Medicaid / Medicare

The Trump administration is proposing regulatory changes that could result in cuts in federal aid to millions of low-income Americans.

Research shows that clinical care is only one factor that impacts population health and that a collection of other factors – including the natural and built environment where people live, education economic stability, food, and community and social context – grouped under the term social determinant

The Centers for Medicare and Medicaid Services (CMS) and states spend over $300 billion per year on the care of dually eligible individuals, yet still do not achieve acceptable health outcomes.

A key challenge for states in ensuring access to care for the 85.3 million Medicaid beneficiaries is having a sufficient number of providers.

The Housing and Medicaid Services Pilot Program in Indianapolis, also known as the Blue Triangle Housing Program, is a collaboration that includes Anthem, the City of Indianapolis, a non-profit housing organization, and a community mental health center (CMHC).

Emerging health care financing models require much more sophisticated actuarial calculations than previous payment arrangements, often taking into account risk factors such as homelessness.

As the population ages, one of the greatest challenges facing state officials is how to organize and pay for long-term services and supports (LTSS) for low-income elderly and disabled adults—the most complex, expensive, and fastest-growing group covered by Medicaid.

The Home Preservation Initiative (HPI) for Healthy Living seeks to improve asthma outcomes related to unhealthy housing in five neighborhoods in West Philadelphia.

As of 2015, the Centers for Medicare & Medicaid Services (CMS) pays for chronic care management (CCM) services for Medicare beneficiaries with two or more chronic conditions.

With persistent concerns about health care expenditures, the health care field has recognized a group of patients known as super utilizers—people with complex health needs and socioeconomic challenges who have very high levels of hospital use.