New Report Profiles Safety Net Health Plan Care Coordination Initiatives
A new ACAP fact sheet examines programs from four Safety Net Health Plans aimed at improving ways in which health plans coordinate care for specific populations in their membership. Care coordination is a hallmark of managed care in general, and Safety Net Health Plans in particular. Many Medicaid MCOs have devoted substantial resources to better organize the way care is delivered—especially to members who have a current or future high level of medical need. The paper was authored by The Menges Group.
4 in 10 Marketplace Issuers Offer a Medicaid Plan in the Same State
A new ACAP study finds that nearly 4 in 10 organizations that offer coverage through Qualified Health Plans (QHP) in public Health Insurance Marketplaces operate a Medicaid managed care plan in the same state, providing an opportunity for consumers with low incomes to select a source of coverage that may remain continuous, even if their incomes rise above the threshold for Medicaid eligibility. Such plans may also provide a single source of coverage to families with ‘split eligibility’—where, for instance, parents may be eligible for subsidized Marketplace coverage while their children are eligible for Medicaid or CHIP.
However, a new county-by-county analysis of data from New York and Texas shows that consumer choice is, in fact, more constrained than state-level data would imply. For instance, while Texas features 15 QHPs and ten overlap issuers, no county in Texas offers more than three overlap issuers--and more than 100 offer no overlap issuers at all. Read more >
Issue Brief > | Spreadsheet >
Webinar on Providing Health Care to People Experiencing Homelessness
On February 6, ACAP and the National Health Care for the Homeless Council co-hosted a webinar on how health centers and Safety Net Health Plans work together to meet the health care needs of those experiencing homelessness.
Slides > | Recording >
ACAP Lauds Inclusion of Continuous Eligibility in Presidential Budget Proposal
ACAP CEO Margaret A. Murray issued a statement addressing President Obama's budget proposal for FY 2016.
“Right now, the average adult enrolled in the Medicaid program only stays on the program for about eight and a half months of the year. In many cases, they are not leaving the program owing to rising incomes but because of missing paperwork that has little to do with their underlying eligibility. The ‘churn’ that results leads to worse health outcomes, lower productivity and an even more daunting climb for those seeking to move up the economic ladder... We applaud the Administration’s recognition of the importance of 12-month continuous enrollment. Moreover, we believe that 12-month enrollment periods in Medicaid and CHIP should be a minimum protection for all Medicaid and CHIP beneficiaries, not subject to the whims of individual states."
Read more >