Delivery System Reform: All Resources

… results in Delivery System Reform.

May 30, 2023
Trends in State Medicaid Continuous Coverage Unwinding Plans
Cassandra LaRose Fact Sheet
As part of the Medicaid continuous coverage unwinding, states were required to create plans to describe how they will…
Read more
May 17, 2023
Access to Medi-Cal Specialty Mental Health Services: Network Adequacy Requirements and Other Beneficiary Rights
Abigail Coursolle and Nancy Lam Issue Brief
Medi-Cal covers Specialty Mental Health Services (SMHS) for beneficiaries who need them. In California, County Mental Health Plans (MHPs)…
Read more
May 15, 2023
Principles for Fairer, More Responsive Automated Decision-Making Systems
Elizabeth Edwards and David Machledt Issue Brief, Manual/Report, Fact Sheet, Guide, Case Explainer
Many government agencies use automated decision-making systems (ADS) for public benefits coverage and enrollment decisions, including Medicaid. By ADS…
Read more
May 3, 2023
NHeLP Summary of Proposed Access and Managed Care Rules
Sarah Somers Fact Sheet
Last week, the Centers for Medicare and Medicaid Services (CMS) released two proposed rules intended to improve access to…
Read more
April 20, 2023
AMICUS: J.R. v. Horizon NJ Health, New Jersey Superior Court, Appellate Division
Litigation Team Cases
J.R. is a young child who requires nursing services and appealed a significant reduction in her Medicaid nursing services…
Read more
April 17, 2023
What Makes Medicaid, Medicaid? — Consumer Protections and Due Process
Kimberly Lewis, Wayne Turner, and Skyler Rosellini Issue Brief
To ensure that Medicaid beneficiaries have complete access to quality health care, Medicaid provides important consumer protections and due…
Read more
April 17, 2023
What Makes Medicaid, Medicaid? Access
Abigail Coursolle, Wayne Turner, David Machledt, and Carly Myers Issue Brief
Medicaid is designed to include many protections that ensure that beneficiaries get more than a coverage card. Medicaid ensures…
Read more
April 17, 2023
What Makes Medicaid, Medicaid?
Wayne Turner Issue Brief, Fact Sheet
With the passage of the Affordable Care Act (ACA) in 2010, and the implementation of Medicaid expansions and Marketplaces…
Read more
April 4, 2023
NHeLP Comments on Coverage of Contraceptive Services Under the Affordable Care Act
Liz McCaman Taylor Comments
Section 2713(a)(4) of the Public Health Service Act, and its implementing regulations, make access to contraception possible by ensuring…
Read more
March 16, 2023
Protect Medicaid Funding series (2023)
Michelle Yiu, Emma Parker-Newton, David Machledt, Amy Chen, Madeline Morcelle, Héctor Hernández-Delgado, Catherine McKee, Mara Youdelman, Wayne Turner, Dania Douglas, and Charly Gilfoil Fact Sheet
A 2024 update of this series can be found here. In an updated series of fact sheets called Protect…
Read more