03/06/13

The Children’s Electronic Health Record (EHR) Format, for EHR system developers, provides information about critical functionality, data elements, and other requirements needed in an EHR system to improve quality measurement and collection of...

Designing an Exchange: A Toolkit for State Policymakers 05/21/12

This legislative toolkit, from the National Academy of Social Insurance (NASI), can assist State policymakers with the design of health insurance exchanges, a key element of the Patient Protection and Affordable Care Act (ACA). It was developed...

Improving Outcomes for Children in Child Welfare: A Medicaid Managed Care Toolkit 04/25/12

This toolkit, developed by the Center for Health Care Strategies (CHCS), can help guide efforts to improve care for children in the child welfare system. The toolkit presents the work of 9 managed care organizations that participated in a 3-year...

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