NC Department of Health and Human Services’ Post

Millions are losing Medicaid coverage due to procedural issues — learn effective strategies to mitigate this challenge. At the California Association of Health Plans (CAHP) session, industry leaders showcased how California's robust Medicaid unwinding plan and partnerships with health plans significantly contributed to their success in curbing coverage loss during Medicaid redeterminations. Key strategies include: 1️⃣ Collaboration with Health Plans: Partnering with health plans and community organizations to reach vulnerable members. 2️⃣ Improving Contact Data Accuracy: Enhancing electronic data-sharing systems to streamline changes to individual eligibility. 3️⃣ Transitioning to Alternative Coverage: Supporting the transition to Marketplace coverage for those who no longer qualify for Medicaid. Dive in for further insights: https://bit.ly/49vww3W #CAHP2023 #MedicaidUnwinding #Healthcare

It's time to reimagine healthcare delivery for the 28% of Americans covered by Medicaid, accounting for $728 billion( ❗❗❗) in annual health expenses. At 7wireVentures, we delve into this in our latest piece "Empowering Underserved Americans: Revolutionizing Medicaid Care Through Digital Health Solutions" 🌐 We see an immense opportunity to employ #digitalhealth to dismantle systemic barriers faced by 92% of beneficiaries who find health plan information confusing, and the 75% burdened by financial worries. We've spotlighted innovative players making strides in this space, including MedArrive, Homeward, SameSky Health, Luma Health, Quartet Health, Babyscripts, and many more. Despite the challenges, with over $11 billion invested in Medicaid solutions in the last few years, the journey has just begun, and the potential of digital health to revolutionize Medicaid care is boundless. Check out our full thoughts below 👇 #MedicaidInnovation #HealthcareEquity

For decades Medicaid has played a central role making health care more equitable and accessible, and today it serves a large and diverse population—including millions of children, pregnant people, older adults, and people with disabilities. Medicaid is often asked to fill in the gaps where other systems fall short, while at the same time containing costs and delivering efficient care. Despite the many challenges it faces, Medicaid remains a crucial lifeline for its members – and an important leader in the push for more equitable and comprehensive health care.   Read more on CHCS’ blog from Diana Crumley’s review of ongoing Medicaid innovation, originally published by Harvard Public Health magazine.   https://bit.ly/3QaQzhJ

On September 5, 2023, the Centers for Medicare & Medicaid Services (CMS) announced a new voluntary, state total cost of care (TCOC) model: the States Advancing All-Payer Health Equity Approaches and Development Model (“AHEAD” Model). CMS’s goal in the AHEAD Model is to collaborate with states to curb health care cost growth; improve population health; and advance health equity by reducing disparities in health outcomes. CMS will support participating states through various AHEAD Model components that aim to increase investment in primary care, provide financial stability for hospitals, and support beneficiary connection to community resources. #healthinnovation #alternativepayments #healthequity #valuebasedcare #accountablecare https://lnkd.in/gWWG5ik2

Medicaid Efforts to Address Racial Health Disparities: Medicaid programs are a major source of coverage for people of color and a potential mechanism to address racial health disparities. This issue brief provides insight into ways Medicaid can mitigate racial health disparities, how coverage may vary by race and ethnicity, and other Medicaid initiatives states pursuing to address racial disparities in health and health care. #medicaid #mdrp #financial

Medicaid Efforts to Address Racial Health Disparities: Medicaid programs are a major source of coverage for people of color and a potential mechanism to address racial health disparities. This issue brief provides insight into ways Medicaid can mitigate racial health disparities, how coverage may vary by race and ethnicity, and other Medicaid initiatives states pursuing to address racial disparities in health and health care. #medicaid #mdrp #financial

This is crystal clear evidence that Medicaid helps communities thrive. FQHCs are critical pillars of community support. They’re culturally competent, they coordinate with local resources, they integrate with communities, they welcome and serve people regardless of their ability to pay. In many ways, FQHCs set the standard toward which the rest of our health care ecosystem ought to be driving. But Medicaid redeterminations, ostensibly put in place to save state governments money, are costing FQHCs hundreds of thousands of dollars—and many of these FQHCs are built in part by government funding. When we pull people from Medicaid, they suffer. Their families suffer. Our communities suffer. And the support systems we leverage to ensure everyone gets the care they deserve—regardless of their ability to pay—well, we can see now that they suffer too. Investments in Medicaid are investments in our communities. We ought to ensure those investments are made sustainably. https://lnkd.in/gHJvzeTS #medicaid #FQHC #community

Proud to see Mahmee's fully integrated, tech-enabled healthcare for mothers and children listed as a 'prediction' by 7wireVentures and Alyssa Jaffee of what's needed in the Medicaid space for health equity. Notably though, healthcare experts like me predicted said integration would help 10 years ago, proved it with impact, and Mahmee's been making it happen for moms and babies near since! True story (albeit hard to share without appearing to lack humility 🤓 🚀 ). That's how long it can take to transform healthcare collaboratively and sustainably - one community partner, one health system, and one health plan after another. Set 'em up and prop 'em up (don't knock 'em down!). I hope this story has a valuable lesson for startups and venture funders looking to portend the future of #healthcare, (many who just don't know enough about our complexities to be portending, even with AI creds). Instead, partner with those who know this arena and trust their judgement. It will pay dividends. #maternalhealth and #infanthealth are inextricably linked (always have been), including #maternalmortality and #infantmortality and their drivers in #mentalhealth, racism and essential needs. Those who got a values-first head start working on this within healthcare, like the upcoming California Department of Health Care Services ECM birth equity cohort, will remain sustainable and dyads will thrive. The future is bright!

How do you bend the healthcare cost curve? How do you reach, recruit and serve the most vulnerable people in our communities? How do we leverage technology to help us reach our goals? We need acess and consistent support services to reach goals. Pair Team is delivering this vision. #healtcaretech #healthcareaccess #healthcarecosts #healthbenefits #healthcarejobs #wearehiring Pair Team

Check out this new blog I wrote with my colleague Elisabeth Wright Burak about the importance of focusing on implementation as more states move toward Medicaid reimbursement for community health worker services. https://lnkd.in/eZNRXi4j