Insights from the minds at Cognosante
The ACA – An Intersection between Health Policy and Community Health

The ACA – An Intersection between Health Policy and Community Health

Author: Cognosante
Cognosante

Effective Medicaid Consumer Engagement: Thinking Outside the Box

Person-centered approach Many individuals enrolled in Medicaid also access services from other state human services agencies and community-based providers. Deploying a “whole person” approach for enrollees—supported by modern tools and one-to-one support—can increase beneficiary engagement while lowering a state’s overall costs and administrative burden. The Medicaid landscape is changing Since implementation of the Affordable Care […]
Author: Rebecca Bruno
Rebecca Bruno
State health and human services

Advancing payment reform with effective state health information exchange

Throughout the healthcare system, payers are shifting away from payment models that incentivize volume of services to models that incentivize quality, outcomes, and savings. Efforts to transform healthcare through value-based payment reform can be seen in state Medicaid managed care contracts that incentivize outcomes, delivery system reform efforts under Medicaid demonstration projects, State Innovation Model (SIM) efforts […]
Author: Megan Renfrew
Author: Sunaina Menawat
Megan Renfrew and Sunaina Menawat
State health and human services
Federal health programs, State health and human services

National provider call center delivers exceptional customer support to provider community

Healthcare providers have been required to enroll in many disparate programs to provide and be reimbursed for services under Federal, state, and commercial healthcare plans. The move to a National Provider Identifier (NPI) and the enactment of legislation like the Health Information Technology for Economic and Clinical Health (HITECH) Act have increased the need for […]
Federal health programs, State health and human services

Modernizing Medicaid managed care

The “mega” Medicaid managed care rule released this spring by the Centers for Medicare and Medicaid Services (CMS) set in motion a long-overdue overhaul of managed care programs in Medicaid and the Children’s Health Insurance Program. As managed care plans oversee larger percentages of enrollees and benefits, the pressure on state Medicaid agencies to ensure […]
Author: Megan Renfrew
Megan Renfrew
Federal health programs, State health and human services