CHA News Article

Article Series Examines Medicaid’s Evolving Delivery Systems

The California HealthCare Foundation (CHCF) and Health Affairs have released a series of articles exploring Medicaid’s evolution from a program for vulnerable and underserved patients to the insurer for many middle class workers and their families. Article topics range from mental health treatment to emergency room use by dual-eligible populations. The articles are available at no charge via the CHCF website. They are also highlighted after the “Read more.”

  • “Lessons from Medicaid’s Divergent Paths on Mental Health and Addiction Services” chronicles how Medicaid programs used their influence as the dominant payers for mental health treatment to expand the range of services covered, incentivize alternatives to inpatient treatment and enforce quality standards through licensure.
  • “Deficiencies in Care at Nursing Homes and Racial/Ethnic Disparities Across Homes Fell, 2006-11″ finds improvements in the quality of care and diversity of residents in nursing homes over five years.
  • “Federally Qualified Health Center Use Among Dual Eligibles: Rates of Hospitalizations and Emergency Department Visits” finds that the rate of emergency room use by dual-eligible populations previously seen at a federally qualified health center increased, contrary to indications from earlier, broader research.
  • “The Supreme Court Ruling That Blocked Providers from Seeking Higher Medicaid Payments Also Undercut the Entire Program” comments on the implications of the Armstrong v. Exceptional Child Center decision that concluded Medicaid providers cannot ask federal courts to force states to pay fair rates for medical services.
  • “An Examination of Medicaid Delivery System Reform Incentive Payment (DSRIP) Initiatives Under Way in Six States” looks at how Medicaid DSRIP waivers hold hospitals and other providers accountable for measureable improvements in health care delivery.