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Policy Brief: Medicaid Managed Care Associated With Better Access to Primary Care for Foster Youth

A new policy brief suggests that Medicaid managed care is associated with better access to care for foster youth compared with fee-for-service arrangements. The brief provides a preliminary look at data analyzed by Melissa Bright, Ph.D., an Assistant Research Scientist at the College of Medicine and the Institute for Child Health Policy at the University of Florida, who recently completed research that looked at how a change in health care financing from fee-for-service to managed care affects health quality for foster youth.

Preliminary analyses suggest that Medicaid managed care is associated with significantly increased access to primary care for children two years and older; with significantly increased access to child well-care visits for children ages 3 to 6 and ages 12 to 18. Read more > 

Dr. Bright’s research was underwritten by a competitive grant granted through a partnership between ACAP and AcademyHealth; grant applications for 2017 are being accepted through September 9. 

Illumination Foundation Wins Supporting the Safety Net Award at 2016 ACAP CEO Summit

ACAP presented its eleventh annual Supporting the Safety Net Award to Illumination Foundation, a nonprofit organization dedicated to improving access to housing, education, health care and other resources for people in Orange County (Calif.) and neighboring counties who are experiencing homelessness. The award was presented at ACAP’s CEO Summit in Washington, D.C.   Read more > 

ACAP Applauds Introduction of H.R. 5422, The Medicaid and CHIP Continuous Quality Act of 2016

ACAP and its member Safety Net Health Plans recently applauded H.R. 5422, the Medicaid and CHIP Continuous Quality Act of 2016, which was recently introduced in Congress by Representative Diana DeGette (D-Colo.) and cosponsored by Representative Joseph P. Kennedy III (D-Mass.) 

The bill would enact a nationwide quality measurement and reporting system across the entirety of the Medicaid program, provide incentives to states for high performance and for improvement, and implement mechanisms that would help Federal and state taxpayers to understand and help improve the value of the Medicaid and CHIP program through quality improvement. 

“While more than 80 million people receive health coverage through Medicaid or the Children’s Health Insurance Plan, it is difficult to get a clear picture of the quality of care delivered through these programs. Safety Net Health Plans strongly support Representative DeGette’s bill," said ACAP CEO Margaret A. Murray in a statement. 

“This would extend a culture of transparency and accountability to all sectors of Medicaid and CHIP. Fee-for-service arrangements in particular have not been subject to the sorts of comprehensive, systematic quality reporting requirements with which health plans have complied for years." 

The bill is a companion to S. 2438, the Medicaid and CHIP Continuous Quality Act of 2016, introduced in the Senate by Sen. Sherrod Brown (D-Ohio). 

More at >   Full statement > 

New ACAP, CHCS Report Highlights Safety Net Health Plan Innovations in Financial Alignment Demos

ACAP and the Center for Health Care Strategies (CHCS) have issued a new report that examining the innovative practices of 14 Safety Net Health Plans participating in Financial Alignment Initiative demonstrations around the country in an effort to provide integrated care for people who are dually eligible for Medicare and Medicaid benefits. 

The ACAP-member Safety Net Health Plans profiled in the report participate in the demonstrations as Medicare-Medicaid Plans (MMPs)—health plans that provide integrated, coordinated Medicare and Medicaid benefits for dually eligible beneficiaries. Collectively, these 14 ACAP MMPs enroll more than 100,000 beneficiaries, accounting for close to 30 percent of enrollment in MMPs nationwide. 

The report highlights several health plan innovations aimed at fulfilling the promise of integrated care across the Medicare and Medicaid program, including telemedicine initiatives that improve access, crisis centers, efforts to address unmet behavioral health needs, and more.  Read the report > 

Janette Conway of Neighborhood Health Plan of R.I. Wins ACAP's "Making a Difference" Award

ACAP recently recognized Janette Conway, a housing specialist with Neighborhood Health Plan of Rhode Island, with the organization’s national “Making a Difference” Award. The award recognizes an employee at an ACAP-member Safety Net Health Plan who goes far beyond the boundaries of their job description in efforts to improve their community, support underserved populations, and fulfill community needs.

Ms. Conway is a Housing Specialist on Neighborhood’s nursing home transition team. She supports Neighborhood’s members as they transition to independent living from long-term care facilities, including forging connections with social services vital to their independence. Ms. Conway was singled out for the extraordinary lengths to which she will go in an effort to advocate for the members in her charge. Read more >  

New Report: 4 in 10 QHP Issuers Operate a Medicaid Plan in the Same State

A new ACAP analysis finds that of the 335 Qualified Health Plan issuers offering Marketplace plans in 2016, 137—or just over 40%—offer Medicaid managed care coverage in the same state. A closer analysis of the results, however, suggests that many individuals – even those residing in states with large numbers of overlap issuers – have limited access to plans that operate in both Medicaid and the Marketplace, as many overlap issuer plans are only offered regionally. 

Read the report >   Spreadsheet of QHP Issuers (Excel) >   Press release >

39 Organizations Voice Support for 12-Month Continuous Enrollment in Medicaid, CHIP

Thirty-nine allied health organizations recently submitted a letter to leaders in the House and Senate urging them to pass legislation that would provide for 12 months’ continuous eligibility for Americans in the Medicaid and Children’s Health Insurance Programs (CHIP).  The legislation – H.R. 700 in the House, introduced by Reps. Gene Green (D-Texas) and Joe Barton (R-Texas), and S. 428, introduced by Sen. Sherrod Brown (D-Ohio) – addresses “churn,” a phenomenon where people with Medicaid and CHIP coverage lose their eligibility because of bureaucratic paperwork issues or short-term changes in income. Read the letter > | Press release > 

Medicaid Managed Care Is Accountable Care:
Reporting Prevalence by Program Type

Source: CMS Medicaid Managed Care Enrollment Reports, 2013 | see more >