Á¿×Ó×ÊÔ´Íø

Insights

Á¿×Ó×ÊÔ´Íø Insights: Your source for healthcare news, ideas and analysis.

Á¿×Ó×ÊÔ´Íø Insights – including our new podcast – puts the vast depth of Á¿×Ó×ÊÔ´Íøâ€™s expertise at your fingertips, helping you stay informed about the latest healthcare trends and topics. Below, you can easily search based on your topic of interest to find useful information from our podcast, blogs, webinars, case studies, reports and more.

Show All | Podcast | Blogs | Webinars | Weekly Roundup | Videos | Case Studies | Reports | News | Spotlight

Filter by topic:

Receive timely expert insights on topics you care about.

Select Topics

1314 Results found.

Á¿×Ó×ÊÔ´Íø colleagues author case studies on two-generation approach to addressing inequities in D.C. and Maryland

Read Blog

Focused on addressing inequities and building more sustainable and vital futures for low-income families in Washington, D.C., and the state of Maryland, colleagues from Á¿×Ó×ÊÔ´Íø (Á¿×Ó×ÊÔ´Íø) authored two case studies under the auspices of Ascend at the Aspen Institute, a hub for breakthrough ideas and collaborations that move children and their parents toward educational success and economic security.

Read More

A short-term solution to ACA uncertainty amid ongoing pandemic

Read Blog

In this week’s In Focus section, Á¿×Ó×ÊÔ´Íø (Á¿×Ó×ÊÔ´Íø) Managing Director MMS Matt Powers, Senior Consultant Kaitlyn Feiock, and Regional Vice President Kathleen Nolan look at the future of the Patient Protection and Affordable Care Act (ACA). On November 10, 2020, the Supreme Court of the United States (SCOTUS) heard oral arguments for California v. Texas, challenging the constitutionality and severability of the ACA.  This challenge became possible after the 2017 Tax Cuts and Jobs Act, which zeroed out the individual mandate penalty for not purchasing health insurance.  While most experts agree that an entire invalidation of the ACA is the least likely outcome based on the oral arguments, some uncertainty remains and more than $100 billion federal funds are at risk. The ACA standardized insurance rules offset premium costs for many individual market consumers and provided authority and funding for Medicaid Expansions in the overwhelming majority of states. The ACA also included other provisions that may be at risk but are not the subject of this note, such as the creation of Center for Medicare and Medicaid Innovation (CMMI) and the Medicare-Medicaid Coordination Office, as well as demonstration authority that has led to the creation of numerous coverage models.  As states, Congress, and the federal executive branch face the possibility that the ACA may not survive in its present form, what mitigation strategies are available at the state and federal levels to stabilize uncertainties and protect against abrupt coverage changes?

Read More

Á¿×Ó×ÊÔ´Íø prepares NCQA distinction in multicultural health care report

Download

Á¿×Ó×ÊÔ´Íø (Á¿×Ó×ÊÔ´Íø) was engaged by Covered California to evaluate and make recommendations about whether the state’s Marketplace should require Qualified Health Plan (QHP) Issuers to gain National Committee for Quality Assurance (NCQA) Distinction in Multicultural Health Care.

With a mission to increase insurance coverage in California and improve quality of care while reducing costs and health disparities, Covered California sought to learn how achieving Distinction in Multicultural Health Care has helped Issuers promote meaningful change and reduce disparities to advance health equity, in order to determine whether requiring the Distinction would help the Marketplace assure QHP Issuers effectively deliver quality care and improve population health.

The Á¿×Ó×ÊÔ´Íø team reviewed the Distinction’s standards and guidelines within Attachment 7, Article 3interviewed four Issuers that have earned the Distinction. They recommended Covered California update its language in Article 3.04, requiring Issuers to achieve NCQA Distinction in Multicultural Health Care and allocate resources to deliberately address disparities and health equity, increasing infrastructure and reinforcing organizational commitment to this work.

Á¿×Ó×ÊÔ´Íø consultants Michael Anderson-Nathe, Nora Leibowitz and Michele Melden completed the assessment.

Á¿×Ó×ÊÔ´Íø colleagues author evidence-based programs paper

Download

Á¿×Ó×ÊÔ´Íø (Á¿×Ó×ÊÔ´Íø), in contract with The National Council on Aging (NCOA), and with support from the Administration for Community Living (ACL), recently provided research and strategy services to support the goal to increase the adoption of evidence-based health promotion and disease prevention programs, known as evidence-based programs (EBPs) by Medicaid, Medicare, and other health insurance markets.

Read More

Oklahoma, North Dakota release Medicaid managed care RFPs

Read Blog

This week, our In Focus section reviews the statewide Oklahoma Medicaid managed care request for proposals (RFP) released by the Oklahoma Health Care Authority on October 15, 2020, and the North Dakota Medicaid expansion managed care RFP released by the North Dakota Department of Human Services, Medical Services Division on October 20, 2020.

Read More

Evidence-based programs paper authored by Á¿×Ó×ÊÔ´Íø colleagues

Read Blog

Á¿×Ó×ÊÔ´Íø (Á¿×Ó×ÊÔ´Íø), in contract with The National Council on Aging (NCOA), and with support from the Administration for Community Living (ACL), recently provided research and strategy services to support the goal to increase the adoption of evidence-based health promotion and disease prevention programs, known as evidence-based programs (EBPs) by Medicaid, Medicare, and other health insurance markets.

Read More

Highlights from the 20th annual Kaiser/Á¿×Ó×ÊÔ´Íø 50-state Medicaid director survey

Read Blog

This week, our In Focus section shares highlights and key takeaways from the 20th annual Medicaid Budget Survey conducted by The Kaiser Family Foundation (KFF) and Á¿×Ó×ÊÔ´Íø (Á¿×Ó×ÊÔ´Íø). Survey results were released on October 14, 2020, in two new reports: State Medicaid Programs Respond to Meet COVID-19 Challenges: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2020 and 2021 and Medicaid Enrollment & Spending Growth: FY 2020 & 2021. The reports were prepared by Kathleen Giff­ord, Aimee Lashbrook, and Sarah Barth from Á¿×Ó×ÊÔ´Íø and by Elizabeth Hinton, Robin Rudowitz, Madeline Guth, and Lina Stolyar from the Kaiser Family Foundation. The survey was conducted in collaboration with the National Association of Medicaid Directors.

Read More

Ready to talk?