• 01.16.19

    Spotlight on Colorado: Ending the Opioid Epidemic

    Colorado has addressed the opioid epidemic with an array of public and private initiatives. Yet Colorado’s death rate has stayed consistent with national trends, despite a statewide comprehensive opioid strategy and successful efforts to reduce opioid prescriptions. This demonstrates that it ...

  • 01.11.19

    Establishing Connections to Healthcare for Justice-Involved Populations

    With many states expanding Medicaid eligibility, individuals leaving jail or prison are now often able to enroll in health coverage upon release. It is increasingly clear, however, that coverage alone is insufficient to address the often complex health and social needs of people who cycle between ...

  • 12.19.18

    Strategies for an Affordable Medicaid Buy-In Option in Colorado

    In order to address rising costs and continued uncertainty in the individual insurance market, states are beginning to explore offering alternative coverage options to residents in need of premium and cost-sharing relief. One option under consideration is a state-initiated “Medicaid ...

  • 12.13.18

    Spotlight on Pennsylvania: Ending the Opioid Epidemic

    Pennsylvania has been hit hard by the opioid epidemic, with prescription opioid-related overdoses growing in the early 2000s and, more recently, high volumes of heroin and fentanyl coursing through the commonwealth due to its strategic location as a major transportation hub. The challenges faced ...

  • 12.07.18

    Evaluating Medicaid Buy-in Options for New Mexico

    Against the backdrop of rising costs for health coverage, uncertainty regarding stability of the individual market and the state’s persistently high uninsurance rate of more than 9%, New Mexico is considering a Medicaid buy-in strategy. Medicaid is New Mexico’s largest payer, covering ...

  • 11.16.18

    Medicaid Payments at Risk for Hospitals Under Public Charge

    Under long-standing immigration law and guidance, individuals who are likely to become a “public charge”—or likely to rely on the government for financial support—can be denied admission to the U.S. or, if they are already in the country legally, may be denied the ability ...

  • 11.14.18

    Addressing Major Drivers of MassHealth Per-Enrollee Spending Growth

    The Massachusetts Medicaid program, MassHealth, plays a critical role as a source of health insurance coverage in Massachusetts. It covers a broad range of residents of the commonwealth, including vulnerable populations such as seniors, people with disabilities, and children. It has also become a ...

  • 11.01.18

    How APCDs Can Support Insurance Regulation

    From Utah and Oregon to Maine and Massachusetts, state insurance departments across the country are exploring how All Payer Claims Databases (APCDs) can be used to support and enhance insurance regulation.  APCDs are large and developing data assets that promise states new capacity for ...

  • 08.17.18

    Work and Community Engagement Requirements in Medicaid

    In January 2018, the Centers for Medicare & Medicaid Services (CMS) issued guidance to states as to the circumstances under which CMS would approve Section 1115 demonstration waivers making work/community engagement (CE) requirements a condition of Medicaid eligibility. Since then, CMS has ...

  • 07.18.18

    Overcoming Data-Sharing Challenges in the Opioid Epidemic

    The opioid epidemic has prompted efforts across the country to increase the availability of substance use disorder (SUD) treatment. Through medication-assisted treatment programs and other efforts, primary care practices have taken a more prominent role in providing care for patients with SUD. The ...

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