While many states have begun Medicaid delivery system reform, initiatives geared toward upstream prevention and population health are in varying stages of development. Building upon the Medicaid Roadmap work, Nemours received a grant from AcademyHealth to provide technical assistance to three states – Maryland, Oregon and Washington – as they developed or implemented upstream prevention strategies using Medicaid funds. Nemours also produced “how to” issue briefs illustrating how states can use existing Medicaid authority to finance these upstream prevention initiatives.
Medicaid Payment Strategies for Financing Upstream Prevention
Executive Summary
Approaches Medicaid, health plans, and stakeholders can use to finance upstream prevention
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Making the Case for Prevention
The case for why Washington’s ACHs should pursue chronic disease prevention
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Implementing Social Determinants of Health Interventions in Medicaid Managed Care
Addressing social determinants of health may be paid for within Medicaid managed care
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Medicaid and Head Start: Opportunities to Collaborate and Pay for Upstream Prevention
Lessons from connecting a MCO with Head Start to link families to preventive services
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Moving Medicaid Prevention Services Upstream
Partnership between Medicaid and Head Start to deliver an obesity prevention initiative
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Community Care Coordination Systems: Connecting Patients to Community Services
Explains Community Care Coordination Systems and critical success features
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Integrating Community Health Workers into State and Local Chronic Disease Prevention Efforts
Role community health workers can play in mitigating the impact of chronic conditions
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Webinar: Innovative Medicaid Payment Strategies for Financing Upstream Prevention
This is a recording of a July 17, 2018 webinar on the Medicaid Payment Strategies for Upstream Prevent...
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