| News & Insight

Strategic Planning, Policy Analysis and Development, Long-Term Services and Supports, Medicare-Medicaid Integration Strategic Planning, Policy Analysis and Development, Long-Term Services and Supports, Medicare-Medicaid Integration

Increasing Access to Home and Community-Based Services: Implications of New Proposed Rules

New proposed regulation from CMS contain many new and updated requirements for states, Medicaid managed care plans, and providers intended to improve beneficiary access to care, quality, and health outcomes in both fee-for-service (FFS) and managed care delivery systems while advancing CMS’ goals.

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Strategic Planning, Policy Analysis and Development, Stakeholder Engagement and Facilitation, Medicare-Medicaid Integration Strategic Planning, Policy Analysis and Development, Stakeholder Engagement and Facilitation, Medicare-Medicaid Integration

Medicaid & Medicare Prepare for the End of the Public Health Emergency

In November 2022, United States Senators Cassidy, Carper, Scott, Warner, Cornyn, and Menendez issued a request for information (RFI) regarding approaches for improving coverage for individuals who are dually eligible for Medicare and Medicaid. Dual eligible beneficiaries are more likely to have  complex health needs that are difficult and often expensive to treat. Too often, they experience a lack of integration and coordination that often results in confusing encounters with the health care system and negative health outcomes.

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Policy Analysis and Development, Stakeholder Engagement and Facilitation, Maternal and Child Health, Medicare-Medicaid Integration Policy Analysis and Development, Stakeholder Engagement and Facilitation, Maternal and Child Health, Medicare-Medicaid Integration

Senators Request Public Input to Inform Decision Making on Programs Serving Dual Eligible Enrollees

In November 2022, United States Senators Cassidy, Carper, Scott, Warner, Cornyn, and Menendez issued a request for information (RFI) regarding approaches for improving coverage for individuals who are dually eligible for Medicare and Medicaid. Dual eligible beneficiaries are more likely to have  complex health needs that are difficult and often expensive to treat. Too often, they experience a lack of integration and coordination that often results in confusing encounters with the health care system and negative health outcomes.

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Data Analysis, Policy Analysis and Development, Medicare-Medicaid Integration, Program Design Implementation and Assessment Data Analysis, Policy Analysis and Development, Medicare-Medicaid Integration, Program Design Implementation and Assessment

Leveraging Robust Evaluation Principles to Make Medicaid Better

A core element of all Medicaid Section 1115 “research and demonstration” waivers is an evaluation of the demonstration program and its efficacy in meeting the demonstration’s goals. Historically, however, Section 1115 waiver evaluations have been an afterthought for states and CMS, limiting their ability to inform future Medicaid policy and financing approaches.

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Stakeholder Engagement and Facilitation, Medicare-Medicaid Integration, Program Design Implementation and Assessment Stakeholder Engagement and Facilitation, Medicare-Medicaid Integration, Program Design Implementation and Assessment

Supporting Medicaid Providers in CalAIM Implementation

Last year, Aurrera Health Group teamed up with the California Department of Health Care Services to provide early education and targeted technical assistance for providers on implementing Enhanced Care Management and Community Support services, two key parts of the CalAIM initiative. This experience revealed several promising practices for other states pursuing whole-person approaches to health care delivery.

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