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Issue: Managed care organizations (MCOs) are integral to Medicaid payment and delivery reform efforts. In states that expanded Medicaid eligibility under the Affordable Care Act, MCOs have experienced a surge in enrollment of adults with complex needs.
Goal: To understand MCO experiences in Medicaid expansion states and learn about innovations related to access to care, care delivery, payment, and integration of health and social services to address nonmedical needs.
Methods: Interviews with leaders of 17 MCOs in 10 states that have seen large Medicaid enrollment growth and have undertaken payment and delivery reforms.
Findings and Conclusions: MCO leaders regard their ability to enroll and serve the Medicaid expansion populations as a signal achievement. They have focused on identifying and helping high-risk populations and addressing the social determinants of health. MCOs are testing value-based payment strategies that link payment with performance and are increasingly focused on engaging patients in their care. Leaders report common challenges: setting appropriate payment rates; managing members whose needs differ from traditional Medicaid beneficiaries; ensuring access to specialty care; and effectively implementing payment reform and practice transformation. All point to the need for a stable policy environment and a strong working relationship with state Medicaid agencies.
National Academy for State Health Policy;
Due to mounting evidence that community health workers (CHWs) can improve health outcomes, increase access to health care, and control medical costs, states are increasingly engaging their CHW workforce to replicate those successes at the state level. However, the policies and programs that regulate and pay for CHWs differ dramatically across states, and states facing difficulties advancing CHW initiatives can gain insights from the experiences of other programs across the country.
The National Academy for State Health Policy (NASHP) recently up-dated its State Community Health Worker Models Map, and is currently identifying innovative state strategies that have helped CHW initiatives meet their goals. This case study, which explores payment models for CHWs conducting home visits in Minnesota, New York, Utah, and Washington State, is the second in a series of products that highlight those CHW program strategies.
Taylor Policy Group;
Indian Country today bears the imprint of history—the legacy of conflict endured, of treaties made and broken, and of government promises unfulfilled. Indians living on reservations earn incomes that are fractions of what other Americans enjoy, and they carry financial, social, and cultural costs that few other American communities do. History matters—still. This is a story of just such a resurgence—the recent economic history of the Snoqualmie Indian Tribe. It is a story of persistence, achievement, and generosity. Most of all, it is a story of economic growth with impacts that extend to the nearby Cities of Snoqualmie and North Bend and to the Snoqualmie Valley generally.
Educational Fund to Stop Gun Violence;
"Extreme Risk Protection Orders: An Opportunity to Save Lives in Washington" is a 2016 report from the Ed Fund that provides information and data regarding extreme risk protection orders (ERPOs), including how they work and why they are needed to save lives in Washington State.
The evaluation team collected general data on states' Common Core efforts by reviewing recent news articles, journals, online documents, and systems-change literature. Using this knowledge base, the team drafted driving research questions for this final report that focused on exploring how states' higher education systems are involved in standards efforts today, including aligning course sequences, updating placement policies, and supporting faculty awareness of college readiness standards. These research questions informed an interview protocol through which the team engaged several Core to College states in semi-structured conversations.
The WestEd team spoke by phone with key Core to College contacts from seven of the Core to College states: Colorado, Hawai'i, Kentucky, Louisiana, Massachusetts, Oregon, and Washington. These individuals (many held the title of Alignment Director under the grant) had been part of the Core to College work and, for the most part, are still involved in work that has evolved from the initiative. The other four states involved in the initiative did not have applicable staff for the team to speak with.
This report uses a case-study approach to describe how three of the Core to College states -- Washington, Hawai'i, and Louisiana -- continue their Core to College–initiated efforts of aligning K–12 and postsecondary education systems to better prepare students for college. The case studies include details about key components of each state's respective Core to College work, including the state's history with systemschange efforts in education; key staff and organizations that "championed" the Core to College efforts and promoted cross‑system collaboration; specific strategies used to align the state's K–12 and higher education systems; the state's approach to standardized assessments and course-placement policies; and key outcomes of the Core to Collegerelated efforts.
Corporation for Enterprise Development (CFED);
The Assets & Opportunity Scorecard is a comprehensive look at Americans' financial security today and their opportunities to create a more prosperous future. It assesses the 50 states and the District of Columbia on 130 outcome and policy measures, which describe how well residents are faring and what states are doing to help them build and protect assets. The Scorecard enables states to benchmark their outcomes and policies against other states in five issue areas: Financial Assets & Income, Businesses & Jobs, Housing & Homeownership, Health Care, and Education.
The purpose of this report is to provide summative feedback to personnel at the Office of Superintendent of Public Instruction (OSPI) and at the College Spark Washington regarding evidence of implementation and impact of the Advancement via Individual Determination (AVID) and Navigation 101 programs in schools funded by the College Readiness Initiative (CRI) in Washington State. The report, while addressing the effects of both programs, is also designed to provide formative feedback to assist in ongoing program development.
California HealthCare Foundation;
Inaccurate provider directories can lead to consumer frustration and confusion, and result in substantial out-of-pocket costs for consumers who may unintentionally seek and receive out-of-network care. Yet it has proven challenging for organizations -- carriers, state Medicaid agencies, and ACA-created insurance marketplaces -- to maintain accurate and up-to-date provider directories.
This report examines policy, operational, business, and technical obstacles to well-functioning, integrated provider directories and how they have been overcome in four states: Colorado, Maryland, New York, and Washington. It details the perspectives and experiences of consumer advocates, carriers, providers, state-based marketplaces (SBMs), and state Medicaid agencies in those states, with the goal of informing California policymakers and stakeholders as they seek to improve consumer access to accurate provider network information.
Center for Effective Philanthropy (CEP), The;
In May and June 2015, The Center for Effective Philanthropy (CEP) conducted a survey of the Medina's grantees. The memo below outlines the key findings from Medina's GPR as well as the methodology used to collect this feedback. CEP has included comments below that reference both positive and negative feedback from grantees. The proportion of negative or constructive comments in this narrative is over-represented relative the full set of grantee comments.
Two years ago, we explored philanthropy's response to the worst economic crisis in our country since the Great Depression. We reported that contributions from foundations and corporations declined over 23% from 2008 to 2010 because of the recession's impact on foundation assets and uncertainty about the future. In this report, we analyzed 23,783 grants to Northwest organizations from 245 funders in 20121, totaling $958,347,806. This represents a 4% decline in giving over 2010. We were not surprised by this finding. The Foundation Center predicted that national giving by foundations and corporations would remain flat in 2012 given the volatile economic recovery, while over 77% of Philanthropy Northwest members that responded to our annual survey expected their giving to remain flat or decrease.
Other key findings from this edition of Trends in Northwest Giving include:
Dramatic state-by-state variation in grantmaking trends.Corporate giving is up sharply, but not all states are seeing the benefits. Education receives the largest share of grant dollars, a total of $239 million, or 25% of regional grantmaking. Health funding grew more than any other category, but is still far below national levels.
American Red Cross;
Aerial drones are one of the most promising and powerful new technologies to improve disaster response and relief operations. Drones naturally complement traditional manned relief operations by helping to ensure that operations can be conducted safer, faster, and more efficiently. When a disaster occurs, drones may be used to provide relief workers with better situational awareness, locate survivors amidst the rubble, perform structural analysis of damaged infrastructure, deliver needed supplies and equipment, evacuate casualties, and help extinguish fires -- among many other potential applications.
This report will discuss how drones and the aerial data they collect can be used before, during, and after a disaster. It includes an overview of potential solutions and deployment models, as well as, recommendations on removing regulatory barriers to their use. The American Red Cross, leading private sector companies, and federal agencies coordinated by Measure, a 32 Advisors Company, have come together to explore and explain how and why drones should be used in the wake of natural disasters and other emergencies that threaten widespread loss of life and property.
Center for Education Data and Research (CEDR);
We study the effectiveness of teachers certified by the National Board for Professional Teaching Standards (NBPTS) in Washington State, which has one of the largest populations of National Board Certified Teachers (NBCTs) in the nation. Based on value-added models in math and reading, we find that NBPTS certified teachers are about 0.01-0.05 student standard deviations more effective than non-NBCTS with similar levels of experience. Certification effects vary by subject, grade level, and certification type, with greater effects for middle school math certificates. We find mixed evidence that teachers who pass the assessment are more effective than those who fail, but that the underlying NBPTS assessment score predicts student achievement. Finally, we use the individual assessment exercise scores to estimate optimal weights for value-added prediction.