Medicaid is unique in the American health system for a number of reasons. As an income-based, entitlement program run by states with federal support that serves members at risk for poor health due to social determinants, it carries both unique strengths and challenges. Unnecessary over-treatment has received a great deal of attention as a driver of rising health costs in the wider health care system, but inappropriate under-service is also a problem across payer sources. To help Medicaid policymakers working on reforms to avoid underservice, CSG/ERC has collected best practices from states in a new brief: Medicaid Payment Reforms: State Options to Avoid and Address Underservice. The brief includes policies to prevent underservice, guidance on building a monitoring system, and advice on implementation.
The brief was drafted for the CSG/ERC Health Policy Committee’s Medicaid Reform Forum June 29th at the State House in Boston. Join us to learn more from experts and state policymakers about successful Medicaid reform. Click here for more info and registration.