Medicaid & CHIP Programs
Expert articles and analysis related to medicaid & chip programs.
AI Summary — Last 7 Days
Synthesis:
This week, the Medicaid and CHIP landscape saw growing momentum toward multipayer primary care payment reform, as exemplified by California’s proposed Medi-Cal model aiming to unify payment mechanisms and networks across payers—an approach designed to streamline administration and boost provider participation in value-based care (CHCF Medi-Cal Bold Idea). Additionally, there is increasing attention on leveraging AI and health data utilities to modernize Medicaid programs and support population health management, positioning data infrastructure as foundational for next-generation care delivery transformation (CHCF AI-First Medi-Cal). These developments underscore sustained pressure on states and ACOs to innovate amid budget constraints, with a clear focus on improving care coordination and outcomes through technology and payment alignment.
Related Articles
Rovner Recaps Medicaid Cuts’ Impact on Hospitals and Fields Caller Questions on Affordability
KFF Health News chief Washington correspondent Julie Rovner recently made the radio rounds to discuss topical stories. Here’s a collection of her appearances.
Medi-Cal Bold Idea — Any Card, Any Provider: Unifying Networks and Administration
Medi-Cal Bold Idea — Toward an AI-First Medi-Cal: A Health Data Utility
Medi-Cal Bold Idea — Partially Unified Financing: Covered California for Most
Medi-Cal Bold Idea — In-Home Supportive Services Integration into Managed Care
This proposal suggests integrating In-Home Supportive Services (IHSS) into Medi-Cal managed care to improve care coordination and oversight while preserving recipient self-direction. The post Medi-Cal...
Medi-Cal Bold Idea — Consideration of a Medicaid Per Capita Cap
Medi-Cal Bold Idea — Toward an AI-First Medi-Cal: A Health Data Utility
Medi-Cal Bold Idea — Toward an AI-First Medi-Cal: A Health Data Utility California Health Care Foundation
Reimagining Medicaid to Safeguard America’s Children
Reimagining Medicaid to Safeguard America’s Children WCM Newsroom
States Face Another Challenge With Medicaid Work Rules: Staffing Shortages
States Face Another Challenge With Medicaid Work Rules: Staffing Shortages Health Leaders Media
States Face Another Challenge With Medicaid Work Rules: Staffing Shortages
Some states already don’t have enough staff to quickly process Medicaid applications and answer enrollees’ phone calls. Researchers say they may not be prepared to handle new Medicaid work rules, pred...