How Human Services Programs and Their Clients Can Benefit From National Health Reform Legislation

Explains how information technology investments for Medicaid expansion also will enable state agencies to share information that expedites eligibility determination for other needs-based benefits, increases access to supports, and facilitates enrollment

The Obamacare Opportunity: Implementing the Affordable Care Act to Improve Health, Reduce Hardship, and Grow the Economy for All Californians

This report describes how California can take advantage of ACA implementation to increase access both to health coverage and to vital safety net and work support programs.In Section I, we describe California's public benefit take up problem. We identify the take up rates of the key safety net and work support programs, barriers to greater participation, and the benefits of increasing participation in such programs.In Section II, we describe how ACA implementation can increase take up rates for health insurance and public benefit programs. States can expand integration infrastructure and operations across a broad range of programs and the federal government will pay most of the costs.In Section III, we set forth various policy options for integrating California's Marketplace with public benefit programs. We describe California's existing integration efforts and present ACA and non-ACA best practices from other states regarding take up strategies.In Section IV, we make recommendations focused on a single goal -- increasing the take up rate of safety net and work support programs to improve health, reduce hardship, and grow the economy for all Californians

Medicaid's Role in the Health Benefits Exchange: A Road Map for States

Examines issues for integrating Medicaid into the administration, operation, and coverage continuum of insurance exchanges. Discusses eligibility, enrollment, and outreach; contracting, standards, and requirements; benefits design; and infrastructure

SHAP Enrollment and Eligibility Activities: Implications for Process and System Modernization Under National Health Reform

Shares five states' experiences and best practices in using State Health Access Program grants to expand public health coverage through community-based outreach and improved eligibility and enrollment processes, as well as implications for federal reform

No equity, no triple aim: strategic proposals to advance health equity in a volatile policy environment

Health professionals, including social workers, community health workers, public health workers, and licensed health care providers, share common interests and responsibilities in promoting health equity and improving social determinants of health—the conditions in which we live, work, play, and learn. This article summarizes underlying causes of health inequity and comparatively poor health outcomes in the U.S. It describes barriers to realizing the hope embedded in the 2010 Patient Protection and Affordable Care Act that moving away from fee-for-service payments will naturally drive care upstream as providers respond to greater financial risk for the health of their patients by undertaking greater prevention efforts. The article asserts that health equity should serve as the guiding framework for achieving the Triple Aim of health care reform. It outlines practical opportunities for improving care and for promoting stronger efforts to address social determinants of health. These proposals include developing a dashboard of measures to assist providers committed to health equity and community-based prevention and to promote institutional accountability for addressing socio-economic factors that influence health

Working Together Toward Better Health Outcomes

Healthcare organizations and community-based organizations (CBOs) that provide human services are partnering in shared pursuit of better health outcomes. The Partnership for Healthy Outcomes – Nonprofit Finance Fund (NFF), the Center for Health Care Strategies (CHCS), and the Alliance for Strong Families and Communities (Alliance), with support from the Robert Wood Johnson Foundation (RWJF) – set out to capture and analyze the lessons emerging in this dynamic space. Information from more than 200 partnerships serving all 50 US states provide important lessons from, and for, partnerships that hope to improve access to care, address health inequities, and make progress on social issues like food, education, and housing

Innovative Medicaid Initiatives to Improve Service Delivery and Quality of Care: A Look at Five State Initiatives

Outlines initiatives in Alabama, Oklahoma, Oregon, Pennsylvania, and Washington to implement patient-centered medical home models designed to coordinate and improve quality of care; strategies; key lessons; and new opportunities under healthcare reform

Global and Episodic Bundling: An Overview and Considerations for Medicaid

Examines implementation issues for two payment strategies under which a group of providers receives a single payment per patient for a predefined time period for a predefined set of services and which involve risk adjustment and quality measurement