Posts for Cost & Quality

Washington State First to Receive Approval to Implement a Managed Fee-for-Service Duals Demonstration Program

Last month, Washington became the second state to sign a Memorandum of Understanding (MOU) with the Centers for Medicare and Medicaid (CMS) to participate in a duals demonstration project. Washington is pursuing a managed-fee-for-service financial model u

Navigating Managed Care’s Strange New World

State Medicaid programs have been moving at warp speed to turn over long-term services and supports (LTSS) to managed care companies. For some states, this marks the first journey into the tricky terrain of mandatory managed care for seniors and people wi

Hospital Emergency Rooms: Last Resort or Failsafe?

Recently, old arguments about the appropriate role of the hospital emergency room (ER) in our health care system have resurfaced as the nation considers its next President. Given the high profile of the issue and the wide array of public opinions on the m

The ACA: Saving Consumers’ Premium Dollars Once Again

Hot off the heels of $1.1 billion in rebates from insurance companies that failed to meet the medical loss ratio (MLR) standard, the ACA is again saving money for consumers. The Department of Health and Human Services (HHS) just released a new report that

Something to Celebrate: Three Big Birthdays, One Short Week

Three programs vital to the health care security to millions of Americans celebrated birthdays last week. Medicaid and Medicare turned 47, and their “little sibling,” the Children’s Health Insurance Plan (CHIP), also marked 15 years of ensuring low-income

Takeaways from “The Dual Agenda: Better Care at a Lower Cost?”

On June 1st, with the generous support of The Atlantic Philanthropies, The John A. Hartford Foundation and the Robert Wood Johnson Foundation, Community Catalyst brought together advocates, providers, policymakers, funders, and technical experts to discus

Basic Health Program: This Wallflower is About to Bloom

The Basic Health Program isn’t the most flashy or popular provision in the Affordable Care Act. But anyone who’s watched a classic – or even a less-than-classic - teen romantic comedy knows that the shy, somewhat awkward wallflowers often have tremendous

Consumers: The Key to Successful Innovation

Last week, Center for Medicare and Medicaid Innovation (CMMI) announced the first group of organizations for Health Care Innovation awards. As readers may already know, CMMI was established by the Affordable Care Act (ACA) to test innovative payment and d

For Seniors the Affordable Care Act is the Gift that Keeps on Giving

This week marks the two year anniversary of the Affordable Care Act. And, while we will devote plenty of space this week to highlighting the many successes of the ACA, we could think of no better place to begin than with the law’s benefits for seniors. Un
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