Medicaid & Safety Net
Expert articles and analysis related to medicaid & safety net.
AI Summary ā Last 7 Days
Medicaid and safety-net activity this week centered on extending care beyond traditional clinical settings: CalOptima expanded its Orange County street medicine program for unhoused members, while plans are emphasizing postpartum continuity strategies to reduce the āMedicaid maternity cliffā as coverage churn threatens maternal outcomes and total-cost performance. At the same time, safety-net VBC infrastructure is moving toward deeper integration of behavioral health, community health workers, nurses, EHR data-sharing, and community pharmaciesācapabilities that matter for Medicaid managed care plans, ACOs, and provider groups taking risk on high-need populations. CMS Administrator Dr. Mehmet Ozās emerging prior authorization agenda adds another tension point for home health and safety-net providers, where utilization controls could either reduce inappropriate spend or create new access friction for complex Medicaid/dual-eligible patients (CalOptima street medicine expansion)
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