Comprehensive Statewide Program Combines Training and Higher Reimbursement for Providers With Outreach and Education for Families, Enhancing Access to Dental Care for Low-Income Children
A comprehensive, multi-stakeholder program combines training and higher reimbursement for dental providers with outreach, education, and support to families, leading to enhanced access to dental care, less tooth decay, and lower dental care costs for young, low-income children.
Comprehensive Vaccine Program More Than Triples Immunization Rates for Children
A comprehensive vaccine program more than tripled childhood immunization rates through provider training, immunization tracking, reminders for physicians and parents when immunizations are not up-to-date, and nurse-run immunization clinics.
Culturally Responsive Maternity Care Clinic Enhances Access to Care for Expectant Refugee Mothers and Their Children
A hospital-based maternal/child health clinic enhances access to comprehensive, culturally competent prenatal and pediatric care for refugee families, leading to less anxiety among expectant mothers and better attendance at scheduled appointments.
Electronic Referrals and Communications Reduce Wait Times for Specialty Appointments and Improve Clinician Communication and Quality of Care
Electronic communications between primary care clinicians and specialists enhance access to specialty expertise for patients served by a hospital's referral network of safety net clinics.
Medicaid Managed Care Plan Provides Reports, Guidelines, and Education Materials to Physicians, Reducing Inappropriate Prescribing of Antibiotics to Children and Adolescents
As part of a collaborative, a California health plan provides quarterly provider performance reports, educational materials, and other support to physicians and parents, leading to a reduction in inappropriate prescribing of antibiotics to children, adolescents, and adults with an upper respiratory infection or acute bronchitis enrolled in the insurer's Medi-Cal managed care plan.
Improving Asthma Care for Children Toolkit: Best Practices in Medicaid Managed Care
This toolkit provides strategies to improve asthma care tested by a diverse group of health plans serving Medicaid consumers.
Risk Management and Quality in Home- and Community-Based Services (HCBS): Individual Risk Planning and Prevention, System-wide Quality Improvement
This report explores the topic of effective individual risk management in community-based services among States engaged in risk planning for Medicaid home- and community-based services (HCBS) waiver participants.
Predictive Modeling: A Guide for State Medicaid Purchasers
This guide for care managers and State Medicaid agencies provides information on how to use predictive modeling tools to identify patients who are good candidates for care management.
Monitoring and Evaluating Medicaid Fee-for-Service Care Management Programs: A User's Guide
Monitoring and Evaluating Medicaid Fee-for-Service Care Management Programs: A User's Guide is designed to aid policymakers in understanding the policy issues, research evidence, and methodology related to evaluating the costs, quality, and impact of care management programs.
Designing and Implementing Medicaid Care Management Programs: A User’s Guide
The Medicaid Care Management Guide helps States design, implement, and evaluate care management programs for the chronically ill.