Richard E Kellogg’s Post

Join us on Aug. 21 for an insightful webinar: "Designing Medicaid Value-Based Payment for New Yorkers Experiencing Homelessness." Discover how #EssentialHospital NYC Health + Hospitals developed and implemented an innovative #Medicaid value-based payment care management model. This session will delve into forecasting care experiences and advocating for new policies and funding. Register now to gain valuable insights from leading experts. https://bit.ly/4bWdMM1

As organizations consider the opportunities the NY 1115 waiver may bring, it is worth taking some time to think about how the role of the community based organization can and should evolve. We have to focus not only on the "referrals and billing" side of SCNs, but on what actually happens at the CBOs - I often think about how CBOs have only nominally been engaged in Medicaid Redetermination. We need to rethink how these entities can become truly integrated partners and providers, vs just a safety net player.

Resource center developed by CHCS offers practical tools and guidance to help Medicaid stakeholders engage #community members in policy and program design: https://hubs.la/Q02C4n9m0

Many Texas families are facing uncertainty with the unprecedented unwinding of pandemic Medicaid protections. Over 1.7 million residents have lost health coverage - often unexpectedly through no fault of their own. At Community Health Choice, our mission is caring for those affected by disruptions and guiding them through this transitory period. If you or your loved ones are experiencing coverage losses or application delays, know you don’t have to handle this alone. Our dedicated care coordinators are here to listen, explain policy shifts, appeal wrongful decisions and ensure continuity of treatment when possible. We assist with paperwork, provide interim solutions like pharmacy vouchers and connect individuals to community health resources. Too often, tedious systems fail the people relying on them most. The path forward lies in compassion and collective problem-solving, not blame. We urge decision-makers to build supports reducing Texans’ anxiety navigating this terrain. Progress happens through open communication, practical fixes and understanding real families behind statistics. During uncertain times, trust that we walk beside you. Our doors remain open, and our commitment is restoring stability and peace of mind however we can. Reach out today - let’s continue uplifting community health together. 🩺 #HereToHelp #MedicaidUnwinding #TexasHealthMatters

#InTheNews Op-Ed: Action Needed to Sustain Hospital-Based Programs that Prevent Violence New Jersey, like many other states, has strategically enhanced the community violence-intervention ecosystem to address the impact of violence in neighborhoods. Gov. Phil Murphy has pointed to this public health approach as a key factor in reducing shootings in 2023 to the lowest number in nearly 15 years. Organizations like The Paterson Healing Collective, a hospital-based violence intervention program, is making a real impact on the city's hardest-hit communities by providing essential services like GED assistance, job readiness training, and housing. Championed by the The Health Alliance for Violence Intervention (HAVI) for nearly 15 years, these programs connect those at highest risk with support, both in hospitals and through ongoing community services. To ensure the long-term sustainability of these evidence-based interventions, it is just as important to diversify their funding streams to include more stable sources. The new bill currently under consideration by the Legislature would enable Medicaid coverage and reimbursement for violence prevention services and smartly takes advantage of the opportunity to utilize federal matching funds, which will cover 50% of the costs associated with this benefit. We urge lawmakers to pass this legislation now to ensure its Medicaid program serves as a steady funding source for evidence-based violence intervention programs, providing the trauma-informed care they need and the opportunity to thrive they deserve. Read Full Article here: https://lnkd.in/e8wtNH79 #GunViolencePrevention #PublicHealth #CommunitySafety #ViolenceIntervention #NewJersey #publicsafety

The SMP projects receive Administration of Community Living (ACL) grants to train retired professionals, older adults, and community members to prevent, detect, and report health care fraud, errors, and abuse. A new memo from HHS-OIG highlights challenges for #SeniorMedicarePatrol projects in 2023. ACL should collaborate with SMP projects to better document Medicare and Medicaid recoveries, cost avoidance, and savings for beneficiaries and others. Explore their initiatives, outreach, and educational events: https://direc.to/fhHX

“Since the program’s beginning in 2014, over $3.2 billion from the federal government has funded health care for Granite Staters, providing financial stability for households experiencing hard times and helping ensure access to doctors, hospitals, and treatments for mental health or substance use disorders. These dollars have also helped the economy, and made more resources available for key parts of the health care system, including front-line health care staff and rural hospitals.” In the #1 spot, the top research publication of 2023, is our January 2023 Issue Brief about the effects of Medicaid Expansion in New Hampshire. Read the full blog post on NHFPI’s most sought-after publications in 2023 here. https://lnkd.in/e-JmedYR

This is clearly stated and critical for all stakeholders to act on adequate funding for our safety net patients in Colorado. The ROI is clear when the costs of increased ER visits and delayed care for acute or chronically ill patients is calculated into the overall costs of charity care that all Coloradans eventually pay for - increasing premiums and increasing charges. Bad debt or charity care - whether in admits, readmits or increasing ER visits is all factored in to the total cost of care. All of our safety net providers are now facing dramatic challenges in serving this increasing uninsured population with less funding. Let’s find a solution - sooner than later !

An amazing story indeed, Secretary Kinsley. As hospital week comes to end end, let’s not forget the unsung heroes of this story, our State’s hospitals. North Carolina hospital worked tirelessly with our elected leaders in the House and Senate to get HB 76 across the finish line. Hospitals made significant contributions to make Medicaid Expansion a reality. 🎯 Funding the non-federal share of expansion (10% of the total cost) saving North Carolina tax payers hundred of millions of dollars 🎯 Providing tens of millions of additional dollars to the NC general fund 🎯 Making concessions to modernize the CON law (many of these changes go into effect in 2025) 🎯 Creating HASP, which allows the state to draw down additional federal dollars to support local hospitals to help offset new taxes and obligations and to support the work that hospitals do every day to support their communities and the people they serve. (Note: HB 76 requires the state to draw down these dollars, annually, to make it all work - a win-win arrangement) Thank your home town hospital and the amazing people who work there

CSH has updated their Policy Brief on Medicaid coverage of Housing Related Services. We are up to twenty-seven state & DC that cover these vital services for some populations. More details at https://lnkd.in/efKNS9Tk And coming soon, rating states on the quality of those programs, based on CSH's Six Strategies to use with Medicaid to Scale Supportive Housing https://lnkd.in/eAiJbsNf