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  • Leveraging Medicaid in a Multi-Payer Medical Home Program: Spotlight on Rhode Island’s Chronic Care Sustainability Initiative

    Issue Brief

    Rhode Island's Chronic Care Sustainability Initiative (CSI) is a multi-payer patient-centered medical home program in which the one Medicaid health plan and all commercial health plans in the state participate. Hallmarks of the initiative are engaged leadership, mandatory participation but participatory governance, a common contract used by all payers, and investments in health information technology and other support for practice transformation.

  • Integrating Physical and Behavioral Health Care: Promising Medicaid Models

    Issue Brief

    Although many people require treatment for both physical and behavioral health conditions, our physical and behavioral health systems typically operate independently, without coordination. Medicaid has a significant stake in addressing this issue because physical and behavioral health comorbidity rates among beneficiaries are high. This brief examines five promising approaches currently underway in Medicaid to better integrate physical and behavioral health care.

  • Data Note: Medicaid Managed Care Growth and Implications of the Medicaid Expansion

    Issue Brief

    Most states today rely heavily on risk-based managed care organizations (MCOs) to serve Medicaid beneficiaries. This Data Note discusses the current role of managed care in Medicaid and examines differences in managed care growth between states that expanded Medicaid to low-income adults under the Affordable Care Act (ACA) and states that did not expand Medicaid.

  • Medicaid Financing Cliff: Implications for the Health Care Systems in Puerto Rico and USVI

    Issue Brief

    This brief provides an overview of the status of the health care systems and Medicaid programs in Puerto Rico and the U.S. Virgin Islands (USVI) about one and a half years after Hurricanes Irma and Maria struck the islands in September 2017. The hurricanes exacerbated the territories’ existing economic and health care challenges by accelerating outmigration of residents and health care providers and destroying homes, schools, health care facilities, and other infrastructure. After the storms, the territories’ Medicaid programs have served as important resources for addressing residents’ health care needs, but they have operated under longstanding financing challenges. This brief focuses on these challenges and includes KFF analysis of the implications for the territories’ Medicaid program finances, as most of the temporary federal Medicaid funds provided through the Affordable Care Act (ACA) and disaster relief are set to expire at the end of September 2019. The other U.S. territories (American Samoa, the Commonwealth of the Northern Mariana Islands, and Guam) also face challenges tied to the scheduled expiration of ACA funds.

  • The Washington State Health Care Landscape

    Fact Sheet

    This fact sheet provides an overview of population health, health coverage, and health care delivery in Washington under the Affordable Care Act (ACA).

  • Overview: 2017 Kaiser Women’s Health Survey

    Issue Brief

    The Kaiser Family Foundation has conducted the Kaiser Women’s Health Survey approximately every four years since 2001 to provide a look into the range of women’s health care experiences, especially those that are not typically addressed by most surveys. The findings presented in this report examine women’s coverage, access, and affordability of care, their connections to the health care delivery system and use of preventive care, use of reproductive health services, and responsibilities caring for family health needs. The survey was conducted in the summer and fall of 2017 and included a nationally representative sample of 2,751 women ages 18 to 64.

  • Community Health Centers and Family Planning in an Era of Policy Uncertainty

    Report

    Community health centers play a major role in furnishing reproductive health care to women living in low-income and medically underserved communities. Along with independent freestanding family planning clinics including Planned Parenthood health centers (which also may receive Title X funding), and local public health agencies, community health centers are part of a publicly supported provider network that serve an estimated one in three low-income women. This report, an update of an earlier study conducted in 2011, presents the key findings of a national survey of community health centers and their role in the provision of family planning and related services to low-income women, men, and teens.