Improving Systems

Improving Systems

CMS Innovation Center releases anticipated funding opportunities focused on children: Will your state apply?

Say Ahhh! readers are familiar with one of our biggest concerns about health care payment and delivery system reforms: Kids, relatively inexpensive to begin with, are often overlooked and rarely the explicit focus. It’s hard to make improvements to health care for children and youth without payment or delivery system changes. And testing new reforms […]

The MOM Model: New CMS Initiative Aims to Improve Systems of Care for Pregnant and Postpartum Women with Opioid Use Disorder

The CMS Innovation Center announced a new tool to help address the devastating impact our nation’s growing opioid crisis is having on pregnant and postpartum women and their infants. The Maternal Opioid Misuse (MOM) model is the latest approach in CMS’s strategy to tackle the opioid crisis in a key population group, expectant and new […]

At Last, Some News on T-MSIS – the Transformed Medicaid Statistical Information System

Say Ahhh! readers know that I am a fan of how technology can transform eligibility and significantly improve data collection and reporting. And I’ve been anxiously awaiting signs of progress on the Transformed Medicaid Statistical Information System (T-MSIS) since CMS released an August 2013 letter to State Medicaid Directors indicating that the system was being piloted […]

“Pain & Profit:” How Not to Do Medicaid Managed Care

We know that CMS Administrator Seema Verma doesn’t think Medicaid should cover “able-bodied” adults. But she does believe that coverage of the “society’s most vulnerable citizens” is the right thing for Medicaid to do.  In her major policy address to state Medicaid directors last November, she opened with the stories of Richard, a para-pelagic, and […]