February, 2017
For risk-bearing ACOs, the shared savings (accrued through holding actual per-beneficiary spending below the benchmark) for an individual beneficiary may not cover the cost of providing some of the more expensive supports to the beneficiary on an in-kind basis. Research suggests that self-financing through shared savings is less likely to be a barrier for other […]
Author
Bipartisan Policy Center
December, 2016
Medicaid and CHIP beneficiaries are more likely to delay care because of transportation than people with private coverage (4% vs. 1% for kids).
Author
Kirstin Blom, MACPAC
November, 2016
Estimates suggest that 40-90 percent of health outcomes are attributable to social, behavioral, and economic factors.
Author
Taressa Fraze, Valerie A. Lewis, Hector P. Rodrigues, and Elliot S. Fisher
November, 2016
The nonmedical needs most commonly addressed by ACOs were the need for transportation and housing and food insecurity.
Author
Taressa Fraze, Valerie A. Lewis, Hector P. Rodrigues, and Elliot S. Fisher
March, 2015
Iowa secured a temporary, one-year waiver of NEMT and was required to evaluate the impact of the waiver on access to care (CMS 2014b). In its September 2014 request to continue the exclusion in year two, the state reported that enrollees are using services and therefore access has not been affected without NEMT. Even so, […]
Author
MACPAC (citing Centers for Medicare & Medicaid Services (CMS), U.S. Department of Health and Human Services. 2014d. Section 1115 of the Social Security Act Medicaid demonstration: Iowa Medicaid healthy behaviors program and premium monitoring protocols. July 3, 2014. Baltimore, MD: CMS. Iowa Department of Human Services (Iowa). 2014c. Iowa Health and Wellness Plan proposed non-emergency medical transportation waiver amendment)
