Considerations for Extension and/or Renewal of the Texas 1115 Waiver: A Look at Other States
Abstract: The expiration of the Texas 1115 Waiver at the end of September 2022 is a call to action. With the uncertainty surrounding the Texas 1115 Medicaid Waiver renewal, the state’s Health and Human Services Commission may consider some of the policy and regulatory changes to the Medicaid program that the Centers for Medicare and […]
Despite Threats to the ACA, It is Time to Plan Long-Term
The Affordable Care Act (ACA) has survived for a decade despite Congressional attempts to repeal it, executive orders to weaken it, and some Democratic Presidential candidates proposing to upend it in favor of a single-payer system. Despite the political rhetoric and executive actions, participating ACA individual insurers experienced a highly profitable 2019. This resulted in […]
Citrus Valley Health Partners: Equipped to Meet the Workforce Needs of the Future
California Delegated IPAs and Medical Groups: Operational, Financial and Regulatory Dilemmas
Payers and Providers California Edition
Measuring Total Investments in Health
Research has shown a positive relationship between spending on socialservices and improved health.1 As researchers, policymakers and the generalpublic begin to better recognize the many factors influencing individual andpopulation health beyond direct clinical care, some localities, states, federalagencies and research organizations have shown interest and engaged in efforts tomeasure the total investments being made to […]
Nudging Guideline-Concordant Antibiotic Prescribing: A Randomized Clinical Trial
The Case For Care Coordinators
Health care delivery is usually discussed in broad, dramatic strokes: open heart surgeries, organ transplants, cancer patient survival rates. But seemingly insignificant things can dramatically impact health care delivery. For example, a patient misses a crucial doctor’s appointment because they lack transportation, leading to another hospital stay. Or, a patient with diabetes lets their health […]
Comparing DSRIP in Texas and New York
Overview Delivery System Reform Incentive Payment (DSRIP) providers in Texas have been closely following the proposed extension to the Texas State Section 1115 Waiver as the Health and Human Services Commission (HHSC) prepares to submit an extension application to the Centers for Medicaid and Medicare Services (CMS). A main goal of the extension is to […]
Finger Lakes Care Collaborative Re-imagines Health Care Delivery
Healthcare providers in upstate New York are looking to transform care specifically for the Medicaid and uninsured population. Currently, the region is plagued by the same challenges facing many communities nationwide. Namely, a health care delivery system that operates in silos with poor care transitions and a disconnected information technology infrastructure that limits the ability […]