Lack of safe and reliable access to transportation can pose a significant hurdle to obtaining necessary medical care. According to…
Addressing Transportation Challenges to Improve Health Outcomes: A Conversation with MTM
Market: Service Providers
Navigating the Future of Long-Term Services and Supports: Innovations, Challenges, and Solutions
America is facing a looming crisis in long-term care. As our population ages, the demand for long-term services and supports…
Massachusetts 1115 Waiver Amendment Summary
The latest MassHealth Medicaid and Children’s Health Insurance Plan (CHIP) Section 1115 waiver demonstration is currently approved through December 31,…
Learning to Herd Cats: Fixing the US Healthcare System
Fixing the US healthcare system has often been described as attempting to herd cats. Notoriously independent-minded and resistant to outside…
2022 State of Managed Care Report
Explore the 25-year evolution of Medicaid managed care from its humble beginnings to the highly complex and sophisticated system that exists today.
Transforming Medicaid Delivery: A Look Into Managed Care’s Past, Present, and Future
The passage of the Balanced Budget Act of 1997 paved the way for states to implement and expand Medicaid managed…
Innovations in Medicaid: Driving System Transformation
One of the key strengths of the Medicaid program is its built-in capacity for variation and innovation. Within broad parameters,…
1115 Waiver Approvals Addressing Health-Related Social Needs
On September 28, 2022, the Centers for Medicare and Medicaid Services (CMS) approved two monumental 1115 waiver extensions – MassHealth…
DIRECTED PAYMENT PROGRAMS IN VALUE-BASED PURCHASING: Aligning with CMS on Improving Healthcare Outcomes
Improving access and quality in healthcare is a key focus area of the Centers for Medicare and Medicaid Services (CMS)….
Summary of CMS’ Proposed Rule: Streamlining the Medicaid, CHIP, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes
On August 31, 2022, CMS announced a proposed rule for Streamlining Eligibility and Enrollment. CMS notes that the provisions set…
Empowering the Partnership Between States and Managed Care Organizations
In the most recently published MACStats: Medicaid and CHIP Data Book, the Medicaid and CHIP Payment and Access Commission (MACPAC) estimates that…
Addressing Social Determinants of Health Through Medicaid (SDOH)
Sellers Dorsey Director Nancy Smith-Leslie recently sat down with AIS Health’s Health Plan Weekly to discuss insights and implications of the proposed Medicaid expansion…