Centers for Medicare and Medicaid Services
- Center for Medicare and Medicaid Innovation - Solicit Ideas for New Models→ Select the Most Promising Models→ Test and Evaluate Models→ Spread Successful Models
- Federal Coordinated Health Care Office (FQO) – new CMS agency for dual eligilbles [Federal Register]
- Medicaid Policy Options for Meeting the Needs of Adults with Mental Health under the Affordable Care Act, (from Kaiser Family Foundation) examines the salient issues raised in a recent roundtable discussion of national and state experts convened by the Commission, in partnership with the Bazelon Center for Mental Health Law, to discuss Medicaid policy options available under health reform to help meet the needs of adults with mental health. The Patient Protection and Affordable Care Act will expand the Medicaid program, offering the opportunity to improve access to care for millions of Americans with mental health disorders. States face several decisions about designing benefits, structuring service delivery and conducting outreach and enrollment for this population, which has unique health and social service needs. This report highlights key policy opportunities and challenges related to these decisions. The discussion was the latest in an ongoing series of Health Reform Roundtables that explore key issues related to implementing the expansion of Medicaid under health reform.
- Accountable Care Organizations
- Perspectives on Health Reform—Achieving Accountable Care: Are We on the Right Path? April 14, 2011 - The Commonwealth Fund's Commission on a High Performance Health System has released 10 recommendations to help ensure the success and spread of accountable care organizations, or ACOs. In this commentary, the Fund's Mark Zezza and Stuart Guterman use the recommendations to identify issues for the Centers for Medicare and Medicaid Services to consider in finalizing the federal rule.
- High Performance Accountable Care: Building on Success and Learning from Experience April 14, 2011 - Accountable care organizations (ACOs) could achieve better care, better population health, and lower costs, according to this new report from the Commonwealth Fund Commission on a High Performance Health System. Also see an analysis of how the Commission's recommendations for successful ACOs align with the proposed rule for the Medicare Shared Savings Program for ACOs.
- Report from the Center for American Progress: Achieving Accountable and Affordable Care: Key Health Policy Choices to Move the Health Care System Forward, An accountable care organization is a group of medical care providers who accept responsibility for providing or arranging all care for a group of patients under a payment arrangement that allows them to profit from reducing costs and improving quality. By Judy Feder, David M. Cutler
- Accountable Care Organizations: Creating a Workable Appraoch for Medicaid (PDF, 62 KB). In this brief, The Center for Health Care Strategies, Inc. examines opportunities to establish effective accountable care organizations (ACOs) in Medicaid. Outlined under the national health care reform law, the brief notes that ACOs can improve care coordination to reduce costs through combined medical , behavioral health, and social service offerings.
- Implementing Health Homes in a Risk-Based Medicaid Managed Care Delivery System (PDF, 375.39 KB), a brief from The Center for Health Care Strategies, Inc. The authors examine how states can advance health home programming within existing risk-based Medicaid managed care systems.