Improving the quality and cost-effectiveness of publicly financed health care
Improving Medicaid Managed Care for Youth with Serious Behavioral Health Needs: A Quality Improvement Toolkit
This new toolkit shares lessons from CHCS' Collaborative on Improving Managed Care Quality for Youth with Serious Behavioral Health Needs. It details promising practices tested by nine participating plans as well as the resulting impact on access, care, and costs. more »
Enhanced Primary Care Case Management Programs in Medicaid: Issues and Options for States
This report examines enhanced Primary Care Case Management (PCCM) programs in five states -- Oklahoma, North Carolina, Pennsylvania, Indiana, and Arkansas. The paper builds on an in-depth evaluation that Mathematica Policy Research, completed of Oklahoma's SoonerCare Choice enhanced PCCM program. more »
Predictive Modeling: A Guide for State Medicaid Purchasers
To help state Medicaid agencies use predictive modeling tools to identify and prioritize candidates for care management, CHCS developed this guide that outlines key considerations for states to address prior to purchasing or building a predictive modeling tool. more »
Project Spotlight
Rochester Regional Quality Improvement Initiative Supports Providers in Diabetes Care
Supporting physicians in diabetes care delivery can significantly improve clinical outcomes for patients with diabetes and control spending for this high-need, high-cost population. With this in mind, a cross-payer coalition of health plans, state and county health departments, and other stakeholders in New York's Monroe County are working with physicians to achieve recognition under NCQA's Diabetes Physician Recognition Program.
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