Topics: Medicaid, Reimbursement, Finance
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The single largest opportunity for responding to the Medicaid crisis can be found in new care management models. To support members in improving efficiency and innovating on the care delivery model with a specific focus on the needs of Medicaid patients, we’ve assembled our top Medicaid resources below. View all Medicaid Resources.
For any questions or to share innovative approaches at your own organization, please contact us at clarkm@advisory.com.
Access to Chronic Care Management
Community Care of North Carolina began as an enhanced medical home for Medicaid patients. Now the program has over a million participants and saves the state millions each year.
Explores next steps for organizations interested in pursuing health home status, resources for organizations building Medicaid health homes, and the anticipated impact of health homes on downstream hospital utilization.
The Bon Secours life coach program dedicates hospital staff to help high-risk, underinsured patients get the primary and preventative care they need to improve health outcomes and curb inappropriate trips to the ED.
Massachusetts General Hospital added a non-clinical community resource specialist to its primary care team to minimize lost clinician time, curb inappropriate service utilization, and improve clinical outcomes.
Presents strategies to address the root causes of chronic disease to effectively improve patient outcomes while preventing costly ED visits.
Profiles the impact of the University of Arkansas for Medical Sciences and the Arkansas Children’s Hospital's medical home program for medically-complex children.
Behavioral Health
Provides two key recommendations for hospitals and health systems seeking to better manage pediatric behavioral health volumes.
An interview with Dr. Samantha Meltzer-Brody MD, MPH, psychiatrist and director of the UNC Perinatal Psychiatry Program, the first perinatal psychiatry inpatient unit in the US.
Learn more about the Program of Assertive Community Treatment (PACT) program, one of the most successful treatment programs for mental health patients.
Outlines a new approach to behavioral health care, focused on timely detection, treatment at the most appropriate site of care, and regional collaboration.
Dr. Carl Clark, CEO of the Mental Health Center of Denver, discusses the behavioral health care continuum and the need for provider collaboration.
Dual Eligibles
Discover three strategies for addressing the dual eligible population and review key implementation considerations for hospitals.
The new Medicare-Medicaid Coordination Office has introduced a program that offers 15 states up to $1 million each to design innovative approaches for meeting the needs of dual eligible patients.
Identify the most common diagnoses for potentially avoidable hospitalizations and implement care protocols that reduce the number of inpatient admissions for these conditions.
Nearly 40% of all hospitalizations for dual eligible patients are potentially avoidable. Learn strategies to improve care for this population to prevent such hospitalizations.
Events
Health Care Advisory Board members may host an expert onsite at your organization once a year for no additional charge. Gather your leadership team to hear our latest Medicaid research firsthand.
